Politicos across Pennsylvania are reacting with a mix of triumph, anger and despair following the passage of the federal budget resolution.

Democratic U.S. Sen. John Fetterman voted against it. But citing the need for stepped-up border security, increased defense spending and less environmental constraints on energy production, Republican U.S. Sen. Dave McCormick voted for it, issuing this statement:

Pennsylvania’s hospitals and health care providers could be among the biggest losers under President Donald Trump’s “One Big Beautiful Bill.”