D.C. Dispatch: Iowa’s U.S. representatives support bills that cut Medicaid and SNAP

Some health care workers and other Iowans opposed to proposed cuts to Medicaid and SNAP being discussed by U.S. House Republicans criticized Iowa’s federal delegation as they work on the committees tasked with moving those proposals forward.

U.S. Rep. Mariannette Miller-Meeks is a member of the House Energy and Commerce committee, the body that voted 30-24 Wednesday along party lines to approve the bill making billions in cuts to federal spending that could include work requirements and other restrictions on Medicaid. According to analysis from the nonpartisan Congressional Budget Office, the changes in the bill would cut $625 billion in federal spending over the next 10 years.

Physicians in the Committee to Protect Health Care urged House members from their districts, including Miller-Meeks, to oppose the House GOP’s budget bill and criticized them for supporting the measure. Dr. Brian Lindsay, an internal medicine physician from Cedar Rapids, said in a statement that Miller-Meeks, who is also a physician, “must be familiar with the tragic stories doctors witness every day when people aren’t able to access or afford health care.”

“As physicians, we challenge politicians like Congresswoman Miller-Meeks to explain how taking away her own constituents’ health care makes their lives better or our community stronger,” Lindsay said in a statement. “When people can’t see a doctor or afford to get the treatment they need, people suffer, some go bankrupt because of huge medical bills and unfortunately, some people die. Every Iowan must stand up and speak out against this reckless Republican plan to take away people’s ability to get medical care so politicians can give huge handouts to billionaires.”

Eric Kusiak, a nurse manager in Iowa’s 1st congressional district, said the cuts could put rural Iowa hospitals at risk of closing in a statement with Fairness for Iowa, an organization that is critical of Miller-Meeks and U.S. Rep. Zach Nunn, Iowa Republicans in potentially vulnerable seats heading into the 2026 election.

“With these cuts, patients would get sicker, have fewer places to go, and have fewer healthcare workers to care for them,” Kusiak said. “House Republicans and Miller-Meeks voted to take health care from millions of people including seniors, kids, and veterans to pay for more tax giveaways to the wealthy and corporations.”

Miller-Meeks said in a post on social media Wednesday that Democratic Presidents Barack Obama and Joe Biden “made the rules, then broke” Medicaid, and the House GOP plan will “fix” the health coverage program. “Medicaid is for the most vulnerable low-income families, pregnant women, kids, seniors and the disabled — not illegal immigrants or able-bodied men who choose not to work,” Miller-Meeks wrote.

Nunn and U.S. Rep. Randy Feenstra of Iowa are on the U.S. House Agriculture Committee, that was similarly tasked with finding spending cuts to make to federal programs including the Supplemental Nutrition Assistance Program (SNAP). Approved 29-25 Wednesday, the bill moved forward by the committee will shift some portions of SNAP funding to states for the first time.

In a video posted on social media Wednesday, Nunn defended his support of the measure, saying voters have “heard a lot of spin about what’s happening with SNAP.” He pointed to the resolution he proposed earlier in May, the “Defending Medicaid and SNAP Resolution,” as a step he has taken to ensure SNAP benefits are not cut for seniors, pregnant women, children and people with disabilities.

“Now, here’s what I’m also going to do: I’m going to make sure these systems are successful now and into the future, fighting getting rid of the fraud, waste and abuse,” Nunn said. “And that means making sure that able-bodied individuals are working at least part-time jobs, and states that have had massive error rates are held accountable so they can correct that for the future.”

He said these changes will provide more money for the program in the future to allow “vulnerable Iowans get the assistance they need” through SNAP in the future.

However, Democrats and others involved in food assistance programs said the cuts will hurt Iowans who rely on SNAP to purchase food for their families. Iowa House Minority Leader Jennifer Konfrst, who is running as a Democratic candidate in the 3rd District, said Thursday Nunn was “screwing over farmers and families” with his support for the bill.

“I wanted to rest up a little bit this morning, but I can’t, because I’m so angry,” Konfrst said, referring to the overnight debate leading to the end of the 2025 legislative session at the Iowa Capitol. “Zach Nunn has the opportunity to do the right thing and do what’s best for families, farmers, and veterans back here in Iowa. But instead, he did what he always does, which is fall in line with his party bosses and vote to devastate his own district. “

Feenstra, who also serves on the House Ways and Means Committee, said he supported the bill because it lowers taxes for Iowa families, farmers, workers and businesses “while supporting investments in domestic manufacturing, business growth, Iowa agriculture, and U.S. energy production.”

“I’m also glad that provisions that I led are included like death tax relief, paid family and medical leave for employees of small businesses, affordable crop insurance policies for young and beginning farmers, investments in foreign animal disease prevention, and expansion of our export markets,” Feenstra said in a statement. “Working with President Trump, we are delivering on our promise to the American people to cut taxes, grow our economy, secure our border, and unleash American energy production.”

Feenstra announced he was launching an exploratory committee for a gubernatorial run Tuesday after filing paperwork for a run the day earlier. Iowa Democratic Party Chair Rita Hart said Feenstra’s decision to support the budget bill making cuts to SNAP is a sign that Iowans should not support him to become the state’s next governor.

“Iowans need a governor that works for them,” Hart said in a statement. “While many Iowans are struggling to afford groceries and Iowa is ranked 49th in the nation in economic growth and 48th in personal income, Randy Feenstra voted today to gut SNAP – which is a program that more than 260,000 Iowans rely on and generates economic activity that impacts our farmers, grocers, truck drivers and more. … Randy Feenstra also voted to approve tax cuts for billionaires and the nation’s top 1 percent. Feenstra put requests from greedy billionaires over the needs of Iowans today and showed his priorities are not the same as the Iowa folks he seeks to govern.”

While Iowa’s federal delegation voted in support of these measures, the House budget committee voted 16-21 Friday to reject the spending package that includes the cuts to Medicaid and SNAP. Alongside Democrats, four Republicans, US. Reps. Josh Brecheen of Oklahoma, Andrew Clyde of Georgia, Ralph Norman of South Carolina and Lloyd Smucker of Pennsylvania, voted against the measure while calling for steeper budget cuts to be included.

Though the measure has stalled, budget negotiations are continuing as House Republicans aim to approve a measure next week before the end of next week, when U.S. representatives are set to leave Washington, D.C. for a week-long recess.