The House on Thursday passed the signature piece of legislation of President Trump's second term, approving his "big, beautiful bill" by a vote of 218 to 214.

Fitzpatrick, a moderate who represents Bucks County, was one of a handful of Republicans to vote against a procedural vote to move the bill forward late Wednesday night. He was the only Republican “no” not to reverse on that vote by the early morning hours as negotiations went on. The House voted 219-213 to advance to final debate.