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.

The House advance the Trump agenda bill on a 219-213 vote after most of the Republican holdouts flipped their votes to support the rule. Rep. Brian Fitzpatrick, R-Pa., was the only Republican to vote with all Democrats against the procedural motion. The House is now debating the bill and will soon vote on final passage.

U.S. Sen. Joni Ernst's vote for President Donald Trump's "big, beautiful bill" could be a defining issue in her reelection race.