Prediction Edge
RepublicanIncumbent
Mariannette Miller-Meeks

Mariannette Miller-Meeks

Incumbent Republican candidate for U.S. House in Iowa

Live Odds

Current prediction-market probability for the candidate, updated as market prices change.

Mariannette Miller-Meeks is trading at 33% to win the IA-01 House winner? on prediction markets.

Candidate Overview

Key details about the candidate’s background, party, office sought and current campaign.

Current roleU.S. Representative

PartyRepublican

Political ideologyConservative Republican

Age71 years old (Sep 6, 1955)

GenderFemale

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LocationIowa

BackgroundPhysician (ophthalmologist)

EducationSan Antonio Junior College (attended)

Notable personal detailsMariannette Jane Miller-Meeks is a Republican member of the U.S. House representing Iowa’s 1st Congressional District (first elected in 2020; in office since January 3, 2021). She is a physician (ophthalmologist) and a U.S. Army veteran, with prior public service including Director of the Iowa Department of Public Health and service in the Iowa State Senate. She earned nursing and graduate degrees before completing her M.D. at the University of Texas Health Science Center at San Antonio.

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Political Positions

LiberalConservative

Economy & Taxes

Supports tax relief for seniors, small businesses, and energy-related tax credits while backing Republican budget measures that reduce spending and enable tax cuts. Emphasizes lowering costs for families and businesses through targeted tax deductions and permanent small-business tax provisions.

Healthcare

Supports market-based reforms to lower costs and expand choices (association health plans, defined-contribution/CHOICE arrangements, PBM transparency) while opposing single-payer/Medicare-for-All and emphasizing preserving the doctor–patient relationship. Has backed legislation to lower premiums, increase insurance options, and supported measures to protect Medicare benefits such as coverage for cancer screening while expressing interest in identifying savings that avoid significant harm to Medicaid, including work requirement discussions.

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Immigration & Border

Supports enforcement-first border policies including finishing border wall construction, expanding Border Patrol personnel and resources, stricter screening and limits on asylum-related policies, and other measures to reduce illegal crossings and deport criminal noncitizens. Has voted for and cosponsored legislation increasing border enforcement and voted to impeach the DHS secretary over border management.

Abortion & Reproductive Rights

Mariannette Miller-Meeks describes herself as pro-life while stating she supports exceptions for rape, incest, and to protect the life of the mother. She has previously cosponsored the 2021 Life at Conception Act but more recently has said abortion policy should be left to the states and has indicated support for a federal 15-week ban as a potential compromise.

Climate & Energy

Supports an "all-of-the-above" energy approach that emphasizes abundant, affordable, and reliable domestic energy production, market-based innovation, and streamlined permitting while opposing aggressive regulatory actions that would take existing fossil-fuel plants offline. Chairs the House Conservative Climate Caucus and backs policies to promote domestic energy production, critical mineral supply chains, nuclear and advanced technologies along with renewable deployment where appropriate. Voting record and environmental scorecards show frequent votes against stronger EPA and climate-related/

Public Safety & Guns

Supports strong protection of Second Amendment rights, opposes bans on commonly owned semi-automatic firearms and federal limits on private transfers, and backs concealed-carry reciprocity and policies favoring law enforcement. Advocates gun-safety measures such as safe storage and training while opposing broad new federal gun-control mandates.

Latest Candidate Updates

Recent changes in prediction-market odds, polling and campaign status.

IA-01 House winner?

1d

Christina Bohannan fell from 32% to 32% while Mariannette Miller-Meeks rose from 32% to 32%, a meaningful one-day swing in a toss-up House race that traders should monitor for follow-through.

32%0%

IA-01 House winner?

1d

Mariannette Miller-Meeks's odds in "IA-01 House winner?" are now 40%, above the prior high of 35%.

40%5%

Latest News

AINews Summary
Last updatedAug 6, 2026

Mariannette Miller-Meeks has secured the Republican nomination in Iowa’s 1st Congressional District and will face Democrat Christina Bohannan again in the general election. The race is being treated as highly competitive, with both parties expected to spend heavily and outside groups already targeting the seat. More recently, advocacy groups have launched campaign efforts to support her, while Planned Parenthood has named her as one of its Republican targets.

history.house.gov+54

Latest Polls

IA-01 House winner?

Recent polling results and the candidate's current average in the race.

Mariannette Miller-Meeks currently averages 37.0%, ranking second in this race, 4.5 points behind the next candidate.

Polling average: 37.0%Position: secondMargin: -4.5 ptsLatest poll: 35.0% (Jul 13 - 16)Polls included: 2

Average recalculated from polls through Jul 13 - 16.

Polling Average
50%40%30%20%10%0%
37%
41.5%
Mariannette Miller-Meeks
M. Miller-Meeks
Christina Bohannan
C. Bohannan
Date (Start - End)SpreadMiller-MeeksBohannan
Polling Average
Bohannan+4.5
37.0%41.5%
The Bullfinch GroupJul 13 - 16
Bohannan+5.0
35.0%40.0%
Public Policy PollingJun 18 - 19
Bohannan+4.0
39.0%43.0%

Aggregation source: FiftyPlusOne

Campaign Fundraising

Latest report: Cycle 2026

Campaign finance totals from the latest available reporting period.

Total raisedCash on hand
$7.2M
$5.4M
$3.6M
$1.8M
$0

2022

2024

2026

Latest
Year
Total raised
Cash on hand
Total spent
Burn rate

Cycle 2022

$4.9M
$328.3K
$5.0M
$209.8K

Cycle 2024

$5.8M
$373.7K
$5.8M
$239.8K

Cycle 2026

$7.2M
$4.7M
$2.9M
$160.6K

Source: FEC

New updates coming soon

We're monitoring and will update when new data impacts the race.

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