House passes Trump-backed bill, tightening his grip on the Republican Party despite backlash over debt and cuts to Medicaid.

On July 3, Fitzpatrick was the only Republican opposed to the rule that set up a straight up-or-down vote on the Senate's version of the bill. The near unanimity came after Trump hosted skeptical lawmakers at the White House to answer their questions, worked the phones overnight and cheered the vote through social media.