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Joe Heck
Joe Heck
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Joseph John Heck (born October 30, 1961) is an American politician, physician, and retired United States Army Major general who served as the United States representative for Nevada's 3rd congressional district from 2011 to 2017. Heck is a board-certified physician who previously served as a Nevada state senator from 2004 to 2008. He ran for the United States Senate in 2016, losing to Catherine Cortez Masto.

Key Information

Early life, education, and military service

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Heck was born in Jamaica, Queens, a neighborhood of New York City, and was raised in Pennsylvania, where he graduated from Wallenpaupack Area High School in 1979. He graduated from the Pennsylvania State University in 1984 with a degree in health education. He is a member of the Beta Theta Pi fraternity. He received his Doctor of Osteopathic Medicine in 1988 from the Philadelphia College of Osteopathic Medicine and obtained a residency in emergency medicine in 1992 at the Albert Einstein Medical Center. In 1992, he moved to Clark County, Nevada. He earned a Master of Strategic Studies degree from the U.S. Army War College in 2006.[2]

Heck served in the United States Army Reserve since 1991 and was promoted to brigadier general in 2014.[3] He commanded a Medical Readiness Support Group overseeing more than 2,000 soldiers in six western states, and continued to serve in that capacity while in Congress. He served in Operation Joint Endeavor, Operation Noble Eagle, and Operation Iraqi Freedom. His last deployment was in January 2008 when he commanded an emergency room in a combat hospital outside Baghdad.[4][5] He was promoted to the rank of major general in a ceremony at Fort Douglas, Utah, November 7, 2020.[6][7] He retired from the Army Reserve in February 2024.[8]

Medical career

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Heck was the president, owner, and medical director of Specialized Medical Operations until 2011. The company provided medical training, consulting, and operational support to law enforcement agencies, EMS, and military special operations. Heck has lectured and is published on special operations medical support, the medical response to acts of terrorism, and emergency preparedness and response.[9]

From 1998 to 2003, Heck served as the medical director of the Casualty Care Research Center of the Uniformed Services University of the Health Sciences in Bethesda, Maryland, where he provided medical support for several federal law enforcement agencies and oversight for the medical response to acts of terrorism. Heck started his medical career as a volunteer firefighter and ambulance attendant in rural Pennsylvania. He volunteered as a medical team manager with the Nevada Urban Search & Rescue Team – Task Force 1 and as a member of the Las Vegas Metropolitan Police Department Search & Rescue team. He served as a tactical physician with the LVMPD SWAT team.[5]

Heck served as a member of the Nevada State Homeland Security Commission Sub-committee on Health, the American Osteopathic Association's Task Force on Bioterrorism, and as the medical director for the Nevada Hospital Association's Hospital Preparedness program. He also served as the medical director for the Southern Nevada Health District's Office of Public Health Preparedness.[10]

Nevada Senate

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Heck served one four-year term in the Nevada Senate, representing Clark County's 5th district.[10]

Elections

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Heck was first elected to the Nevada Senate to represent Clark County's 5th district in 2004, after defeating Senator Ann O'Connell in the Republican primary. Heck narrowly lost re-election in 2008 to Democrat Shirley Breeden by a margin of 47% to 46% and a plurality of 765 votes. Libertarian T. Rex Hagan received 4,754 votes (8%).[11]

Committee assignments

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He served on the Natural Resources, Human Resources and Education, the Commerce and Labor Committees. He was also the vice-chair of the Transportation and Homeland Security Committee.[12]

U.S. House of Representatives

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Elections

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2010

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Although Heck had earlier announced he would challenge incumbent Republican Jim Gibbons for governor, he decided against it in favor of a run for Nevada's 3rd congressional district. He defeated incumbent Democratic U.S. Congresswoman Dina Titus, 48% to 47%, a difference of 1,748 votes. Titus only held the position for one term after she defeated incumbent Republican Jon C. Porter in 2008.[13]

2012

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Heck as a member of the House of Representatives

After redistricting, Heck decided to run in the newly redrawn 3rd district, which Obama won in 2008 with 54% of the vote. On November 6, he defeated Speaker of the Nevada Assembly John Oceguera 50% to 43%.[14]

2014

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Heck won reelection easily, beating Democrat Erin Bilbray by a margin of 61% to 36%.[15]

Tenure

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Heck was one of three freshmen named to the House Republican Steering Committee in the 112th Congress.[16] He was re-elected to the Republican Steering Committee in both 2012 and 2014.[17] Heck was ranked as the 74th most bipartisan member of the U.S. House of Representatives during the 114th United States Congress (and the most bipartisan member of the U.S. House of Representatives from Nevada) in the Bipartisan Index created by The Lugar Center and the McCourt School of Public Policy that ranks members of the United States Congress by their degree of bipartisanship (by measuring the frequency each member's bills attract co-sponsors from the opposite party and each member's co-sponsorship of bills by members of the opposite party).[18]

Energy and environmental policy

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In 2010, he signed the Americans for Prosperity's No Climate Tax pledge.[19] He supports an "all of the above" energy policy which includes natural gas, domestic oil production, and alternative energy sources such as wind, solar, hydropower, geothermal and nuclear.[20]

In 2011, as a representative, Heck voted to prevent the EPA from regulating greenhouse gases.[21][22]

In 2012, when asked about climate change and regulating carbon dioxide, he stated: "When you start looking at trying to regulate something like carbon dioxide, which is a natural, biological process, you start running into areas of confusion" and "I think certainly over the millennia, we've seen changes in our climate both ways, and I think throughout the future millennia we will continue to see climate change that goes both ways. But the issue for this election is not what's going to be happening in the next 200 years, it's going to be what's happening in the next 12 months."[23]

He is in favor of the Keystone XL Pipeline.[24][25]

Heck voted to ease the exploration and extraction of minerals and energy resources from Native American lands, and restrict the ability of non-resident tribal members to vote on these issues.[26][27]

Economic policy

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Heck supports an audit of the Federal Reserve and a balanced budget amendment to the Constitution.[28] Heck voted against increasing the debt limit in 2011, stating "Raising the debt ceiling without significant spending cuts will only prolong the uncertainty preventing an economic recovery".[29]

In 2011, Heck called Social Security a "pyramid scheme".[30][31] The remark aroused a political controversy in Nevada, and Heck clarified that he meant to refer to it as an "inverted pyramid".[32][33] He has suggested that today's young people may need to retire later to keep the program fiscally viable.[34]

In 2015, Heck voted to eliminate the estate tax.[35] In 2010, he signed the Taxpayer Protection Pledge by Americans for Tax Reform.[36] He has been critical of Governor Brian Sandoval's Commerce Tax.[34] He is opposed to raising the federal minimum wage in favor of leaving the decision to local governments.[37][38]

Education policy

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Heck supports the use of education vouchers for use in private or public schools.[39] He voted for a budget bill which called for a 10-year freeze to the maximum Pell Grant award to college students.[37][40][41] He favors expanding refinancing options for student loans, enhancing income-based repayment plans, and providing loan forgiveness for civil service.[42]

Foreign policy and veterans affairs

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In 2011, Heck voted for the National Defense Authorization Act for Fiscal Year 2012.[43] In 2011, Heck voted not to withdraw American troops from the war in Afghanistan.[44]

Heck opposed United States involvement in Libya, saying, "We are already engaged in military operations on two fronts, and Libya opened a third. We cannot afford the troops or taxpayer dollars—especially without a national security objective."[45]

Heck opposes the Iran nuclear deal framework, calling it unenforceable,[46] and has voted to censure and block President Obama's nuclear treaty with Iran.[47]

Heck has voted for the Patriot Act and has endorsed the indefinite military incarceration of alleged terrorists.[48] He voted to end the bulk collection of metadata from phone calls by the NSA.[42]

In 2015, Heck cosponsored a bill with Democrat Tulsi Gabbard that would award a Congressional Gold Medal to Filipinos who fought in World War II, who now live in the Philippines and the United States.[49]

Heck authored the Vulnerable Veterans Housing Reform Act which prevents disabled veterans who receive in-home care from the VA from having their housing benefits reduced. The bill became law in 2016.[42]

Gun policy

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Heck opposes most laws which restrict the sale of firearms. He is in favor of expanded and perhaps universal background checks.[50][51][52]

Following the Isla Vista massacre, Heck co-sponsored an amendment to increase funding for criminal background checks.[53] He voted against restricting gun sales to those on terror watch lists.[54] He voted to prevent Washington D.C. from implementing many provisions of gun control.[55]

Health policy

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Heck was an original co-sponsor of the attempt to repeal the Patient Protection and Affordable Care Act.[56] His stated priorities include protecting the patient-physician relationship, reducing health care costs, and working to protect Medicare for Nevada's seniors and preserving it for future generations;[57] by training more physicians and increasing the use of health savings accounts.[58]

Immigration policy

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In August 2014, Heck broke ranks with the Republican Party and voted against a bill that would have dismantled the Deferred Action for Childhood Arrivals.[59]

In 2015, he voted to more strenuously police immigration from Syria and Iraq.[60][61]

Social policy

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In 2011, he voted to prohibit federal funding of National Public Radio, and to support the continuing use of federal funds for NASCAR sponsorships.[62][63]

In 2012, he voted to reauthorize the expiring Violence Against Women Act.[64]

During his time in the House, Heck has voted in favor of prohibiting federal funding of abortion, and prohibiting the use of federal funds for health services at Planned Parenthood.[65][66]

Campaign finance policy

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Heck is opposed to the DISCLOSE Act, which would require funders of political ads to put their names on advertisements. He is a supporter of the Citizens United v. FEC U.S. Supreme Court decision.[37]

[edit]

The following is a partial list of legislation that was directly sponsored by Heck.

Committee assignments

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2016 U.S. Senate campaign

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In July 2015, Heck announced that he would run for the U.S. Senate seat left open due to Harry Reid's retirement.[74] The Republican and Democratic primaries, which were both contested, took place on June 14, 2016.[75][76]

Heck easily defeated primary opponent Sharron Angle, who had narrowly lost to Harry Reid in 2010. Heck's campaign received millions of dollars of indirect support from the Koch brothers, according to the New York Times. The Kochs paid for ads on his behalf and for millions of dollars of ads against his rival,[77][78][79][80] and whose organizations have 30 paid staff members working in Nevada.[81][82] Heck was, in the 3rd quarter of 2016, the House member receiving the largest amount of political donations.[83] His opponents, including organized labor and environmental groups, spent significant sums on advertising against him.[79][84]

Heck supported Donald Trump's candidacy for president until the Donald Trump and Billy Bush recording controversy of October 2016. Heck then withdrew his support.[85][86]

In a recording of Heck at a private event in October 2016, he said he believed Trump may hurt other Republicans' electoral bids.[87] Prior to the election, he did not say whether or not he would vote for Trump.[88][89]

Heck lost to Catherine Cortez Masto in the 2016 general election, held on November 8, 2016.[90] He carried 16 of Nevada's 17 counties and county equivalents. However, he could not overcome an 82,000-vote deficit in Clark County.

Personal life

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Heck resides in Henderson, Nevada, with his wife, Lisa Heck (née Mattiello).[91][92] They have three children. Lisa is a registered nurse.[93][94] Heck is a Roman Catholic. He believes that employers have the right to deny health coverage for contraception if they have moral objections to it.[37] He is active with the American Legion Paradise Post 149, the Knights of Columbus Council 13456, and Catholic War Veterans Post 1947.[95] He is also a member of the ReFormers Caucus of Issue One.[96]

Electoral history

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United States House of Representatives elections, 2010 3rd Congressional District of Nevada[97]
Party Candidate Votes %
Republican Joe Heck 128,916 48
Democratic Dina Titus (incumbent) 127,168 47
Independent Barry Michaels 6,473 2
Libertarian Joseph P. Silvestri 4,026 2
Independent American Scott David Narter 1,291 <1
Total votes 267,874 100
Republican gain from Democratic
United States House of Representatives elections, 2012 3rd Congressional District of Nevada[98]
Party Candidate Votes %
Republican Joe Heck (Incumbent) 137,244 50
Democratic John Oceguera 116,823 43
Independent American Jim Murphy 12,856 5
Independent American Tom Jones 5,600 2
Total votes 272,523 100
Republican hold
Nevada United States Senate election, 2016
Republican primary
Party Candidate Votes %
Republican Joe Heck 74,517 65
Republican Sharron Angle 26,142 23
Republican None of these candidates 3,902 3
Republican Thomas Heck 3,570 3
Republican Eddie Hamilton 2,507 2
Republican D'Nese Davis 1,937 2
Republican Bill Tarbell 1,179 1
Republican Robert Leeds 662 0.6
Republican Justin Preble 582 0.5
Republican Carlo Poliak 279 0.2
Total 114,827 100
Nevada United States Senate election, 2016
General election
Party Candidate Votes %
Democratic Catherine Cortez Masto 520,658 47
Republican Joe Heck 494,427 45
Independent American Tom Jones 17,104 2
Independent Tom Sawyer 14,163 1
Independent Tony Gumina 10,719 1
Socialist Jarrod M. Williams 6,864 0.7
Total 1,108,294 100

Awards and decorations

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See also

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References

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Revisions and contributorsEdit on WikipediaRead on Wikipedia
from Grokipedia
Joseph John Heck (born October 30, 1961) is an American physician, retired U.S. Army , and Republican politician who represented in the U.S. from 2011 to 2017. A with a specialization in , Heck became the first elected to Congress during his tenure. Prior to his federal service, he represented Clark County's 5th district in the Nevada State Senate from 2004 to 2008. In the military, Heck commissioned into the U.S. Army Reserve in 1991, rising to with deployments to and earning awards including the , Meritorious Service Medal with one , and Army Commendation Medal with one . After leaving Congress, he ran unsuccessfully for the U.S. Senate in 2016 and now serves as president of RedRock Government Relations, providing strategic guidance to clients.

Early Life, Education, and Military Service

Family Origins and Upbringing

Joseph John Heck was born on October 30, 1961, in , New York. His father, a German immigrant who retained German citizenship, worked as a foreman in a foundry and emphasized a strong instilled from his upbringing in . Heck's mother, born in Cuba and also retaining Cuban citizenship, immigrated to the United States as a teenager amid Fidel Castro's ; she worked in restaurants before owning her own. The couple met at German hall dances in , , reflecting their shared immigrant experiences in building a middle-class family life. In the late , during Heck's early childhood, his father—then a grocery manager in , New York—sustained a severe injury from an armed robbery at his workplace, rendering him unable to continue working. This incident plunged the family into financial hardship, forcing reliance on for support, an experience Heck later described as formative in understanding economic vulnerability and the role of government assistance. Heck spent much of his upbringing in Pennsylvania after the family's relocation, growing up in a stable household with two sisters amid his parents' emphasis on diligence and self-reliance. He attended Wallenpaupack Area High School in , where he developed interests in wrestling—becoming a state champion in his junior and senior years—and the arts, including drawing and writing, while also achieving the rank of . These formative years in a rural Pennsylvania setting shaped his values of perseverance, drawn from his immigrant heritage and the family's resilience following adversity.

Academic and Professional Training

Heck earned a degree in from in 1984. He subsequently obtained his degree from the in 1988. Heck completed his residency training in at Albert Einstein Medical Center in . He holds in and is a fellow of both the American College of Osteopathic Emergency Physicians and the American College of Emergency Physicians. In 2006, Heck received a Master of Strategic Studies from the U.S. Army War College.

Military Deployments and Command Roles

Heck received a direct commission into the U.S. Army Reserve in 1991. He was first called to on June 30, 1996, in support of Operation Joint Endeavor, serving in , . In 2003, he was recalled to for , a domestic homeland defense mission following the . His third active duty period began in January 2008 during Operation Iraqi Freedom, where he deployed to Al Asad Airbase as Chief of Emergency Services and Aeromedical Evacuation officer for the 325th Combat Support Hospital, overseeing emergency medical operations and patient evacuations. Throughout his Reserve career, Heck held progressive command and leadership roles in medical units. Early positions included Chief of Emergency Services for the 2290th U.S. Army Hospital in Washington, D.C., and Operational Medicine Officer for U.S. Northern Command in Colorado Springs, Colorado. He later commanded the 6252d U.S. Army Hospital in San Diego, California, and the Western Medical Area Readiness Support Group in San Pablo, California, the latter overseeing more than 2,000 personnel. Heck advanced to Deputy Commanding General of the 3rd Medical Command (Deployment Support) in Atlanta, Georgia, before assuming command of the 807th Medical Command (Deployment Support) in Salt Lake City, Utah. He was promoted to on July 14, 2014, and later to , eventually serving as Deputy for Mobilization, Readiness, and Army Reserve Affairs.

Medical and Professional Career

Physician Practice and Specialties

Heck earned his degree from the in 1988, followed by a general at St. Joseph's Hospital and a residency in at Medical Center, both in . After completing his training, Heck relocated to , , where he was recruited to the at Sunrise Hospital (now Sunrise Hospital and Medical Center), establishing a in that spanned more than two decades. He is board-certified in by the American Osteopathic Board of Emergency Medicine and holds a Certificate of Added Qualification in . In addition to direct patient care, Heck served as operational medical director for the Southern Nevada Health District and as medical director for the Las Vegas Metropolitan Police Department's team, roles that integrated his expertise with and tactical operations. He also founded and led Specialized Medical Operations, Inc., as president and medical director, focusing on medical consulting services, while maintaining part-time clinical duties at the University Medical Center emergency medicine residency program in .

Healthcare Business and Administrative Roles

Heck founded Specialized Medical Operations, Inc., serving as its president, owner, and medical director from its until 2011. The company focused on delivering advanced emergency response training, including medical and tactical instruction tailored for , fire services, personnel, and units. This venture positioned him as a owner in the healthcare training sector, emphasizing practical, hands-on programs to enhance operational readiness in high-stakes environments. Beyond his entrepreneurial role, Heck assumed key administrative positions in public health and emergency services. He served as Operational Medical Director for the Southern Nevada Health District in , overseeing protocols and coordination for regional emergency medical responses. Concurrently, he acted as Medical Director for the Las Vegas Fire Department's division until 2011, directing clinical standards, training, and integration of EMS operations with firefighting activities. These roles involved policy development, , and collaboration with local agencies to align medical oversight with operational demands.

Nevada State Senate Tenure (2005–2011)

Elections and Political Entry

Joe Heck transitioned from his medical and military careers to elective politics in , announcing his candidacy for the Nevada State Senate District 12 as a Republican. The district covered suburban areas of Henderson and surrounding parts of Clark County. Running on a platform emphasizing , improved healthcare access, and support for veterans—drawing on his background as an and Army Reserve officer—Heck positioned himself against Democratic policies amid debates over state tax increases from the prior year. In the Republican primary on September 7, , Heck advanced as the nominee. He then prevailed in the general on November 2, , defeating the Democratic opponent to secure the seat for the term beginning in 2005. This victory represented Heck's first successful bid for public office, flipping or challenging in a competitive environment where legislative races saw significant turnover due to voter dissatisfaction with incumbents involved in tax legislation. Heck sought and won re-election to a second term in the 2008 Nevada State Senate election, again representing District 12, which extended his service through 2011 before he pursued a congressional bid. During his campaigns, he maintained focus on constituent services in healthcare and public safety, avoiding prior elected experience but leveraging professional credentials to build voter support in a district with growing suburban demographics.

Committee Assignments and State-Level Legislation

During his tenure in the Nevada State Senate from 2005 to 2008, Joe Heck served on several standing committees, reflecting his background as a physician and . In the 73rd (2005), he was assigned to the Senate Committees on Commerce and Labor, and Education, and Transportation and . By the 74th Session (2007), Heck had advanced to Vice Chair of the Senate Committee on Transportation and , where he presided over hearings on bills addressing emergency management planning and other security-related measures. Heck sponsored or co-sponsored legislation primarily focused on healthcare access, medical liability, and public safety. In 2007, he introduced Senate Bill 228, which enacted provisions facilitating the access, sharing, and use of patient data among providers to improve coordination and response times while protecting privacy. He also sponsored Senate Bill 9, amending requirements for in treatments by osteopathic physicians to align with evolving medical standards. Additionally, Heck supported Senate Bill 174, which clarified standards for in medical contexts, and backed a measure allowing physicians' expressions of or apology to patients or families to be inadmissible as evidence of liability in malpractice suits, aiming to encourage open communication without legal risk. As a Republican in a bipartisan , Heck co-sponsored bills on broader issues, including Senate Bill 80 (2005), which addressed incentives, and Senate Bill 299 (2007), focusing on regulatory adjustments in policy. His legislative efforts emphasized practical reforms grounded in his professional expertise, though comprehensive passage rates for his sponsored bills varied amid partisan dynamics in the .

U.S. House of Representatives Service (2011–2017)

Congressional Elections

Heck was elected to represent in the in the November 2, 2010 , defeating one-term Democratic . He received 128,916 votes (48.13 percent), while Titus garnered 127,168 votes (47.47 percent), securing a margin of 1,748 votes in a race influenced by national Republican gains following the 2010 midterm backlash against the and economic conditions. Independent candidate took 7,269 votes (2.71 percent), and other minor candidates accounted for the remainder. Heck advanced from the Republican primary on August 17, 2010, where he defeated five opponents, including businessman Steve Sisolak's brother, with 64.4 percent of the vote. In the 2012 general election on November 6, Heck won reelection against Democrat John Oceguera, former Speaker of the , amid Barack Obama's presidential victory in but with district-level Republican retention driven by local economic concerns and opposition to federal overreach. Heck captured approximately 57 percent of the vote to Oceguera's 38 percent, with turnout reflecting that maintained the district's suburban character in Clark County. He faced no significant as the . Heck secured a third term in the November 4, 2014 general election, defeating Democrat Erin Bilbray with roughly 61 percent to her 36 percent, benefiting from midterm dynamics favoring Republicans on issues like healthcare costs and . Bilbray, daughter of former congressman Jim Bilbray, emerged from a Democratic primary against Campbell. Heck ran unopposed in the Republican primary. He opted not to seek reelection to the in 2016, instead pursuing the U.S. seat vacated by .

Committee Assignments and Leadership Roles

Heck was assigned to the House Committee on Armed Services upon entering in January 2011, serving on the panel through the end of his tenure in 2017. In the 114th (2015–2017), he chaired its Subcommittee on , overseeing policies related to service member compensation, , and family support programs. He also served on the House Permanent Select Committee on Intelligence from the 112th Congress (2011–2013) onward. In March 2011, he was appointed chair of the committee's Subcommittee on Technical and Tactical Intelligence, a role focused on oversight of intelligence collection methods, technical capabilities, and tactical operations. This subcommittee leadership positioned him to influence evaluations of defense-related intelligence activities. These assignments leveraged Heck's background as a physician and Army Reserve , enabling him to contribute to defense personnel issues and oversight without holding broader partisan leadership posts such as or .

Health Policy Positions and Obamacare Opposition

Heck, a practicing physician specializing in , consistently opposed the Patient Protection and (ACA), commonly known as Obamacare, viewing it as an overreach that undermined market competition and the physician-patient relationship. During his 2010 campaign, he pledged to the , arguing it imposed burdensome mandates and failed to address root causes of rising healthcare costs. As a member of the 112th , he voted in favor of H.R. 2, the full of the ACA, on January 19, 2011, aligning with 242 other Republicans in a 245-189 party-line vote. In a House floor speech on the same day, Heck emphasized the need for to restore patient-centered care, criticizing the ACA for increasing premiums and administrative burdens on providers without delivering promised efficiencies. He continued this stance through subsequent sessions, supporting measures such as H.R. 45 in the 113th on May 16, 2013, which passed the 229-195. Heck advocated a "repeal, repair, and replace" approach, prioritizing reforms like enhancing transparency in , expanding health savings accounts, and promoting interstate to foster consumer-driven options over government mandates. Despite his opposition to the ACA's core structure, Heck demonstrated pragmatism on state-level implementation, praising Nevada Sandoval's 2013 decision to expand under the ACA through a state-run exchange, stating it was "the right decision" to leverage federal funds while maintaining local control. This reflected his broader emphasis on empirical outcomes, such as protecting access for vulnerable populations without endorsing federal overreach; he opposed a public option for insurance, deeming it a step toward government-run healthcare. Heck argued that full repeal alone was insufficient, requiring replacement legislation to incentivize preventive care and reduce costs through competition rather than regulation.

Veterans Affairs and National Security Advocacy

Heck's extensive military service as a U.S. Army Reserve officer, including a 2008 deployment to Iraq during Operation Iraqi Freedom where he commanded emergency services and aeromedical evacuation at the 325th Combat Support Hospital, shaped his congressional focus on veterans' issues and national security. Over 29 years in the Reserves, he rose to major general and received decorations such as the Defense Meritorious Service Medal, Army Commendation Medal with oak leaf clusters, and Iraq Campaign Medal, experiences he cited in advocating for improved military personnel policies and veteran benefits. In the House, Heck chaired the Armed Services Committee's Subcommittee on Military Personnel, where he sponsored more legislation affecting the armed forces than any other member and led efforts to reform the military retirement and compensation system, including freezing certain Obama-era pay increases to address fiscal sustainability amid rising personnel costs. He also served on the Permanent Select Committee on Intelligence, chairing its Defense Intelligence Subcommittee, and supported annual National Defense Authorization Acts, including the $607 billion FY2016 bill and the FY2012 act enabling of terrorism suspects. These roles informed his push for robust defense spending and extensions of surveillance tools like roving wiretaps to counter threats. On veterans' affairs, Heck sponsored the Vulnerable Veterans Housing Reform Act of 2013 (H.R. 1742), which exempted certain disability and education benefits from public housing income calculations to aid low-income and disabled veterans. He introduced the Stolen Valor Act to require database verification for benefit claims, aiming to prevent fraud after Supreme Court rulings invalidated prior penalties. Additionally, he reintroduced bills granting full benefits to Filipino World War II veterans who fought alongside U.S. forces, pressuring the Veterans' Affairs Committee for passage despite historical denials, and backed the VA Accountability Act to expedite firing underperforming employees. His efforts earned awards from the Military Officers Association of America for advancing uniformed services priorities.

Economic and Fiscal Policy Initiatives

Heck consistently supported fiscal restraint measures, including opposition to raising the federal without corresponding spending reductions. In 2011, he voted against the Budget Control Act, which increased the debt ceiling by approximately $2.1 trillion over a decade while imposing $917 billion in caps, prioritizing deeper cuts to address long-term deficits driven by entitlement growth and discretionary outlays. He backed Paul Ryan's budget resolutions in multiple Congresses, which proposed balancing the federal budget within a decade through reforms to Medicare (via premium support), block grants, and reductions in non-defense by returning to pre-2008 levels adjusted for inflation, alongside revenue-neutral tax code simplification to broaden the base and lower rates. On , Heck endorsed extending and expanding relief for businesses and individuals to spur investment and job creation. He signed the Americans for Tax Reform Taxpayer Protection Pledge in 2010, committing to oppose net increases during his tenure. In 2015, he voted for H.R. 1105, the Death Tax Repeal Act, to eliminate the federal estate , which imposes rates up to 40% on estates exceeding $5.43 million (2015 exemption), arguing it discourages succession and . He also supported the 2012 fiscal cliff compromise (American Taxpayer Relief Act), which made permanent Bush-era cuts for 98% of taxpayers by retaining rates at 35% maximum while allowing top rates to rise to 39.6%, averting broader hikes amid $500 billion in scheduled expirations. Heck pursued economic growth through workforce enhancement and initiatives. He introduced and advocated for H.R. 3611 in the 113th , which aimed to integrate employer input into Workforce Investment Act programs by expanding local board authority to align training with high-demand sectors, potentially increasing job placement rates evidenced by pilot programs showing 20-30% higher employment outcomes in employer-led models. His legislative efforts emphasized reducing regulatory burdens, such as supporting bills to streamline permitting and compliance costs estimated at $2 trillion annually across sectors, to foster expansion and in Nevada's service and tourism-driven .

Other Policy Stances: Guns, Immigration, and Environment

Heck maintained a firm commitment to Second Amendment rights, supporting the rights of law-abiding gun owners and sportsmen while opposing federal restrictions on firearm possession. He advocated for nationwide reciprocity of permits, enabling holders licensed in one state to carry in others without additional requirements. The endorsed his campaigns, reflecting alignment with pro-gun advocacy. Heck voted against bills incorporating provisions to prohibit gun purchases by individuals on the federal terrorist watchlist, citing concerns over and potential Second Amendment violations; claims of 23 such "no" votes were rated misleading by fact-checkers, as they referenced procedural opposition rather than direct votes on standalone bans. On immigration, Heck endorsed reform centered on enhanced border security as the foundational step, rejecting comprehensive overhauls without it and criticizing Republican leaders for failing to advance targeted bills on , legal status, and worker programs. He opposed blanket but supported earned pathways for select undocumented immigrants contributing to society, including protections against for those brought illegally as children. In 2013, he reviewed the Senate's comprehensive immigration bill but favored incremental measures to address gaps before legalization debates. Heck's environmental positions emphasized energy production and resource utilization to bolster economic growth in , voting in favor of opening the to oil and gas leasing during the 2012-2017 period to increase domestic supplies. He prioritized federal land management for multiple uses, including mining and energy extraction critical to the state's economy, over expansive regulatory constraints. Environmental advocacy organizations, such as the League of Conservation Voters, assigned him a lifetime scorecard rating of 8%, critiquing his opposition to bills strengthening emissions controls and habitat protections; these groups, aligned with progressive priorities, often frame such votes as anti-environmental despite Heck's focus on practical resource development without evidence of rejecting core conservation principles. On , he avoided endorsing alarmist narratives, aligning with Republican skepticism toward unilateral regulatory impositions like EPA rules.

Key Legislative Achievements and Criticisms

During his tenure in the U.S. from 2011 to 2017, J. Heck sponsored or co-sponsored numerous bills, with a notable portion attracting bipartisan cosponsorship relative to other House Republicans; in the 114th (2015–2016), he secured bipartisan cosponsors on the 47th highest percentage of his bills among all representatives. His legislative activity emphasized , , and economic measures, often involving collaboration across party lines, though few sponsored bills enacted into law amid the era's partisan gridlock. Heck ranked 38th among House Republicans in joining bipartisan bills in 2016, reflecting targeted efforts on issues like and . A key bipartisan initiative was the Jobs Originated through Launching Travel (JOLT) Act, which Heck co-introduced with Rep. (D-IL) in the 113th to modernize the Visa Waiver Program, expand eligible countries, and enhance security protocols to stimulate and create jobs; the bill garnered over 100 cosponsors, including 51 Democrats and Republicans like Rep. Scott Rigell (R-VA) as the 100th, underscoring cross-aisle appeal for . In another effort, Heck co-founded the Congressional Gaming Caucus with Rep. (D-MS) to advocate for the gaming industry's expansion and regulatory needs, launching the group to foster dialogue on economic impacts in states like and . On health policy, Heck joined Rep. (D-PA) in reintroducing bipartisan legislation in the 113th to permanently repeal Medicare's (SGR) formula, which had triggered repeated payment cuts for physicians; the measure aimed to stabilize reimbursements and reduce administrative burdens, gaining support from medical organizations amid threats of Medicare insolvency.00088-7/fulltext) For veterans, he sponsored H.R. 2372, the Veterans Equal Access Act of 2015, in the 114th to permit Department of facilities to provide emergency care to non-VA-enrolled veterans in certain cases, securing bipartisan cosponsorship to address gaps in healthcare access. Similarly, H.R. 1301, the Parity Act of 2015, which Heck sponsored to ease local zoning restrictions on amateur radio antennas while preserving safety standards, passed the with bipartisan backing before stalling in the . Heck also contributed to the updated (H.R. 1776 in related form), introducing provisions to strengthen penalties for fraudulent military claims after a ruling invalidated prior restrictions; the bipartisan bill advanced to prohibit false representations for tangible benefits, reflecting his military background and passage through committee. In education, he co-sponsored H.R. 3177, the Simplifying the Application for Student Aid Act of 2015, with Reps. Phil Roe (R-TN) and (D-CO) to streamline processes and reduce errors in financial aid eligibility, part of broader workforce committee efforts approved on a bipartisan basis. These initiatives highlight Heck's focus on pragmatic, cross-party solutions, though enactment rates remained low, consistent with congressional norms where under 5% of introduced bills become law.

Conservative Policy Impacts and Empirical Outcomes

Heck supported the Veterans Access, Choice, and Accountability Act of 2014, which authorized eligible veterans to receive care from non-VA providers if VA appointment wait times exceeded 30 days or if they lived more than 40 miles from a VA facility, introducing market-based choice elements into the system. Post-enactment, VA primary care wait times for new patients averaged 17.7 days in 2017, outperforming private sector averages of 29.8 days, with overall wait times declining from 2014 levels amid expanded community care options. Veteran surveys indicated improved perceptions of access and service quality, including shorter waits and better customer interactions, though specialty care access remained a challenge in rural areas. Heck also authored and advanced the Vulnerable Veterans Housing Reform Act of 2015, enacted as part of the for Fiscal Year 2017, which prohibited the Department of Housing and Urban Development from reducing housing choice voucher amounts for disabled veterans due to VA per diem payments for in-home care. This policy preserved for approximately 1,200 affected veterans annually by countering inflationary offsets that previously eroded assistance, aligning with conservative priorities of targeted without broad entitlement expansion. In , Heck voted for Paul Ryan's 2011 resolution, which proposed $4.4 trillion in spending cuts over a decade, including reforms to Medicare through premium support and block grants to states for , emphasizing fiscal restraint and entitlement restructuring. While full implementation stalled in a , House-passed Republican budgets during his tenure correlated with federal deficit reduction from $1.3 trillion in 2011 to $585 billion in 2016, driven partly by spending caps and economic recovery rather than tax increases. Nevada's unemployment rate fell from 13.5% in 2011 to 5.1% by 2016 amid these national trends, though sequestration cuts Heck opposed reduced defense outlays by about 10%, impacting local bases like .

Opponent Critiques and Media Narratives

Democratic opponents and advocacy groups, including the (DSCC), criticized Representative Joe Heck for multiple votes to defund , portraying these as attacks on women's access to health services. The DSCC's 2016 advertisement labeled Heck "just another Washington politician" for such positions, claiming they undermined reproductive health funding in . Action Fund similarly highlighted eight votes to defund the organization and additional measures to restrict abortion access, including for victims of , arguing these reflected opposition to women's even in health-risk scenarios. In the 2016 Senate campaign, Democratic nominee accused Heck of voting 10 times to defund and opposing abortion rights when a woman's was at risk, a claim rated as largely accurate based on his House record. However, a Majority PAC advertisement attacking Heck's handling of the was deemed misleading by , as it misrepresented his support for certain foreclosure prevention measures. These critiques often framed Heck's conservative social votes as out of step with Nevada's moderate electorate, despite his occasional bipartisan deviations from strict party lines on fiscal issues. Media narratives frequently depicted Heck as a reliable Republican vote on , including efforts to repeal components like the Independent Payment Advisory Board in 2013, which opponents argued would dismantle cost controls essential for Medicare sustainability. Outlets such as the Reno Gazette-Journal noted his moderate tendencies, such as bucking party orthodoxy on select issues, but progressive-leaning coverage amplified Democratic attacks on his opposition to ACA expansions and funding as ideologically driven barriers to healthcare access. Liberal groups extended critiques to , with a 2016 advertisement from a progressive committee faulting Heck's record on the for insufficient aid to foreclosure victims post-2008 . Heck's votes aligning with conservative priorities, including restrictions on federal abortion funding enacted in , drew sustained opposition from advocates who contended they prioritized over empirical health outcomes, though such positions garnered support from pro-life constituencies. Coverage in outlets like during his Senate bid linked broader Republican health stances, including Heck's, to potential coverage losses, framing them within narratives of party extremism amid implementation gains in enrollment numbers. These portrayals persisted despite fact-checks qualifying some claims, reflecting partisan media incentives to emphasize vulnerabilities in competitive districts.

2016 U.S. Senate Campaign

Primary Challenges and Platform

In the Republican primary election held on June 14, 2016, Joe Heck secured the nomination for Nevada's U.S. seat with 64.9% of the vote (110,895 votes), defeating former state assemblywoman and 2010 U.S. candidate , who received 21.7% (37,071 votes), and other minor candidates such as businessman Tom Mark (4.5%, 7,619 votes) and attorney Maria Johnson (2.1%, 3,530 votes). The primary field included nine candidates, but Angle posed the most notable ideological challenge as a Tea Party-aligned conservative critical of Heck's perceived moderation on issues like and bipartisan compromises during his House tenure. Heck's victory reflected strong establishment Republican support, including endorsements from national party figures, amid low overall primary turnout of approximately 170,000 Republican voters statewide. Heck's campaign platform centered on conservative priorities aligned with his congressional record, emphasizing repeal and replacement of the to reduce premiums and federal mandates, citing its role in driving up Nevada healthcare costs by over 200% since 2013. On immigration, he advocated securing the southern border through physical barriers and enforcement while supporting legal pathways and for employment, though critics from the right, including , accused him of insufficient opposition to comprehensive reform bills like the 2013 Senate measure he had not actively blocked. Economically, Heck proposed tax cuts, , and trade policies to boost Nevada's and sectors, arguing that federal overreach stifled growth in a state recovering from the 2008 recession with unemployment peaking at 14% in 2010. Heck also highlighted veterans' issues, pledging to expand VA choice programs for faster care based on his service as an Army Reserve major general and physician treating troops in Iraq, where wait times for mental health services averaged 20 days longer than civilian standards. On national security, he committed to increased defense spending and counterterrorism measures, leveraging his combat experience to contrast with Democratic policies. Nevada-specific planks included protecting public lands for multiple use, reforming water allocation amid drought, and opposing federal overregulation of gaming and mining industries, which employed over 300,000 residents. Overall, Heck positioned himself as a pragmatic conservative capable of bipartisan results without compromising core principles, distinguishing from Angle's more uncompromising stance.

General Election Dynamics and Defeat

In the general election on November 8, 2016, Republican U.S. Representative Joe Heck faced Democratic former for the open U.S. seat left vacant by the retirement of Democratic Majority Leader . The contest drew national attention as Republicans' prime opportunity to expand their majority in a battleground state, with Nevada's electorate split between urban Democratic strongholds in Clark County (home to ) and more conservative rural and suburban areas. Heck, leveraging his background as an Army Reserve and emergency room physician, campaigned on themes of fiscal responsibility, veterans' advocacy, and replacing the with market-driven alternatives to address rising healthcare costs. Masto, endorsed by Reid and unions, highlighted her record prosecuting financial crimes during the recession and positioned herself as a protector of working families against Republican cuts to social programs. Campaign dynamics were shaped by heavy advertising expenditures, totaling over $100 million from candidates and outside groups, focusing on , economic recovery in Nevada's tourism-dependent , and candidate ties to Reid's long tenure, which polls showed remained unpopular with over 50% of voters viewing him unfavorably. Heck sought to distance himself from Reid's influence while appealing to Latino voters—comprising about 20% of the electorate—through outreach on and border security, though his support for comprehensive reform drew mixed responses. Polling trends reflected a tight race: early surveys in showed Heck leading by 2-4 points among independents, but by late , aggregates indicated a virtual tie or slight Masto edge, influenced by national headwinds from Democratic Hillary Clinton's mobilization efforts in the state. Heck's handling of Donald Trump's candidacy proved disruptive; he endorsed Trump in but rescinded support after the October 7 tape release, citing moral concerns, before re-endorsing weeks later amid party pressure, which alienated some GOP base voters and independents wary of Trump's rhetoric. Cortez Masto secured victory with 564,283 votes (47.7%) to Heck's 522,359 (44.1%), a 3.6 margin, or roughly 42,000 votes, amid a total turnout of 1,183,891—lower than presidential year expectations but sufficient for Democrats to outperform in key demographics. Strong Latino support for Masto (estimated at 60-65% based on precinct data) and higher turnout in Democratic-leaning urban areas, coinciding with Clinton's 2.4-point presidential win in , offset Heck's advantages in military-heavy and suburban precincts. Analyses attributed the defeat to the Reid political organization's enduring ground game, which boosted Masto despite anti-incumbent sentiment, combined with GOP divisions over Trump that suppressed conservative enthusiasm without fully mobilizing moderates. President-elect Trump later blamed Heck's endorsement vacillations for the loss, highlighting intra-party friction, though empirical turnout data showed broader Democratic coattails rather than isolated candidate errors as the primary causal factor.

Associated Controversies and External Influences

Heck's 2016 Senate campaign faced challenges from his evolving stance on , initially expressing confidence in Trump's judgment on matters, including stating on September 7, 2016, that he trusted Trump to handle the nuclear codes responsibly. However, following the release of the October 7, 2016, tape in which Trump made lewd comments about women, Heck withdrew his endorsement, describing Trump's remarks as disqualifying and stating at a closed-door fundraiser that he "really" wanted to support Trump but could not due to the candidate's behavior. This shift drew criticism from Trump supporters within the Nevada Republican base, who viewed it as insufficient loyalty, while Democrats leveraged it to portray Heck as inconsistent; Heck further complicated matters by arguing on October 25, 2016, that voters lacked a " his presidential vote, emphasizing in the voting booth. The campaign avoided major personal scandals but was overshadowed by broader Republican Party divisions exacerbated by Trump's nomination, with analysts noting that Trump's controversies, including his October 2016 comments on , eroded Heck's momentum in a state with a significant independent and Latino voter base. No evidence emerged of financial impropriety or ethical lapses tied directly to Heck, distinguishing his race from more scandal-plagued contests, though opponents highlighted his congressional voting record on issues like defunding as points of partisan contention rather than verifiable misconduct. External influences played a outsized role, with outside groups injecting over $31 million into the race between mid-September and late October 2016 alone, surpassing candidate spending and amplifying attack ads on both sides. Conservative networks, including those affiliated with the Koch brothers, provided substantial backing to Heck through super PACs focused on economic messaging, countering the political machine of retiring Senator , who endorsed and mobilized resources for Democrat via allied groups emphasizing Reid's legacy on issues like jobs and . This influx, tracked by nonpartisan watchdogs, reflected national stakes in Senate control, with Republican outside efforts aiming to capitalize on Heck's moderate appeal amid Trump's polarizing presence, though Democratic-aligned spending ultimately outpaced it in key demographics such as Asian-American voters.

Post-Congressional Activities

Government Relations and Lobbying Work

Following his defeat in the 2016 U.S. Senate election, Joseph J. Heck joined RedRock Strategies in early 2017 as president of its government relations practice, leveraging his experience as a former U.S. Representative and to advise clients on federal policy matters. In this role, he oversees a team focused on providing strategic guidance for navigating legislative and regulatory challenges in Heck formally registered as a federal lobbyist in March 2018, disclosing activities on behalf of multiple clients through RedRock Government Relations. That year, he lobbied for four organizations, including the American Osteopathic Association on health policy issues, People for the Ethical Treatment of Animals (PETA) on regulations, Spectrum Pharmaceuticals on drug approval processes, and defense contractor TRAX International on matters. Additional clients included the American Unity Fund, a group advocating for funded by Republican donor Paul Singer. Heck's lobbying efforts have emphasized sectors aligned with his prior congressional roles on the House Armed Services and Committees, such as defense, healthcare, and veterans' issues, though public disclosures show activity concentrated in 2018 with limited updates in subsequent years. As of 2023, he continued leading RedRock's government relations division, focusing on bipartisan advocacy strategies amid a polarized legislative environment.

Recent Public Statements on Elections and Policy

In August 2024, former U.S. Representative Joe Heck affirmed the security of 's election systems during a public discussion, stating that the state's infrastructure is robust and resistant to widespread manipulation. Alongside former Rep. Jon Porter, Heck noted that has implemented strong safeguards, including signature verification and ballot tracking, which have maintained integrity in past cycles. However, he raised concerns about recent Democratic-led legislative changes, such as the expansion of mail-in voting and adjustments to voter ID and verification protocols under Senate Bill 449 (2021) and subsequent reforms, arguing these could create exploitable gaps for fraud despite overall system reliability. Heck's comments aligned with broader Republican critiques of election administration post-2020, emphasizing empirical risks from reduced oversight rather than unsubstantiated claims of systemic rigging. He advocated for enhanced audits and stricter chain-of-custody measures to mitigate potential irregularities, drawing from his experience on committees during his congressional tenure. No major public statements on specific policy domains, such as or —areas of his prior expertise—have been documented from Heck in 2024 or 2025, reflecting his lower public profile since transitioning to roles in government relations.

Personal Life and Honors

Family and Private Life

Joseph Heck is married to Lisa Heck (née Mattiello), a . The couple has three children: Monica, Chelsea, and Joseph III. Heck and his family reside in Henderson, Nevada.

Military Awards and Recognitions

Heck, a retired , earned numerous military decorations during his over three decades of service in the Army Reserve, including deployments to as Chief of Emergency Services and Officer with the 325th at . His awards reflect sustained leadership in medical operations, reserve readiness, and joint staff roles, culminating in positions such as Deputy Surgeon General for Mobilization, Readiness, and Army Reserve Affairs. Among his highest honors is the Distinguished Service Medal, awarded for exceptionally meritorious service in a duty of great responsibility. The following table enumerates Heck's principal military awards and devices, as documented in his official biography:
AwardDevices
Distinguished Service MedalNone
None
Meritorious Service Medal1
Army Commendation Medal1
Joint Service Achievement MedalNone
Army Achievement Medal2
Army Reserve Components Achievement Medal7
None
1
None
Global War on Terrorism Service MedalNone
30-year Award and Mobilization ("M") Device
None
None
Heck was also admitted to the Military Order of Medical Merit in recognition of his contributions to Army Medicine. These decorations underscore his roles in operational , command of medical units, and advisory positions within the and Reserve leadership.

Electoral History Overview

State Senate Races

Joe Heck won election to the Nevada State Senate for Clark County District 5 in the November 2, 2004, , securing 48,593 votes (54.68 percent) against Democrat Richard Fitzpatrick's 37,217 votes (41.88 percent) and Libertarian T. Rex Hagan's 3,052 votes (3.43 percent). He assumed office in November 2004 and served through two regular sessions and two special sessions, including as assistant majority whip in 2007. In the 2008 general election, Heck sought reelection but lost narrowly to Democrat Shirley Breeden by a margin of 765 votes statewide, with Breeden receiving 46,420 votes to Heck's 45,655; Independent American garnered 4,754 votes and Independent Tony Blanque 2,843. The defeat contributed to Democrats gaining control of the . Heck's loss followed a campaign marked by accusations of his opponent avoiding debates.

Federal Elections Summary

Joseph Heck, a Republican, won election to the representing in the November 2, 2010, general election, defeating Democratic incumbent by receiving 128,916 votes to her 127,168. This outcome secured the Republican hold on the seat for the , with Heck assuming office on January 3, 2011. He was reelected in the 2012 general election against Democratic challenger John Oceguera, maintaining his position for the . Heck secured another term in the November 4, 2014, general election, defeating Democrat to serve in the . In 2016, rather than seeking a fourth House term, Heck pursued the open U.S. Senate seat vacated by retiring Democratic incumbent . Running as the Republican nominee, he faced former in the general election on November 8, 2016. Cortez Masto prevailed, becoming the first Latina elected to the U.S. from . Official results confirmed the Democratic victory, ending Heck's federal legislative service after three terms in the .

References

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