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treasurer in [[Louisiana]]. He succeeds [[John Schroder]] in the position on January 8, 2024; Schroder did not seek reelection but instead ran unsuccessfully for [[governor]], having been handily defeated by fellow Republican [[Jeff Landry]].  

treasurer in [[Louisiana]]. He succeeds [[John Schroder]] in the position on January 8, 2024; Schroder did not seek reelection but instead ran unsuccessfully for [[governor]], having been handily defeated by fellow Republican [[Jeff Landry]].  

Fleming is the former [[U.S. Representative]] for Louisiana's 4th congressional district, representing the cities of [[Minden, Louisiana|Minden]], where he resides, and [[Shreveport]], DeRidder, [[Bossier City]], and [[Natchitoches, Louisiana|Natchitoches]]. He was elected in 2008 by 356 votes, the closest House race that year, when he defeated the Caddo Parish District Attorney Paul Carmouche, a [[Democrat]]. Carmouche earlier had defeated fellow Democrat [[John Milkovich]] for the party's U.S. House nomination. Milkovich, a conservative Democrat who switched parties in 2023, resurfaced in 2015 to claim the District 38 seat in the Louisiana State Senate.

Fleming is the former [[U.S. Representative]] for Louisiana's 4th congressional district, representing the cities of [[Minden, Louisiana|Minden]], where he resides, and [[Shreveport]], DeRidder, [[Bossier City]], and [[Natchitoches, Louisiana|Natchitoches]]. He was elected in 2008 by 356 votes, the closest House race that year, when he defeated the Caddo Parish District Attorney Paul Carmouche, a [[Democrat]]. Carmouche earlier had defeated fellow Democrat [[John Milkovich]] for the party's U.S. House nomination. Milkovich, a conservative Democrat who switched parties in 2023, resurfaced in 2015 to claim the District 38 seat in the Louisiana State Senate.

Fleming was an unsuccessful candidate for the U.S. Senate in the November 8, 2016, primary election held in conjunction with the presidential election. The incumbent [[David Vitter]] did not seek a third term after having lost a race for governor in 2015. In the 24-candidate field, Fleming carried six parishes and finished fifth with 203,959 votes (11 percent). In sixth place with 5 percent was retired [[United States Air Force]] Colonel [[Rob Maness]], a Senate candidate from 2014 who had been urged by Fleming supporters to drop out and instead to endorse Fleming. [[David Duke]], a former figure in the [[Ku Klux Klan]] who joined the GOP in 1989, ran seventh with 58,581 votes (3 percent). Had the Maness and Duke votes instead gone to Fleming, the Minden physician would have been in the runoff election for the seat.<ref>{{cite web|url=https://voterportal.sos.la.gov/Graphical|title=Election Returns|date=November 8, 2016|publisher=Louisiana Secretary of State|accessdate=November 10, 2016}}</ref> The top vote-getter, Republican state Treasurer [[John Neely Kennedy]], defeated Democratic Public Service Commissioner Foster Lonnie Campbell, Jr., of Bossier Parish whose political career began as a state senator in 1976, for the right to succeed Vitter.<ref>{{cite web|url=http://www.theadvocate.com/acadiana/news/politics/elections/article_5bc8107e-a6d2-11e6-8011-9f0284eb23bf.html|title=Foster Campbell seen as facing steep climb in U.S. Senate race against John Kennedy|publisher=''Baton Rouge Advocate''|author=Tyler Bridges|date=November 9, 2016|accessdate=November 10, 2016}}</ref>

Fleming was an unsuccessful candidate for the U.S. Senate in the November 8, 2016, primary election held in conjunction with the presidential election. The incumbent [[David Vitter]] did not seek a third term after having lost a race for governor in 2015. In the 24-candidate field, Fleming carried six parishes and finished fifth with 203,959 votes (11 percent). In sixth place with 5 percent was retired [[United States Air Force]] Colonel [[Rob Maness]], a Senate candidate from 2014 who had been urged by Fleming supporters to drop out and instead to endorse Fleming. [[David Duke]], a former figure in the [[Ku Klux Klan]] who joined the GOP in 1989, ran seventh with 58,581 votes (3 percent). Had the Maness and Duke votes instead gone to Fleming, the Minden physician would have been in the runoff election for the seat.<ref>{{cite web|url=https://voterportal.sos.la.gov/Graphical|title=Election Returns|date=November 8, 2016|publisher=Louisiana Secretary of State|accessdate=November 10, 2016}}</ref> The top vote-getter, Republican state Treasurer [[John Neely Kennedy]], defeated Democratic Public Service Commissioner Foster Lonnie Campbell, Jr., of Bossier Parish whose political career began as a state senator in 1976, for the right to succeed Vitter.<ref>{{cite web|url=http://www.theadvocate.com/acadiana/news/politics/elections/article_5bc8107e-a6d2-11e6-8011-9f0284eb23bf.html|title=Foster Campbell seen as facing steep climb in U.S. Senate race against John Kennedy|publisher=''Baton Rouge Advocate''|author=Tyler Bridges|date=November 9, 2016|accessdate=November 10, 2016}}</ref>

In March 2017, Fleming accepted an appointment in the [[Donald Trump]] administration as Deputy Assistant Secretary for Health Technology Reform under then Secretary [[Tom Price]] of the [[United States Department of Health and Human Services]]. Until Price was forced from the position, Fleming reported directly to Price, his former U.S. House colleague from [[Georgia]]. Fleming sought to establish newer digital filing systems to increase productivity in physicians' offices while enhancing competition in the technical industry. With his latest position, Fleming and his wife reside in [[Washington, D.C.]] He divested himself from his medical practice in Minden but maintain his residence and voting address there. Fleming said that he has not ruled out another run for elected office in the future.<ref>{{cite web|url=http://press-herald.com/former-rep-john-fleming-to-join-hhs-under-trump/|title=Former Rep. John Fleming to join HHS under Trump|author=Blake Branch|publisher='The Minden Press-Herald''|date=March 21, 2017|accessdate=March 22, 2017}}</ref>

In March 2017, Fleming accepted an appointment in the [[Donald Trump]] administration as Deputy Assistant Secretary for Health Technology Reform under then Secretary [[Tom Price]] of the [[United States Department of Health and Human Services]]. Until Price was forced from the position, Fleming reported directly to Price, his former U.S. House colleague from [[Georgia]]. Fleming sought to establish newer digital filing systems to increase productivity in physicians' offices while enhancing competition in the technical industry. With his latest position, Fleming and his wife reside in [[Washington, D.C.]] He divested himself from his medical practice in Minden but maintain his residence and voting address there. Fleming said that he has not ruled out another run for elected office in the future.<ref>{{cite web|url=http://press-herald.com/former-rep-john-fleming-to-join-hhs-under-trump/|title=Former Rep. John Fleming to join HHS under Trump|author=Blake Branch|publisher='The Minden Press-Herald''|date=March 21, 2017|accessdate=March 22, 2017}}</ref>

In April 2020, President Trump announced that Dr. Fleming would become "Assistant to the President for Planning and Implementation."

In April 2020, President Trump announced that Dr. Fleming would become "Assistant to the President for Planning and Implementation."

In 2023, Fleming announced his candidacy for state treasurer and faced two primary opponents, Democrat Dustin Granger and fellow Republican Scott McKnight. Fleming finished in first place with 442,665 votes (44 percent), who polled 321,426 (32 percent) in the November 18 runoff election. McKnight received a respectable 241,130 votes (24 percent); his support was arguably decisive in the November 18 runoff election. In that race Fleming defeated Granger 437,303 (65 percent) to 230,961 (35 percent). The turnout in the race was barely 22 percent.<ref>Louisiana Secretary of State, Election Returns, October 14 and November 18, 2023.</ref>

In 2023, Fleming announced his candidacy for state treasurer and faced two primary opponents, Democrat Dustin Granger and fellow Republican Scott McKnight. Fleming finished in first place with 442,665 votes (44 percent), who polled 321,426 (32 percent) in the November 18 runoff election. McKnight received a respectable 241,130 votes (24 percent); his support was arguably decisive in the November 18 runoff election. In that race Fleming defeated Granger 437,303 (65 percent) to 230,961 (35 percent). The turnout in the race was barely 22 percent.<ref>Louisiana Secretary of State, Election Returns, October 14 and November 18, 2023.</ref>