Incumbent Mariannette Miller-Meeks (R), Christina Bohannan (D), and Michael Bridgford (Independent) are running in the general election for Iowa's 1st Congressional District on November 3, 2026.
Reuters' David Morgan said, "Miller-Meeks is one of the most vulnerable House Republicans at a time when high prices for gasoline and other consumer products and an unpopular war against Iran have sent President Donald Trump's approval ratings lower, even among Republicans." Miller-Meeks defeated Bohannan 53.4%–46.6% in 2022 and 50.0%–49.8% in 2024. That year, Donald Trump (R) defeated Kamala Harris (D) 53.5%–45.0% in the 1st District. As of July 2026, major election forecasters rated the general election Toss-up.
Miller-Meeks was elected to the House in 2020 after serving two years representing the 41st District in the Iowa Senate. She is a U.S. Air Force veteran and doctor. In a Facebook post, Miller-Meeks said, "The left didn't think a mom and grandmother would keep boys out of girls' sports. The big insurance companies didn't think a small-town doctor would take them on to lower your costs. China didn't think anyone would stop them from buying Iowa farmland. They were wrong, and I'm just getting started."
