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Rankings

#1 is the best, #50 is the worst

  • Violent Crime: #15
  • Murder: #14
  • Firearm Death: #10
  • Incarceration: #19
  • Overall Health: #17
  • Life Expectancy: #15
  • Food Insecurity: #11
  • Obesity: #42/48
  • Women's Health: #13
  • Child Well-being: #10
  • Teen Birth Rate: #25
  • Maternal Mortality: #12/39
  • Infant Mortality: #18
  • Household Income: #34
  • Poverty Rate: #24
  • Public Education: #15
  • Voter Turnout: #10
Overall Rank: #17
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Trump's Budget Bill Will Likely Force States to Cut Medicaid Payments to Doctors and Hospitals by More Than $50 Billion a Year. 76 Republicans We Track From the Hardest-Hit States Voted for It.

Trump's Budget Bill Will Likely Force States to Cut Medicaid Payments to Doctors and Hospitals by More Than $50 Billion a Year. 76 Republicans We Track From the Hardest-Hit States Voted for It.

A new Health Affairs analysis finds the 2025 budget bill's limits on Medicaid payments will likely force three dozen states to cut what they pay doctors and hospitals by more than $50 billion a year, starting in 2028. Fewer providers are likely to take Medicaid patients. These 76 Republicans on our report cards, from the 15 states facing the biggest cuts, voted yes.

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Vote Early in Iowa

Election Day is Tuesday, Nov. 3. Dates checked against Iowa’s official election site on Sept. 18, 2026, starting from the Center for Election Innovation & Research’s national list. Days, hours and locations are set locally — check with your local election office, and confirm your registration at vote.org.

Frequently Asked Questions

How did Iowa vote in the 2024 presidential election?

Trump won Iowa with 55.7% of the vote to 42.5%, a margin of 13.2 points, with 71% of eligible voters turning out. (Full 2024 presidential results, state by state.)

How many of Iowa's members of Congress are Republican?

6 of 6 — 100%. In the U.S. House, Iowa has 4 Republicans and 0 Democrats; in the Senate, 2 Republicans and 0 Democrats. (Source: Current members of Congress from Iowa, on Wikipedia.)

Where does Iowa rank among the 50 states?

Iowa ranks #17 of 50. That is the average of its rank on the 17 measures in the report card above — violent crime, gun deaths, life expectancy, food insecurity, maternal and infant mortality, household income, public education, voter turnout and more. #1 is the best state to live in, #50 the worst.

You can compare Iowa directly to other states on our Compare States page.

Which Iowa politicians have report cards here?

We grade Republican incumbents running in 2026 — U.S. Senators, U.S. Representatives and governors — on their record: how they voted, who funds them, and what it has cost Iowa. Democrats and independents do not get report cards.

When is the next election?

The general election is Tuesday, November 3, 2026 — 39 days away. Check your registration and polling place at vote.org.

When does early voting start in Iowa?

Early in-person voting for the Nov. 3 election runs Oct. 14 – Nov. 2. Details on Iowa's official election site. (Checked against Iowa’s official election site on Sept. 18, 2026, starting from the Center for Election Innovation & Research’s national list.)

Can I vote by mail in Iowa?

Any voter can vote by mail. Ballots start going out Oct. 14. Your ballot must arrive by Election Day, not just be mailed by then. Details on Iowa's official election site. (Checked against Iowa’s official election site on Sept. 18, 2026, starting from the Center for Election Innovation & Research’s national list.)

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