Brian Fitzpatrick, a Pennsylvania Republican who is one of the most moderate in his party, was a surprising 'no' vote against advancing the bill. Unlike other Republicans who have voted 'no' and are now being courted in person by House Republican leaders, Fitzpatrick raced off the floor and away from the chamber after he voted no.

President Trump's sweeping domestic policy bill passes Congress with tax cuts, immigration measures, and Medicaid restructuring, despite polls showing most Americans oppose the package.