Senator Thom Tillis publicly condemned Donald Trump’s “One Big Beautiful Bill,” calling out its Medicaid cuts and rushed construction—before announcing he will not seek re-election in 2026.
At a Glance
- Tillis said the bill breaks Trump’s promise not to cut Medicaid.
- North Carolina faces a projected $32 billion funding loss under the plan.
- Over 663,000 Medicaid recipients in the state could be affected.
- The senator announced he will not run for re-election in 2026.
- A procedural vote passed the bill 51–49 despite Tillis’s opposition.
A Stunning Senate Rebuke
In a blistering floor speech on June 30, Senator Thom Tillis blasted the Senate version of Trump’s signature legislative push, warning that it would slash healthcare coverage for over 660,000 North Carolinians. Tillis cited a projected $32 billion shortfall for his state and accused unnamed Trump advisers of pushing the plan “without understanding its consequences.”
Despite criticizing the legislation, Tillis stopped short of directly attacking Trump himself, instead blaming “amateurs” and “misinformed aides” for the bill’s construction.
Watch a report: Sen. Tillis Dissent Signals GOP Schism
Exit Announcement Sparks Party Shock
Shortly after delivering his rebuke, Tillis announced he would not seek another term in 2026. The decision, which follows increasing tensions within the GOP, was seen by many as a move to avoid a Trump-backed primary challenge. Senate Minority Leader Mitch McConnell called it a “big setback” for the party ahead of a tough 2026 cycle.
Although the bill passed its Senate procedural hurdle by a narrow 51–49 margin, Tillis emphasized he may support a revised House version—if Medicaid protections are restored (Yahoo News).
MAGA Divides Deepen
Tillis joins a growing number of Republicans breaking with Trump over the bill. Senators Ron Johnson and Rand Paul have expressed similar concerns, calling the legislation fiscally reckless. Meanwhile, Elon Musk has vowed to fund primary challengers against GOP incumbents who back the bill, escalating pressure from both inside and outside the party.
As the 2026 midterm map sharpens, Tillis’s departure and public dissent signal a widening fracture in the GOP—between MAGA loyalty and policy pragmatism. Whether others will follow remains the question.
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