GOP Senator Tillis opposes Trump bill over Medicaid cuts to North Caro


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A vulnerable Senate Republican put his foot down against President Donald Trump’s “big, beautiful bill” over concerns of deep Medicaid cuts inside the megabill.

Sen. Thom Tillis, R-N.C., told Fox News Digital that he would not support the measure through a procedural hurdle necessary to kick off a marathon of debate and amendment voting that would eventually culminate in the measure’s final passage.

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President Donald Trump speaks during a press conference in the James S. Brady Briefing Room at the White House, on June 27, 2025, in Washington. (MEHMET ESER/Middle East Images/AFP via Getty Images)

Tillis, who is up for reelection in 2026, said after exiting the Senate GOP’s closed-door lunch that he has a “great relationship” with his colleagues, but that he couldn’t support the colossal bill.

“We just have a disagreement,” he said. “And, you know, my colleagues have done the analysis, and they’re comfortable with the impact on their states. I respect their choice. It’s not a good impact in my state, so I’m not going to vote on the motion to proceed.”

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Sen. Tillis

Sen. Thom Tillis (Photo by Anna Moneymaker/Getty Images)

He also won’t support the bill during the final stretch. Tillis is part of a cohort of Senate Republicans who have expressed reservations over the Senate GOP’s changes to the Medicaid provider tax rate.

Tillis’ resistance to the bill is a bad sign for Senate Majority Leader John Thune, R-S.D., who can only afford to lose three votes. So far, Sen. Ron Johnson, R-Wis., has vowed to vote against the procedural test, and Sen. Rand Paul, R-Ky., is expected to follow suit. 

Trump was meeting with Johnson and Sen. Rick Scott, R-Fl., another possible holdout, during the lunch. 

Lawmakers are expected to vote to advance the bill at 4 p.m. on…


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