Thom Tillis (R-North Carolina) told President Donald Trump he was making a mistake. In a tense Saturday night phone call, the vulnerable senator from a purple state told the president that the legislation’s cuts to Medicaid would cause Republicans to lose the House majority and haunt Trump in much the same way that President Barack Obama was dogged by his promise that,

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

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.