In the president’s eagerness to score a win and extend tax cuts, he walked away from a key campaign promise on Medicaid. The GOP fears that will cost the party.

House passes Trump-backed bill, tightening his grip on the Republican Party despite backlash over debt and cuts to Medicaid.

Trump lashed out against Tillis on his social media platform and to the press and threatened to field primary challengers. Tillis announced on Saturday that he would not seek reelection. Paul, a staunch advocate for keeping spending and the debt ceiling in check, posted on X that he wanted the bill to include a 90% reduction in the ceiling.