Improve Your Community's Health!

Vote

1

Vote for candidates who support initiatives and policies that will help improve the health and wellbeing of all who live in your community.

2

Help family, friends, and neighbors to make a plan to vote and do it!

3

Consider running for office!

Voting is one of the most powerful ways to influence the policies that shape community health. Use this guide to make sure your vote is informed and counts.

1

Register to Vote

Pre-registration must be received 15 days before an election. Same-day registration is also available in person at your polling place on election day with proof of ID and residence.

2

Choose Your Voting Method

Absentee ballots let you research candidates while you fill out your ballot — a great option if you want more time to decide.

3

Research Candidates for Public Health

Ask candidates: How do you plan to…

  • Address health disparities in underserved communities?
  • Fund public health initiatives like prevention and education?
  • Support preparedness for pandemics or emergencies?
  • Improve access to healthy food in rural and low-income areas?
  • Reduce environmental health risks like air and water pollution?
  • Address rising housing costs and homelessness?
  • Remove barriers to care — cost, transportation, provider shortages?
  • Improve maternal mortality and infant health outcomes?
  • Improve vaccination rates and combat misinformation?
  • Reduce chronic diseases like diabetes, heart disease, and cancer?
  • Reduce gun violence and other forms of violence?

Use these resources to dig into candidates' records, positions, voting history, and public statements before you fill out your ballot.

4

Every Level of Government Affects Your Health

No matter the election, there's always something at stake for public health. Start local — those decisions are closest to your daily life — and work your way up. Every level matters, and every race deserves your attention.

City councils, school boards, park boards, and county supervisors decide what happens in your neighborhood — safe streets, clean water, local health departments, and school health programs. These are often low-turnout elections where a single vote can tip the outcome.

  • City Council — local health services, sanitation, zoning, housing
  • School Board — student health programs, mental health support, nutrition
  • County Board of Supervisors — county health department funding, Medicaid administration
  • County Board of Health — enforces public health laws at the county level
  • Park Board, Human Rights Commission — environment, equity, and community wellbeing

State officials set Iowa's public health budget, Medicaid eligibility, insurance rules, and environmental protections. The Governor and legislature shape what health programs exist — and who can access them.

  • Governor — signs health legislation into law, manages state health agencies, oversees Medicaid
  • State Representatives & Senators — pass Iowa's budget and health-related laws
  • Attorney General — enforces health laws and consumer protections
  • Secretary of State — oversees elections, including health policy referendums

Congress controls funding for Medicare, Medicaid, the CDC, NIH, and the FDA. The President appoints key cabinet members — like the Secretary of Health and Human Services — who run the agencies that protect your health every day. These are not elected roles, but who you vote for president directly determines who fills them.

  • U.S. Representatives & Senators — national health funding, insurance regulations, public health law
  • President — appoints HHS Secretary, CDC director, FDA commissioner, and others who run federal health agencies
5

Vote!

Make a transportation plan. Check on friends, family, and neighbors who may need a ride. Help someone else make their plan too.

Voice

1

Speak up for health issues that affect the community by writing letters to local officials, attending town hall meetings, or joining advocacy groups focused on healthcare access, environmental health, or other relevant topics.

2

Advocate for policies and practices that promote health equity and address disparities based on race, ethnicity, gender, income or other factors affecting access to healthcare and health outcomes.

3

Share accurate health information from credible sources with friends, family, and neighbors. Write pieces for local newspapers or share on social media.

4

Answer surveys for local health studies or research projects that aim to improve understanding of health issues affecting the community. These are often conducted by your county public health department, clinics, or universities.

Volunteer

1

Seek opportunities to represent your communities on civic boards or commissions – like the school board, park board, or human rights commission. These are the places where the decisions closest to our communities are made.

2

Offer time and skills to local organizations that focus on health-related activities such as community health fairs, vaccination drives, or health education programs.

3

Participate in local health-related events, fundraisers, or campaigns organized by community groups, places of worship, non-profits, or healthcare providers.

4

Start or join efforts to address specific health concerns in your neighborhood or community, such as safe playgrounds, strong schools, or better access to healthcare services.