A fiery Sen. Thom Tillis, R-N.C., took to the Senate floor on Sunday evening to explain his vote from Saturday against the motion to proceed on the One Big Beautiful Bill Act, condemning the legislation and saying it breaks President Donald Trump’s promises to protect Medicaid.

Vice President JD Vance provided the tie-breaking vote to get Trump's bill across the finish line. It now must go back to the House for approval.

The vote came after hours of uncertainty over whether the massive package could secure enough Republican votes to move to a final Senate vote.