Miller-Meeks Votes to Prevent Largest Tax Hike in American History

Washington, D.C. - The House of Representatives has officially passed President Trump’s One Big, Beautiful Bill—historic legislation to secure the border, slash taxes, defend working Americans, and restore integrity to our institutions.

Congresswoman Mariannette Miller-Meeks (IA-01), a 24-year Army veteran, physician, and former small business owner, issued the following statement:

"Today, the House delivered a major victory for working Americans and the future of our country. By passing President Trump’s Big Beautiful Bill, we’re securing the border, removing illegal immigrants from Medicaid, and making the Tax Cuts and Jobs Act permanent—preventing the largest tax hike in American history," said Dr. Miller-Meeks. "As a former small business owner and Army veteran, I know what’s at stake. This bill protects Iowa families, seniors, and small businesses while strengthening Medicaid for the vulnerable—not for those who can work and choose not to. I’m especially proud that my two bills to improve Medicaid integrity and expand access to pediatric care were included. Today’s vote is a win for Iowa and for every American who believes in work, responsibility, and a government that serves its people, not the other way around."

Key Wins in the One Big, Beautiful Bill:

PREVENTS THE LARGEST TAX HIKE IN AMERICAN HISTORY:

• Makes the Tax Cuts and Jobs Act permanent, preventing 106,800 Iowa families from a historic tax hike.
• Stops a looming 20% tax hike on Iowa small businesses.
• Ends federal taxes on tips and overtime pay.

SECURES THE BORDER:

• Finishes construction of the border fence.
• Funds 10,000 new ICE agents and expands detention capacity.
• Speeds up deportations of violent illegal aliens.

PROTECTS MEDICAID FOR THOSE WHO NEED IT MOST:

• Ends Medicaid for illegal immigrants and non-disabled adults who choose not to work.
• Cracks down on billions in waste, fraud, and abuse.
• Recommits Medicaid to children, pregnant women, seniors, veterans, and people with disabilities.

Miller-Meeks Legislative Wins Included:

The Medicaid Program Improvement Act:

• Requires states to verify addresses & reduces enrollment errors.
• Avoids duplicate and improper payments to insurance companies.
• Ensures vulnerable Iowans don’t lose access to care.

The Accelerating Kids’ Access to Care Act:

• Streamlines approval for out-of-state pediatric specialists.
• Speeds up treatment for children on Medicaid and CHIP.
• Eliminates barriers that delay lifesaving care.

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