The House voted 219-213 overnight Thursday, after hours of delay, to advance President Trump's "big, beautiful bill" for debate before a final vote. GOP leaders had to overcome pushback over changes the Senate made to the legislation.

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.

House Republicans muscled the “big, beautiful bill” through a procedural hurdle on the floor on Wednesday night, setting the legislation up for a final vote.