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Mariannette Miller-Meeks

Mariannette Miller-Meeks

R IA-1 · House

2025–Present House Of Representatives (District 1)
2023–2025 House Of Representatives (District 1)
2021–2023 House Of Representatives (District 2)
Vote Date:
to

Defense

+159
Helped 1290 Hurt 1131 Mixed 1 Unclear 1260

Finance

+346
Helped 911 Hurt 565 Mixed 6 Unclear 348

Healthcare

+252
Helped 644 Hurt 392 Mixed 4 Unclear 655

Energy

-3
Helped 429 Hurt 432 Mixed 3 Unclear 238

Education

+12
Helped 394 Hurt 382 Unclear 183

Government Operations

+13
Helped 101 Hurt 88 Unclear 605

Agriculture

+174
Helped 393 Hurt 219 Unclear 174

Veterans Affairs

+297
Helped 473 Hurt 176 Mixed 3 Unclear 95

Transportation

-39
Helped 195 Hurt 234 Unclear 140

Criminal Justice

-37
Helped 227 Hurt 264 Mixed 4 Unclear 56

Trade

+44
Helped 221 Hurt 177 Mixed 2 Unclear 69

Housing

+73
Helped 224 Hurt 151 Unclear 37

Technology

+62
Helped 216 Hurt 154 Unclear 40

Immigration

-188
Helped 84 Hurt 272 Mixed 4 Unclear 38

Military Procurement

+17
Helped 142 Hurt 125 Unclear 101

Environment

-78
Helped 100 Hurt 178 Unclear 89

Labor

-20
Helped 109 Hurt 129 Unclear 64

Federal Budget

+162
Helped 207 Hurt 45 Unclear 36

Appropriations

+40
Helped 141 Hurt 101 Unclear 14

Government

-68
Helped 2 Hurt 70 Unclear 137
20 policy domains
Helped Hurt Mixed Unclear

Industry Impact Profile

19133 industry impacts

All entities →
How this is computed

P Primary sponsor · C Co-sponsor · Y Yea vote · N Nay vote

Weighted score (w:) uses strongest role per bill. Weights: Primary 1.0, Co-sponsor 0.3, Yea 0.1, Nay -0.1.

Bills where the legislator voted nay (without sponsorship) contribute -0.1 per bill. Equal yea and nay roll calls on the same bill contribute 0.

Vote date filters affect vote attribution; sponsorship is always included.

Positive-Effect Industries

Direct (1918), Defense (128), Veterans Affairs (114), DoD (32), State (19), VA (19), Executive (16), USDA (16), Legislative (14), Treasury (13), Congress (12), Agriculture (11), Legislative Branch (11), Coast Guard (9), NPS (7), CMS (6), Justice (6), Oversight (6), DOJ (4), Education (4), Foreign Affairs (4), ICE (4), Judiciary (4), Research (4), Local (3), Medicare (3), Transportation (3), Army Corps (2), Cemeteries (2), DHS (2), FDA (2), FEMA (2), Housing (2), Interior/USDA (2), International Development (2), Military Logistics (2), NASA (2), NOAA (2), SBA (2), SSA (2), Defense R&D (1), EPA (1), Federal Executive (1), Federal Law Enforcement (1), HHS (1), IBWC (1), Intelligence (1), Judicial (1), Manufacturing (1), Municipal (1), National Security (1), Postal Services (1)
Direct (592), Veterans (121), Military Families (17), Military (3), Foreign (2)
Direct (380), Naval (2), Testing (2), Ammunition (1), Ground Vehicles (1), Missiles (1), Missiles/Hypersonics (1), Nuclear C3 (1), Rotorcraft (1), Small Business (1), Small/Innovative (1), Space Systems (1)
Direct (330), Research (15), Patients (5), Community (3), Tribal (3), Dialysis Patients (2), Preventive Medicine (1), Providers (1), Women's Health (1)
Direct (311), Child Care (3), Maritime Training (2), Immigrant Students (1), Religious Studies (1), Research Universities (1), Technical (1)
Direct (235), Coffee (2), Commodities (2), Hemp (2), Livestock (2)

Negative-Effect Industries

Direct (2466), Defense (101), Veterans Affairs (69), Regulatory (43), EPA (30), Coast Guard (27), NPS (11), FDA (9), Justice (9), Education (8), Law Enforcement (8), Agriculture (7), BLM (7), Forest Service (7), SEC (7), CMS (6), HHS (6), Foreign (5), CFPB (4), Federal Child Welfare (4), Treasury/IRS (4), VA (4), Executive (3), Legislative (3), NOAA (3), NOAA/EPA (3), Natural Resources (3), Acquisition (2), Congress (2), Defense Acquisition (2), Foreign Diplomatic (2), Military (2), DOE (1), DOJ (1), DoD (1), Energy Department (1), Energy/Defense (1), Environmental Regulation (1), Federal (1), Federal Immigration (1), Federal Law Enforcement (1), Intelligence (1), Interior Department (1), Legislative Support (1), NNSA (1), Science Agencies (1), Space Force (1), State (1), Strategic Command (1), Treasury (1), U.S. Coast Guard (1), USDA (1), Waste Management (1)
Direct (249), Veterans (20), Family Sponsors (4), Environmental Health (1), Environmental Justice (1), Water Quality (1)
Direct (241), Intercontinental Ballistic Missile Systems (3), Space Force (1)
Direct (236), Nuclear (2), Logistics (1), Maintenance (1)
Direct (166), Foreign (2), Technology (2), Tourism (2), Moving (1), Research Vessels (1)
Direct (163), Family Planning Services (2), Public Health (2), Medicaid Beneficiaries (1)
Direct (137), Unaccompanied Minors (4), Undocumented (3)

Click any row to see supporting clauses

Showing positive and negative-direction effects only. Mixed and uncertain effects are not included in these counts.

Votes by Industry (Yea/Nay Alignment)

How this legislator's Yea/Nay votes landed across industries; distinct from overall bill exposure above.

Analysis coverage
100.0% of votes
Show vote-alignment table
S+ Supported Benefits
S- Supported Burdens
O+ Opposed Benefits
O- Opposed Burdens
Industry S+ S- O+ O- Net
Government (75 sub)
Sub-categories (total impacts, all buckets): Defense (229), Veterans Affairs (183), Coast Guard (36), DoD (33), EPA (31) +70 more
+317
General Public (8 sub)
Sub-categories (total impacts, all buckets): Veterans (141), Military Families (17), Family Sponsors (4), Military (3), Foreign (2) +3 more
+354
Military (4 sub)
Sub-categories (total impacts, all buckets): Intercontinental Ballistic Missile Systems (3), Air Force (2), Families (1), Space Force (1)
- +167
Defense (14 sub)
Sub-categories (total impacts, all buckets): Naval (2), Nuclear (2), Testing (2), Ammunition (1), Ground Vehicles (1) +9 more
+124
Education (6 sub)
Sub-categories (total impacts, all buckets): Child Care (3), Maritime Training (2), Immigrant Students (1), Religious Studies (1), Research Universities (1) +1 more
- +35
Healthcare (5 sub)
Sub-categories (total impacts, all buckets): Research (15), Community (3), Tribal (3), Family Planning Services (2), Public Health (2)
- +98
Cryptocurrency - - +71
Transportation (6 sub)
Sub-categories (total impacts, all buckets): Foreign (2), Labor (2), Technology (2), Tourism (2), Moving (1) +1 more
- +10
Financial Services (1 sub)
Sub-categories (total impacts, all buckets): HSA (7)
+45
State & Local Government (2 sub)
Sub-categories (total impacts, all buckets): Medicaid (6), Non-Expansion (3)
- +26
Construction (4 sub)
Sub-categories (total impacts, all buckets): Federal Projects (1), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)
+125
Manufacturing (4 sub)
Sub-categories (total impacts, all buckets): Foreign (8), Electrical Equipment (2), Defense (1), Foreign Adversary (1)
+16
Taxpayers - - +15
Agriculture (6 sub)
Sub-categories (total impacts, all buckets): Coffee (2), Commodities (2), Hemp (2), Livestock (2), Coffee Production (1) +1 more
+141
Law Enforcement - - +42

Votes are cast on entire bills; attribution to individual clauses does not imply clause-level intent. Learn more

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Sponsored & Cosponsored Bills

hr3248-118

Primary Sponsor Introduced

To amend title XVIII of the Social Security Act to increase price transparency of clinical diagnostic laboratory tests under the Medicare program.

1 clause May 11, 2023
Foreign Businesses Healthcare Consumers Federal Government Scientific Research

hr2816-118

Cosponsor Introduced

To amend title XI of the Social Security Act to strengthen transparency requirements with respect to pharmacy benefit managers.

1 clause Apr 25, 2023
Financial Services Environmental Groups Healthcare Consumers Federal Government

hr2666-118

Cosponsor Introduced

To amend title XIX of the Social Security Act to codify value-based purchasing arrangements under the Medicaid program and reforms related to price reporting under such arrangements, and for other purposes.

28 clauses Apr 18, 2023
Consumers Homeowners Environmental Groups Federal Government

hr2647-118

Cosponsor Introduced

To require the Comptroller General of the United States to submit a report on the public health mitigation messaging and guidance of the Centers for Disease Control and Prevention.

1 clause Apr 17, 2023
Healthcare Consumers Education Federal Government Energy Production

hr2630-118

Cosponsor Introduced

To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes.

2 clauses Apr 13, 2023
Homeowners Consumers Healthcare Consumers Federal Government

hr2474-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index.

1 clause Apr 3, 2023
Transportation Environmental Groups Healthcare Consumers Federal Government

hr2434-118

Primary Sponsor Introduced

To promote low-carbon, high-octane fuels, to protect public health, and to improve vehicle efficiency and performance, and for other purposes.

15 clauses Mar 30, 2023
Healthcare Consumers Environmental Groups Federal Government Business

hr1790-118

Primary Sponsor Introduced

To direct the Secretary of Health and Human Services to evaluate the extent to which the substitution of interchangeable biological products is impacted by differences between the system for determining a biological product to be interchangeable and the system for assigning therapeutic equivalence ratings to drugs, and for other purposes.

1 clause Mar 24, 2023
Consumers Healthcare Consumers Federal Government

hr1557-118

Primary Sponsor Introduced

To require the Secretary of Health and Human Services to submit a report on the interoperability of medical devices.

1 clause Mar 10, 2023
Education Environmental Groups Federal Government Energy Production

hr1526-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to provide hereditary cancer genetic testing for individuals with a history of a hereditary cancer gene mutation in a blood relative or a personal or ancestral history suspicious for hereditary cancer, and to provide coverage of certain cancer screenings or preventive surgeries that would reduce the risk for individuals with a germline (inherited) mutation associated with a high risk of developing a preventable cancer.

2 clauses Mar 9, 2023
Consumers Healthcare Consumers Federal Government Regulated Industries

hr1199-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to ensure equitable payment for, and preserve Medicare beneficiary access to, diagnostic radiopharmaceuticals under the Medicare hospital outpatient prospective payment system.

1 clause Feb 27, 2023
Consumers Environmental Groups Healthcare Consumers Federal Government

hr1144-118

Cosponsor Introduced

To direct the Secretary of Veterans Affairs to develop a strategy for telehealth furnished by the Veterans Health Administration and submit a report on end-user devices distributed by the Secretary to veterans to facilitate such telehealth.

4 clauses Feb 21, 2023
Disaster Relief And Emergency Management Scientific Research Federal Government Veterans

hr1015-118

Cosponsor Introduced

To award a Congressional Gold Medal to the United States Army Dustoff crews of the Vietnam War, collectively, in recognition of their extraordinary heroism and life-saving actions in Vietnam.

3 clauses Feb 14, 2023
Native American Tribes Airlines Homeowners Federal Government

hr830-118

Cosponsor Introduced

To amend title XXVII of the Public Health Service Act to apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans, and for other purposes.

1 clause Feb 6, 2023
Financial Services Consumers Healthcare Consumers Federal Government

hr766-118

Cosponsor Passed House

To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

10 clauses Feb 2, 2023
Health Care Providers Healthcare - Preventive Medicine Healthcare Policy Federal Administration

hr517-118

Cosponsor Introduced

To require the Secretary of Health and Human Services to furnish tailored information to expecting mothers, and for other purposes.

2 clauses Jan 25, 2023
Transportation Education Healthcare Consumers Environmental Groups

hr497-118

Cosponsor Introduced

To eliminate the COVID–19 vaccine mandate on health care providers furnishing items and services under certain Federal health care programs.

1 clause Jan 25, 2023
Consumers Environmental Groups Healthcare Consumers Federal Government

hr468-118

Cosponsor Introduced

To amend title XI of the Social Security Act to extend beyond the COVID–19 emergency period, with certain modifications, the Emergency Declaration Blanket Waiver relating to training and certification of nurse aides to alleviate burdens imposed on staff of skilled nursing facilities and nursing facilities.

1 clause Jan 24, 2023
Disaster Relief And Emergency Management Consumers Healthcare Consumers Federal Government

hr41-118

Cosponsor Introduced

To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to ensure the timely scheduling of appointments for health care at medical facilities of the Department of Veterans Affairs, and for other purposes.

1 clause Jan 9, 2023
Veterans Environmental Groups Healthcare Consumers Federal Government

hr219-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to codify patients’ rights to hospital visitation, and for other purposes.

1 clause Jan 9, 2023
Consumers Healthcare Consumers Federal Government

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Policy Mechanisms Used

Industry Focus Distribution