The coverage your junior senator wants to end
They aren't who the program was originally intended to help.
Sen. Ted Budd (R-N.C.), on ending North Carolina's Medicaid expansion · 2025
Trump's "big, beautiful bill" cuts Medicaid deeply; the nonpartisan Congressional Budget Office estimated the Senate version would leave 11.8 million more people uninsured by 2034. In North Carolina, roughly 600,000 people gained coverage through the state's recent Medicaid expansion, and that funding keeps many rural hospitals open. Budd voted for the bill and defended cutting the coverage, saying it would lower government spending.
Sources: WRAL
And the senator who wouldn't vote for it
Republicans are about to make a mistake on health care and betraying a promise… the greatest form of hypocrisy in American politics.
Sen. Thom Tillis (R-N.C.), on the Senate floor · June 2025
Tillis said the Medicaid cuts would be "devastating to North Carolina" and broke Trump's own pledge not to touch the program, and he voted no. Within a day, Trump announced he would recruit a primary challenger against him. Rather than fight, Tillis announced he would not seek reelection, warning that leaders "willing to embrace bipartisanship, compromise, and demonstrate independent thinking are becoming an endangered species."
Sources: Tillis on the floor (AP via AOL) · Trump's primary threat, and the CBO estimate (ABC11)