Fitzpatrick, a moderate who represents Bucks County, was one of a handful of Republicans to vote against a procedural vote to move the bill forward late Wednesday night. He was the only Republican “no” not to reverse on that vote by the early morning hours as negotiations went on. The House voted 219-213 to advance to final debate.

Texas Republicans were divided but ultimately pivotal in helping President Donald Trump’s "Big Beautiful" Bill clear the U.S. House on Thursday. The bill passed in a narrow 218–214 vote, and despite vocal criticism from within the Texas GOP delegation, all 25 Texas Republican representatives—and both senators—voted in favor.

A stark disagreement over regulating AI in Republicans’ tax cut and spending bill is the latest tension among conservatives about whether to let states continue to put guardrails on emerging technologies or minimize such interference.

The GOP megabill has new tax breaks aimed at low- and moderate-income households, and spending cuts that could make it harder for some to receive public assistance or hold onto health insurance.

A Republican megabill cuts $1 trillion from Medicaid, risking closures for hospitals that serve some of America’s most vulnerable. Rural hospitals in the U.S. already operate on a razor’s edge, but new cuts to Medicaid in the Republican appropriations bill could tip many of them into failure.

States and rural health advocacy groups are sounding the alarm that Congress’ slashing of Medicaid will devastate already financially fragile rural hospitals. One analysis estimates more than 300 hospitals could be at risk of closing under the Republican measure to slash about $1 trillion in Medicaid funding over ten years.

One analysis reveals that over 300 hospitals may be in danger of closing under the Republican legislation which will slash roughly $1 trillion in Medicaid funding over ten years.