Fitzpatrick, a moderate who represents Bucks County, was one of a handful of Republicans to vote against a procedural vote to move the bill forward late Wednesday night. He was the only Republican “no” not to reverse on that vote by the early morning hours as negotiations went on. The House voted 219-213 to advance to final debate.

House Speaker Mike Johnson on Wednesday found himself in an all-too-familiar position: scrambling to win over a bloc of Republican holdouts to prevent a signature piece of President Donald Trump’s agenda from collapsing on the House floor—and once again,