Ruff is currently serving her first term in the Iowa House and serves on Education, Agriculture, and Natural Resources and the Agriculture and Natural Resources Budget Subcommittee.
Ruff started her eighteenth season at the grain elevator in McGregor, run by Bunge North America. She served on the MFL Mar-Mac School Board and as president for four years. As a school board member she saw over the development of child care centers adjacent to the school and a premier early childcare program put in place. Patti and her husband Dan, live in rural McGregor and have 3 sons; Liam, Bryar, and Tucker.