Randy Feenstra
Former Iowa state senator. Focused on rural hospital viability, telehealth for agricultural communities, and reducing prescription drug costs.
Healthcare Votes
How this member voted on key healthcare legislation tracked by The Rojas Report.
SITE Act
Establishes site-neutral payment policies requiring hospitals to bill the same rates regardless of whether care is delivered in an outpatient department or physician office.
Primary Care Workforce Act
Increases Medicare graduate medical education slots, funds primary care training, and creates incentives for physicians to practice in underserved areas.
Lower Costs, More Transparency Act
Requires hospitals and insurers to publicly disclose negotiated rates. Bans anti-competitive gag clauses in insurance contracts. Strengthens price transparency enforcement.
Telehealth Extension Act
Extends Medicare telehealth flexibilities through 2024 including audio-only visits, hospital-at-home programs, and expanded telehealth provider eligibility.
HEALTH Act
Expands mental health parity enforcement, increases funding for community mental health centers, and requires insurers to cover mental health services at parity with physical health.
PATIENT Act
Extends Medicare sequester relief and delays scheduled cuts to Medicare physician payments. Addresses the annual 'doc fix' cycle.
Inflation Reduction Act
Allows Medicare to negotiate prescription drug prices for the first time. Caps insulin at $35/month for Medicare. Extends ACA premium subsidies through 2025.
Postal Service Reform Act
Requires postal retirees to enroll in Medicare. Eliminates pre-funding mandate for retiree health benefits. Impacts Medicare enrollment and spending projections.
American Rescue Plan
Expanded ACA premium tax credits, increased subsidies for marketplace plans, provided COBRA subsidies, and funded COVID-19 healthcare response including vaccine distribution.
Lower Drug Costs Now Act
Allows Medicare to negotiate prices for up to 250 drugs. Caps out-of-pocket costs for Medicare Part D. Requires drug companies to offer negotiated prices to commercial insurers.
Strengthening Health Care Act
Reversed Trump-era ACA sabotage efforts. Restored cost-sharing reduction payments, blocked short-term insurance expansion, and funded ACA enrollment outreach.
Healthcare Donations
Campaign contributions from healthcare and healthcare-adjacent companies, PACs, and individuals.
By Sector
Top Donors
American Health Care Association
Federation of American Hospitals
Laboratory Corp of America
Humana Inc
AHIP
Gilead Sciences
AstraZeneca
Eli Lilly & Co
American Nurses Association
Ascension Health
American Physical Therapy Association
American Dental Association
Fresenius Medical Care
Johnson & Johnson
Community Health Systems
UnitedHealth Group
CVS Health
Stock Trades
Healthcare-related stock transactions reported in financial disclosures.