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Joni Ernst on Health Care
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"Big Beautiful Bill" strengthens the integrity of Medicaid
Senators Chuck Grassley and Joni Ernst have responded after the Senate passed President Trump's spending bill.Grassley took to X, sharing that he is proud of what this bill does for Iowans: "1 BIG BEAUTIFUL BILL PASSED the Senate/Im proud of what
this bill does 4 Iowans: Gives PERMANENT tax relief 2working families +Makes historic investments 2fix immigration system&FINISH THE WALL Republican r delivering on Trump agenda PROMISES MADE PROMISES KEPT."
Ernst also released a statement, sharing
that she believes the bill creates a safer America: "President Trump's One Big Beautiful Bill delivers on what Iowans voted for in November, keeping more money in hardworking folks' pockets, real border security, and a safer America,"
Ernst said. "In addition to the largest tax cut in history for our families, farmers, and small businesses, the bill strengthens the integrity of Medicaid and prioritizes those who truly need help by eliminating waste, fraud, and abuse."
Source: KCRG, "Spending Bill", on 2026 Iowa Senate race
, Jul 1, 2025
On Medicaid cuts: "We all are going to die"
Iowa Republican Sen. Joni Ernst faced intense questioning from her constituents during a town hall, eliciting shouts and boos from community members over her support for President Trump's contentious One Big Beautiful Bill Act. One dismissive
comment drew particularly intense ire: In response to constituents' concerns over Medicaid cuts, Ernst said, "We all are going to die." The next day, the senator doubled down on her comments in a sarcastic apology video posted to social media.
Source: National Public Radio on 2026 Iowa Senate race
, May 31, 2025
Medicare-for-All would bankrupt rural health care systems
Theresa Greenfield: Senator Ernst's vote could close our rural hospitals.Ernst: The Democrats' plan, which would eventually lead us to Medicare for all, would actually bankrupt about 52 of our rural health care systems. So I think that there are ways
to address the issues. But certainly putting our rural constituents on the hook is not the way to do it. We are seeing OBGYN's leave the rural areas already because of low Medicare and Medicaid reimbursements.
Greenfield: I don't support
Medicare-for-all. But I do support strengthening and enhancing the Affordable Care Act, making sure that everyone has health care and in addition to that building in a public option which creates competition and brings down those prices. Senator Joni
Ernst did the exact opposite. She voted multiple times to end the Affordable Care Act, devastating health care for so many Iowans who rely on coverage for pre-existing conditions, about 1.3 million Iowans.
Source: Iowa Public Television transcript of 2020 Iowa Senate debate
, Sep 28, 2020
Replace ACA but provide "backstop" for expensive cases
Theresa Greenfield: Senator Joni Ernst voted multiple times to end the Affordable Care Act, devastating health care for so many Iowans who rely on coverage for pre-existing conditions, about 1.3 million Iowans.Ernst: One of the plans I supported
was a bipartisan plan which would provide a government backstop for those that have the most expensive medical cases, those that do have pre-existing conditions. Making sure that the federal government is caring for those and providing equal access to
health care products, making sure that they are affordable, that should be the federal government's role.
Greenfield: I believe health care is a right and we need to make sure that everyone has access to high quality and affordable health care.
The way to do that is to strengthen and enhance the Affordable Care Act, build in a public option, creating competition, bringing down those prices, and saving taxpayers about $500 billion.
Source: Iowa Public Television transcript of 2020 Iowa Senate debate
, Sep 28, 2020
COVID: I wear a mask in public, but mandate is unenforceable
Ernst: I do wear a mask when I'm out in public and when I'm back home in Red Oak even if I know I'm probably the only person that is going to be in the store other than the clerk I do wear a mask.
I think it's really important that we set the example by wearing the mask but certainly to mandate it, we know that it's unenforceable and we know that it doesn't work. There is a mask mandate,
Source: Iowa Public Television transcript of 2020 Iowa Senate debate
, Sep 28, 2020
Failed mindset gave us policies like ObamaCare
We see the hurt caused by canceled healthcare plans and higher monthly insurance bills. Americans have been hurting, but when we demanded solutions, too often Washington responded with the same stale mindset that led to failed policies like ObamaCare.
It's a mindset that gave us political talking points, not serious solutions.We'll keep fighting to repeal and replace a health care law that's hurt so many hardworking families.
Source: GOP response to the 2015 State of the Union address
, Jan 20, 2015
ObamaCare is egregious overreach of federal government
Question topic: It is the government's responsibility to be sure everyone has health care and a livable income.Ernst: Strongly Disagree
Question topic: The Affordable Care Act (ObamaCare) should be repealed by Congress.
Ernst: Strongly Agree.
Affordable Care Act: A clearly egregious overreach of federal government.
Question topic: Briefly list political or legislative issues of most concern to you.
Ernst: Affordable Care Act- A clearly egregious overreach of federal government.
Source: Faith2Action iVoterGuide on 2014 Iowa Senate race
, Sep 30, 2014
FactCheck: False claim that ObamaCare cut Medicare benefits
Braley would keep and fix the Affordable Care Act, otherwise known as Obamacare. Ernst would repeal it.Ernst's low point was "stubbornly pushing the claim that ObamaCare cut Medicare benefits,
an argument repeatedly debunked by nonpartisan fact checkers, and her confusion on a question about current 'job-killing' regulations, where she cited cap-and-trade, which is not law," a pundit said.
Source: Des Moines Register on 2014 Iowa Senate debate
, Sep 29, 2014
Voted against Medicaid expansion in Iowa
Ernst scored in response to the first question, which was about ObamaCare.
She pointed out that she was the only one on the stage who has actually stood up against ObamaCare, because she voted against Medicaid expansion in Iowa.
Source: Kevin Hall in Iowa Republican on 2014 Iowa Senate debate
, Oct 24, 2013
Staunchly opposed to ObamaCare
Repeal and Replace Obamacare: Joni is staunchly opposed to the Obamacare law.
Joni supports immediate action to defund Obamacare, repeal it, and replace it with free-market alternatives that put patients first, and healthcare decisions back in the hands of doctors rather than bureaucrats.
Source: 2014 Senate campaign website, JoniForIowa.com, "Issues"
, Sep 9, 2013
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Other candidates on Health Care: |
Joni Ernst on other issues: |
IA Gubernatorial: Brad Sherman (IA) Deidre DeJear Kim Reynolds Randy Feenstra Ras Smith Rob Sand IA Senatorial: Abby Finkenauer Ashley Hinson Bob Krause Chuck Grassley J.D. Scholten Jim Carlin Michael Franken Theresa Greenfield
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