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A fragile Senate Republican’s footsteps towards the president Donald Trump’s “Big and beautiful bills,” worrying about large Medicaid cuts internally.
senator Thom TillisRN.C. told Fox News Digital that he would not support the measure through the necessary procedural barriers to start a marathon of debate and amendment votes that will eventually reach the final paragraph of the measure.
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Donald Trump speaks at a press conference held on June 27, 2025 in the James S. Brady briefing room in Washington. (Mehmet Eser/Middle East Images/AFP via Getty Images)
Tillis, who is expected to be re-elected in 2026, said he had a “good relationship” with his colleagues after leaving the Senate Republican closed-door lunch, but he couldn’t support the huge bill.
“We’re just having a disagreement,” he said. “And, you know, my colleagues have done the analysis and they’re happy with the impact on the country. I respect their choice. It’s not a good impact on my state, so I’m not going to vote on moving on to the motion.”
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Late. Thom Tillis (Photo by Anna Moneymaker/Getty Images)
Nor will he support the bill for the last period of time. Tillis is a group Senate Republicans They expressed reservations about Senate Republican changes to Medicaid provider tax rates.
Tillis’ boycott of bill is a bad sign for Senate Majority Leader John ThuneRs.D. , he could only lose three votes. So far, R-Wis. Senator Ron Johnson vowed to vote against the procedural test, Senator. Rand PaulR-Ky. , expected to follow suit.
Trump met with another possible reservation Johnson and Sen. Rick Scott during lunch.
Legislators are expected to vote to introduce the bill at 4 p.m. Saturday.
Installation resistance may force Thun to return to the drawing board. Collins is also a further complex issue for Collins, who will also be re-election in 2026, saying that while she will support the bill in the first step, she tends to vote to pass the bill within the last scope unless the legislation “changes further.”
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Senator Ron Johnson, R-Wis. , on Tuesday, July 11, 2023 at Hart Building. (Tom Williams/CQ-Roll Call, Inc, via Getty Images)
The latest version of the bill fell near midnight stroke, which included a adjustment to the Senate issuance, which would lower interest rate crackdowns for providers for a year and also added $25 billion to rural hospital stabilization funds.
Although others in the group, such as Sens. SusanCollins, R-Maine and R-Mo. Josh Hawley, at least seeing the legislation shifted in the first critical procedural hurdle, but Tillis argued that his country would be severely affected by the crackdown.
Indeed, during a closed lunch earlier this week, the lawmaker reportedly warned that North Carolina could lose up to $40 billion in Medicaid funds if the changes were codified.
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For now, even if you talk to Trump, Tillis is unlikely to be upsetting. He also plans to further analyze the impact of Medicaid cuts on his state, i.e., he said no one in the “government or this building” could refute.
“I’ve talked to the president, and I just told him, ‘Look, if that works for the country, it’s great.’ We’re just based on the differences in implementation in the respective states. ”