Rep. Mariannette Miller-Meeks

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1034 Longworth House Office Building

Washington, D.C. 20515

(202) 225-6576

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Iowa – 1st District

Iowa – District 1

Subcommittees (3)

8 Updates

Environment

11 Updates

Health

8 Updates

Energy

Biography

Mariannette’s father was a Master Sergeant in the United States Air Force who was forced to take up extra work, sometimes two or three jobs, to support their family. Her mother, who did not have a high school education, also worked multiple jobs.

Mariannette originally dreamed of becoming a teacher because she loved school and wanted to share her passion for learning with others. However, in 10th grade, she was severely burned in a kitchen fire. While at the hospital, Mariannette was treated by a physical therapist who went out of her way to make sure she got better. This woman’s kindness and selflessness inspired her to become a doctor so she could help others.

Mariannette was the fourth of eight children and since her parents did not have the means to pay for college, she left home at 16 and enrolled in community college. She later enlisted in the United States Army at 18, where she served for 24 years as a private, nurse, and doctor (ophthalmologist or eye diseases/surgery.) She went into private practice in Ottumwa in 1997 and she has remained there with her husband, Curt.

Mariannette has two grown children, Jonathon and Taylor. In 2010, Governor Terry Branstad appointed her as the Director of the Iowa Department of Public Health where she served until 2014.

In 2018, the voters of Senate District 41 elected Mariannette to fight for them in the Iowa State Senate. She resigned from the state senate on January 2, 2021 to take her seat in the United States House of Representatives.

Iowa – District 1

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News & Announcements

Mar 26, 2026

Press Release

Health Subcommittee Holds Hearing to Discuss Legislation Protecting Communities from Illicit Drug Threats

WASHINGTON, D.C. – Today, Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, led a hearing titled Policies to Protect Our Communities from Illicit Drug Threats . “I hear countless stories across my district of individuals taking illicit drugs and mixing them with drugs we discussed today, like xylazine and fentanyl,” said Chairman Griffith. “While some of these bills may need further work, it is critical that we continue to look for ways to restrict access to lethal and dangerous substances in order to protect American lives, strengthen public safety, and prevent further harm to families and communities nationwide.” Watch the full hearing here . Below are key excerpts from today’s hearing: Congressman John Joyce, M.D. (PA-13) on H.R. 1266, the Combating Illicit Xylazine Act : “Under the leadership of President Trump, we have finally closed our Southern Border and made all Americans safer by that action. However, we all recognize there is more work to be done, and I am pleased to see many pieces of legislation that are being considered today that will do exactly that. First, xylazine, referred to as “tranq”, is now reported to be the most commonly mixed alternate drug being stored and transferred and mixed and sold with heroin, with fentanyl, with cocaine. When I talk to the coroners at home and I ask them which drug is most commonly being used in South Central Pennsylvania, they say, ‘I’ll tell you what it’s being mixed with, it’s being mixed with tranq.’ And then it’s a polymorphous mixture of drugs that come in with it. I’d like to really publicly express my strong support for H.R. 1266, The Combating Illicit Xylazine Act, led by Representatives Panetta and Pfluger, which would permanently schedule this substance while providing the necessary safe harbor for its continued legitimate veterinary use.” Congressman Neal Dunn, M.D. (FL-02) on H.R. 7184, the PRESS Act : “You know, in 2025, the CDC reported an estimated 72,000 deaths from overdose, so think about that for a minute; 72,000 peoples’ souls lost. You know, it highlights the brokenness of our system. I think we can fix this. I think the bills before us today represent some real, concrete solutions to address the crisis that has claimed more American lives than any war in modern history. Fentanyl alone accounts for an estimated 45,000 deaths in 2025, and that threat is not static; it’s evolving. It’s changing. As we’ve discussed today, it’s almost faster than our regulatory framework can track. And I’m aware that there’s many problems that cause this, but I want to focus on the sort of upstream sources right now. This is not just a domestic public health problem. This is a national security issue, and it has a return address. The Chinese Communist Party has subsidized and incentivized the chemical companies in our country to export fentanyl and all these other related precursors to produce synthetic opioids and whatnot that are illicitly sold in the United States. And I don’t think this is negligence. This is policy.” Congresswoman Mariannette Miller-Meeks (IA-01) on H.R. 1227, the Alternatives to Pain Act : “Increasing access to opioid alternatives not only can reduce the cost of medical care but can also improve patient outcomes. One of my constituents from Iowa city, John Greenwood’s story, exemplifies this strategy. John is the Chief Strategy Officer of Goldfinch Health, an organization that launched the Billion Pill Pledge to help reduce the number of opioids left over after surgery by 1 billion. John trains health care professionals about optimal pain management, but this work is also personal to him because his son was born with a missing bone in his skull and has required 13 operations in five years. By utilizing only non-opioid therapeutics, his son was able to get through a seven-hour skull operation and recover with zero complaints about the pain while being treated at the University of Iowa Children’s Hospital. Because of his son’s recovery, which was smooth and comfortable, he was able to be discharged from the hospital four days early. This also saved the health care system and the family thousands of dollars in NICU costs alone. My bill, the Alternatives to Pain Act, is written to ensure more patients get this approach and reduce the risk of addiction from prescription opioids.” ###

Mar 18, 2026

Press Release

Health Subcommittee Scrutinizes Patient Affordability, Competition, and Access Across the U.S. Provider Landscape

WASHINGTON, D.C. – Today, Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, led a hearing titled Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape . During the hearing, we heard members express their concerns with how hospital consolidation and lack of price transparency drive up costs for American patients. “When provider markets lack competition and transparency, prices can rise without patients having the information needed to make cost-conscious decisions,” said Chairman Griffith. “Today, we heard from different organizations that represent health care providers across a variety of settings, so that we can continue to look for solutions that make delivering and receiving care more affordable.” Watch the full hearing here . Below are key excerpts from today’s hearing: Congresswoman Mariannette Miller-Meeks (IA-01): “ Today’s hearing is critically important because every policy discussion [involves] real patients—employers trying to provide health insurance, families trying to afford care, seniors managing chronic conditions, and providers working to keep their doors open in increasingly complex systems. Over the past decade or so, we’ve seen significant consolidation across the health care system—especially after the passage of the Unaffordable Care Act—and particularly among hospitals and large health systems. At the same time, Medicare physician reimbursement has declined by over 30 percent in inflation-adjusted dollars since 2001. If we continue on the current path, we’re not just cutting payments, we are cutting access. In rural Iowa, we don’t have an excess of providers. When one closes, patients have to drive hours for care. A 2 percent to 3 percent cut in Washington can mean the difference between staying open and shutting down in a small town.” Congressman Cliff Bentz (OR-02): “It almost seems as though the [physician] shortage gives people an excuse to raise prices. Is that the truth?” Dr. DiGiorgio: “I agree.” Congressman Bentz: “We’ve heard that in other conversations with various groups. And by the way, the remarks about larger systems resulting in higher quality care at less cost, I have to beg to differ. At least in previous conversations, it appeared that there was a focus on those types of things, while ignoring the amount of money being made on the float by delaying care. I asked that question of UnitedHealthcare when they were here. It was discouraging to hear how many billions of dollars are being made on the float, I must say. And that appears to be something we should be focusing upon.” Congresswoman Erin Houchin (IN-09): “This is the third hearing we’ve had on affordability. I think it may be the most consequential because the provider landscape is where these issues meet real patients. Doctor Aizuss, in your testimony, you note that practice costs rose roughly 63 percent over the same period that Medicare physician payments declined by roughly 33 percent, putting an increasing strain on independent practices and threatening patients’ access to care—particularly in rural parts of the country. From your perspective, how is this sustained gap affecting patients’ ability to access timely, quality care? What specific actions should Congress take to stabilize physician practices and prevent further disruptions?” Dr. Aizuss: “As I’ve noted, the decrease in real payment for Medicare services is accelerating independent physicians to close their offices or to sell their practices to private equity or to be employed by large systems. So, the access is definitely impacted by that. People in their own communities can’t access the private practice physician when they want to. And wait times are increasing significantly. The biggest solution, as I keep emphasizing, is having Medicare payment reform tied to the medical economic index with automatic inflationary updates—just like the other providers are receiving.” ###

Mar 17, 2026

Press Release

Subcommittee on Energy Holds Hearing on the Lessons Learned from Winter Storm Fern

WASHINGTON, D.C. – Today, Congressman Bob Latta (OH-05), Chairman of the Subcommittee on Energy, led a hearing titled, Winter Storm Fern Lessons: Supplying Reliable Power to Meet Peak Demand. “In spite of generous subsidies and favorable public policy choices, intermittent resources were nowhere to be found when New England needed power the most. Because limited gas pipeline capacity in the New England region restricts supply and raises prices, power plants had to opt for more expensive and less efficient fuel oil,” said Chairman Latta. “The lessons of Winter Storm Fern should illustrate that common sense must rule the day. American energy dominance and independence must be achieved so we can keep our communities safe at home.” Watch the full hearing here . Below are key excerpts from today’s hearing: Congresswoman Mariannette Miller-Meeks (IA-01): “The lesson from Winter Storm Fern is that we’re asking more of the grid in every region and increasingly relying on emergency tools and extraordinary coordination to navigate conditions that are becoming more common, not rarer. At the same time, we’ve layered on emergency orders, special directives, and broad must-run orders that, in some regions, effectively over-procure generation and crash prices. Those tools helped us through Fern, but they’re not a sustainable business model for a grid that’s about to serve even larger loads. Data centers, advanced manufacturing, and electrification across many levels of our economy are driving demand up quickly. Yet building the infrastructure to serve that demand, modern gas plants, nuclear, storage, new pipelines, transmission lines, or any renewable source, which Iowa does have, takes years longer than it should. Not because the technology is unproven, but because our permitting pathways are slow, fragmented, and unpredictable.” Congressman Russell Fry (SC-07): “Reliable energy is essential to every aspect of our modern life, especially to public health and welfare. Yet power outages cost the American people $44 billion each year. Winter Storm Fern highlighted the importance of grid reliability, leaving more than one million customers without power at its peak, including 70,000 in my home state of South Carolina. These disruptions make it clear that reliability must remain a top priority, particularly during severe weather events that place extraordinary strain on the electric system. Fern also demonstrated the critical importance of dispatchable energy sources. Peak coal generation rose by 25%, and peak natural gas generation rose by 47%. Across all impacted regions, dispatchable energy significantly outperformed wind and solar generation. The grid’s performance during severe weather depends not only on these baseload and dispatchable resources, but also on real-time coordination among grid operators, generators, transmission owners, marketers, and other market participants. Analyzing how the bulk power system performs during these events is essential to strengthening reliability and ensuring the continued delivery of electric power that Americans depend on every day.” Congresswoman Julie Fedorchak (ND-AL): “I agree with you — it should be bipartisan. Mr. Robb, how are premature retirements of baseload resources such as natural gas and coal making matters worse when we have increased demand?” Mr. Robb: “Thanks for the question. It makes matters worse in a number of different ways. When you lose the energy production associated with those facilities—and we saw in Winter Storm Yuri that a number of facilities operating under 202(c) orders did perform and were required to keep the lights on—there’s no question about that. The second thing is that those facilities create the special sauce that keeps the grid operating. They create frequency, they create voltage, and they create the ability to control those within very tight parameters, which is what allows the high-voltage transmission system to operate. Without that kind of generation, we don’t have the ability to operate a transmission system of the scale that we have.” ###

Letters

Apr 1, 2026

Press Release

ICYMI: New York Post Feature: House GOP Subpoenas California Official Over Refusal to Drop EV Mandate

WASHINGTON, D.C. – In case you missed it, the New York Post recently published an article highlighting Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issuing a subpoena to California Air Resources Board (CARB) Chair Lauren Sanchez after the agency failed to comply with the Committee’s requests for documents related to California’s electric vehicle (EV) mandate and its continued implementation of regulations nullified by Congress.

In Case You Missed It:

“A powerful House panel took the extraordinary step of subpoenaing a California official, claiming her agency had refused to hand over relevant records during a seven-month investigation into the state’s electric vehicle (EV) mandate, according to a letter obtained by The Post.

“The House Energy and Commerce Committee issued the subpoena to California Air Resources Board Chair Lauren Sanchez on Monday, demanding communications and documents regarding regulations that Golden State officials said would transition away from gas-powered vehicles by 2035.

“‘Forcing Americans to buy unreliable, and costly, EVs would eliminate consumer choice, strain our electric grid, raise costs, and increase our reliance on entities tied to the Chinese Communist Party,’ House Energy and Commerce Chairman Brett Guthrie (R-Ky.) told The Post.

“‘We will continue to follow the facts and demand accountability from California. I urge California to comply with this subpoena speedily and in good faith.’

“A CARB spokesperson responded that the agency in the past ‘has provided information and documents,’ including on ‘California’s longstanding authority under the Clean Air Act and the actions CARB has taken to protect public health and welfare in the state.’

“‘CARB’s goal is to support the Committee’s legislative inquiry through a transparent, cooperative exchange of information,’ the rep added.

“The Biden administration had signed off on waivers for California to impose the regulations — but President Trump nullified the waivers last June in response to three resolutions that passed on a bipartisan basis in the House and Senate.

“At a White House bill-signing event, Trump boasted that the three Congressional Review Act resolutions would ‘kill the California mandates forever.’

“But Guthrie wrote in a letter accompanying the subpoena that California has still been ‘denying auto manufacturers approval to bring vehicles to market unless the manufacturers agreed to comply with the regulations that had already been nullified through these CRA resolutions.’

“‘After months of negotiations, CARB’s lack of cooperation with this investigation requires the issuance of compulsory process,’ Guthrie told Sanchez in the missive.

“The CRA resolutions targeted waivers that had allowed the state to impose higher vehicle pollution standards than are in effect at the federal level under provisions of the Clean Air Act.

“Those standards — such as the Advanced Clean Trucks (ACT), Advanced Clean Cars (ACC) and Heavy-Duty Omnibus Law-NOx regulations — were championed by California Gov. Gavin Newsom and later became a template for more than a dozen other states.

“Section 209(b) of the Clean Air Act prohibits states from implementing emissions standards on new cars or engines that differ from those imposed by the federal government, unless they obtain a waiver.

“Newsom, California Attorney General Rob Bonta and the California Air Resources Board shortly after joined with a group of 10 other state AGs to sue the Trump administration for disapproving of the waivers for EV regulations in June.

“That’s led to a lengthy federal court battle, which is currently being heard by the San Francisco-based Ninth Circuit Court of Appeals.

“Newsom also signed an executive order in June 2025 following the revocation of California’s waivers asking CARB to submit another proposal that would help the state transition from fossil fuels.

“In March, the Department of Justice fired back with a suit against California over a fuel economy regulation that the Trump administration has also seen as effectively an EV mandate.

“The House committee, which began its probe in August, noted in its letter that it was specifically seeking ‘communications between CARB and the California Governor’s Office and the California Attorney General’s office.’

“‘Reviewing these documents and communications is vital to understanding what actions, including actions related to enforcement and implementation of the aforementioned laws and regulations, the state of California has taken thus far with respect to its new vehicle and new motor emission reduction plans following the CRA resolutions signed into law last year,’ Guthrie said.”
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Mar 31, 2026

Press Release

Chairman Guthrie Issues Subpoena to California Air Resources Board

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issued a subpoena to California Air Resources Board (CARB) Chair Lauren Sanchez for documents and communications related to CARB’s implementation of vehicle emissions regulations that were nullified by Congress. This marks Chairman Guthrie’s first subpoena as Chairman of the Committee.

Despite three bipartisan Congressional Review Act (CRA) resolutions being signed into law last year preventing California from implementing vehicle standards that would ban the sale of gas-powered cars and trucks through its Advanced Clean Trucks (ACT), Advanced Clean Cars (ACC) II, and Omnibus Low NOx (Omnibus) regulations, Committee staff received reports that California has been denying auto manufacturers approval to bring vehicles to market unless manufacturers agree to comply with the nullified regulations.

After CARB failed to cooperate with multiple requests from the Committee, despite repeated accommodations, Chairman Guthrie issued the subpoena to compel the production of documents regarding CARB’s implementation of the ACT, ACC II, and Omnibus regulations, including communications between CARB and Governor Gavin Newsom’s office, as well as CARB and the California Attorney General’s Office.

Chairman Guthrie issued the following statement following the subpoena:

“The Committee began its investigation after reports that the California Air Resources Board (CARB) had been denying approvals to bring new vehicles to market unless auto manufacturers agreed to comply with California’s burdensome EV mandate, despite the fact it had been nullified by CRA resolutions signed into law last June. California’s refusal to cooperate with our investigation has left the Committee no choice but to issue a subpoena in order to receive the documents it requested from CARB,” said Chairman Guthrie. “Forcing Americans to buy unreliable, and costly, EVs would eliminate consumer choice, strain our electric grid, raise costs, and increase our reliance on entities tied to the Chinese Communist Party. We will continue to follow the facts and demand accountability from California. I urge California to comply with this subpoena speedily and in good faith.”

BACKGROUND:

Section 209(a) of the Clean Air Act (CAA) prohibits states from adopting or attempting to enforce emissions standards for new motor vehicles or new motor vehicle engines. Under Section 209(b), California may request a waiver of federal preemption from the EPA.
The EPA had approved waivers under prior administrations that allowed California to implement vehicle regulations, including bans on gas, diesel, and hybrid vehicles and mandates for 100% electric vehicle sales by 2035.
On June 12, 2025, President Donald J. Trump signed three resolutions of disapproval under the Congressional Review Act—H.J. Res. 87, H.J. Res. 88, and H.J. Res. 89—which collectively disapproved California’s waivers of preemption that allowed the state to impose vehicle emissions standards that effectively banned the sale of new gas-powered vehicles. The CRA resolutions passed Congress with bipartisan support.
California and several other states have challenged the CRA resolutions in court; the case is currently pending, and no injunction has been issued.
EV adoption rates remain below the targets outlined in those waivers. For example, ACC II would have required New York to reach 35% EV sales in model year 2026, while current EV market share is substantially lower. California, which leads the nation in EV adoption, had a market share of almost 26% as of December 2024.
The production of EV batteries relies on critical minerals sourced largely from supply chains controlled by foreign entities. Mining and processing of these minerals, particularly in China, is highly emissions-intensive compared with U.S. production.

CLICK HERE to read the New York Post’s exclusive coverage of the ongoing investigation.

CLICK HERE to read the cover letter of the subpoena.
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Mar 26, 2026

Press Release

Chairman Hudson Delivers Opening Statement at Subcommittee on Communications and Technology Hearing to Review the 1996 Telecom Act

WASHINGTON, D.C. – Congressman Richard Hudson (NC-09), Chairman of the Subcommittee on Communications and Technology, delivered the following opening statement at today’s hearing titled The Telecommunications Act of 1996: 30 Years Later . Subcommittee Chairman Hudson’s opening statement as prepared for delivery: “Good morning, and welcome to today’s hearing examining the Telecommunications Act of 1996. “It’s hard to believe that 1996 was 30 years ago. That February, I was a student at UNC Charlotte. I won’t ask my colleagues where they were at that time – or staff if they were even born yet. Here in Washington, right across the street at the Library of Congress, members of Congress celebrated the passage of the Telecommunications Act. I have to admit, this event was not on my radar as a senior in college. “However, the Telecom Act was a huge milestone when it was enacted. It was the first major rewrite of communications policy since the Communications Act of 1934. The law was designed to deregulate the market, unleash competition, and open opportunities for new technologies and services. In many ways, it succeeded. By eliminating certain monopoly-era laws and preempting state and local barriers, the Telecom Act opened the communications ecosystem to new players, leading to competition and innovation that ultimately benefited consumers. “Competitors could enter local phone markets, telephone companies could now provide video, cable companies could provide voice service, and they could do this while entering markets they previously could not serve. It also enshrined the principles of universal service that are so important to rural America. Finally, it included what we now know as Section 230—26 words that created the internet economy we know today. “But the world has changed significantly since 1996. Back then, the Internet was a new technology. We were just beginning to hear the familiar, but now extinct, dial-up tone and use web browsers like Netscape. None of us could have predicted the technological revolution that was coming. “The Telecom Act unfortunately did not foresee how essential broadband would be to our lives. Nor did it see the rise of new ways to communicate. Back then, everyone relied on their home landline to make calls. Cell phones were considered a luxury. But today, we all have a computer in our pocket that among other things is a very quality cell phone. I’m not sure if any of us even still have a home phone...if we do, I wonder how many can even remember their number. “And if we wanted to talk with someone on the other side of the world in 1996, we had to rely on a long-distance carrier to place an expensive, charge-by-the-minute call, whereas today, we can connect with anyone, anywhere via a cell phone call, a video call, a text message, or through social media. “The world of 1996 looks nothing like the world of today, and it’s time we update our laws to reflect that. That’s why we are holding this hearing. Today’s hearing is an opportunity to look back at the Telecom Act—as well as the law it amended, the Communications Act of 1934—and find out what continues to work and what does not. “For example, does it still make sense to regulate communications technologies in different silos? Do we still need an entire section on payphone service? Is it time to revisit Section 230? And how should we address media ownership as broadcasters must now compete for engagement and revenue against platforms that did not exist in 1996? Congress needs to consider how we should modernize our communications policy framework to reflect the technologies of today in way that will also work for the technologies of tomorrow. “We have an esteemed panel of witnesses here today—some of whom were intimately involved with drafting the Telecom Act. I look forward to hearing from them, and I look forward to this discussion.” ###