Provincial Council and House of Representatives In March 2003, she was elected to the
Provincial Council of North Holland, as a member of the
Pim Fortuyn List (LPF). On 17 October 2003, she said had lost confidence in the governing board of the Pim Fortuyn List with two other State members of the LPF. In 2004, she left the party, because of dissatisfaction with the continuing internal dispute. She continued as a member of the provincial council as an
independent. In 2004, she was a founding member of the
Forza! Nederland party alongside former Pim Fortuyn List provincial council representative
Paul Meijer, however she left shortly after its founding to join the
Party for Freedom. In this same year, she was also noted as being active on the
neo-Nazi internet forum
Stormfront which uses the slogan "White Pride World Wide". In 2006, she was asked by
Geert Wilders, the
party leader of the newly formed
Party for Freedom, to join him on and get the second place on the list of candidates. In November 2006 she was chosen as a member of the
Dutch House of Representatives. She left the provincial council on 14 March 2007. As an MP her main specialties are
education,
healthcare,
spatial planning and
infrastructure. She advocated to raise the minimum age for
sex workers from 18 to 21, leading to the change being enacted. During her parliamentary career Agema was considered a prominent member of the party and a deputy to
Geert Wilders who referred to her as his "star player." Agema retired from politics ahead of the
2025 Dutch general election and did not seek another term in the House.
Minister of Health, Welfare and Sport After the PVV,
VVD,
NSC, and
BBB formed the
Schoof cabinet, Agema was sworn in as First Deputy Prime Minister and as Minister of Health, Welfare and Sport on 2 July 2024. Departing from previous practice, Prime Minister
Dick Schoof did not let Agema chair the weekly meeting of the
Council of Ministers during his foreign trips, opting instead to move the date of the meeting. Agema chaired the meeting for the first time in February 2025, when Schoof was ill. Responding to personnel shortages in the healthcare sector, Agema said that they could largely be resolved through new
artificial intelligence technologies, and she indicated that she would introduce legislation to allow their usage. The governing agreement of the Schoof cabinet clarified it aims to halve time spent on administrative tasks by healthcare workers. It also included a reduction of the minimum
health insurance deductible from €385 to €165 starting in 2027. Agema was tasked with extending the Integral Care Agreement, established in 2022 to maintain affordable and accessible healthcare for an
ageing population. A revised agreement was planned for January 2024. When an alliance of coalition and opposition parties agreed two weeks later to cut the healthcare budget by an additional €315 million, five more professional and trade associations pulled out. Agema expressed concern over the cuts, particularly those affecting additional and refresher training for medical specialist care. The negotiating parties stated that it had not been their intention to affect training for nurses, and they called on Agema to find an alternative cut in the healthcare budget. Agema advised against a
motion to ban
private equity firms from investing in the healthcare sector that received support from the PVV. She had been critical of the practice as a member of parliament, but she now said that legal hurdles existed and that such financing can be beneficial. The House of Representatives urged Agema to prevent the closure of the
emergency department and
intensive care unit at
Heerlen's , but she was unsuccessful despite the coalition agreement's commitment to retaining local hospitals. == Political profile ==