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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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Missouri, Iowa and Indiana Turned Down Every Hardship Exception to Trump's Medicaid Work Rules. Every House Republican From Those States Voted for the Law.

Trump's budget bill lets states pause Medicaid work requirements after a disaster, a plant closing, or a hospital stay. Missouri, Iowa and Indiana are the only three states declining all four exceptions, and all 17 House Republicans from those states voted for the law, including the 15 on this site.

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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.

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