WASHINGTON, D.C. — Main Street Action and Main Street Action PAC today announced the launch of a multi-state Congressional Accountability Campaign to inform voters about the harmful impacts of the recently passed “Big Ugly” law and the lawmakers who supported it.
In the lead-up to the Affordable Care Act rate spikes, Main Street will make sure voters know who is to blame.
The campaign—centered in Iowa, Wisconsin, and Virginia—will use high-visibility billboards, digital ads, and direct voter texting to reach more than 30,000 constituents each.
The effort focuses on Rep. Derrick Van Orden (WI-03), Rep. Mariannette Miller-Meeks (IA-01), Rep. Zach Nunn (IA-03), and Rep. Jen Kiggans (VA-02), all of whom voted for the Big Ugly law despite warnings from small business owners that it would dramatically increase healthcare costs.
“Small business owners are already stretched thin by rising premiums, narrowing coverage options, and skyrocketing out-of-pocket costs,” said Richard Trent, Executive Director of Main Street Action and Main Street Action PAC. “Instead of listening to Main Street, these lawmakers sided with corporate interests and voted for a bill that makes healthcare even more expensive for the entrepreneurs who keep our communities running.”
The Big Ugly law—which includes deep cuts and structural changes to key healthcare programs—has triggered projected premium increases for small employers, created new administrative burdens, and destabilized the individual marketplace relied on by many entrepreneurs and their employees.
The new accountability campaign will:
- Deploy billboard ads in high-traffic areas across each targeted district
- Run digital advertising highlighting the cost impacts on small businesses
- Text more than 30,000 voters with district-specific information about their representative’s vote
“Our message is simple,” said Richard Trent, “If elected officials vote to make healthcare more expensive for small businesses, Main Street will hold them accountable.”
About Main Street Action and Main Street Action PAC:
For too long, powerful business lobbies have claimed to speak for Main Street while pushing policies that benefit their largest corporate members. Main Street Action PAC is building the counterbalance—led by small business owners who actually live the consequences of economic policy every day.
Small business owners aren’t temporary messengers. They are long-term validators whose credibility comes from lived experience—meeting payroll, caring for employees, and anchoring communities. Their voices cut through the noise because they’re trusted, and because what happens in Washington shows up on their balance sheets, their customer base, and their workers’ well being.
Main Street Action PAC doesn’t just drop messages that fade after Election Day. We record the damage, elevate credible local voices, and make it impossible for elected officials to run from their votes. At a time when facts are under attack, we ground democracy in shared truth—and we’re not just playing defense. We’re building a future where Main Street communities thrive, with healthcare, childcare, and policies that let businesses play fair.
We’re not data points on a chart—we’re employers, caregivers, and community anchors. When lawmakers gut care, reward monopolies, or abandon Main Street, we flood the zone with messengers who cannot be ignored. Because no one delivers the truth like a small business owner with real skin in the game. Main Street Action PAC is building off big wins in WI and IA, expanding to VA and the federal map for 2026.

