U.S. Sen. Thom Tillis, a North Carolina Republican, broke with his party Saturday and said he would not support the federal “One Big Beautiful Bill Act,” the sweeping budget package that would enact much of President Donald Trump’s agenda.

Flake. Corker. Romney. And now, Sen. Thom Tillis. The roll call of Republican senators in the U.S. Congress who have called it quits, rather than endure a political career sideways with President Donald Trump,

The North Carolina Republican had already made up his mind to leave the Senate, but the run-in with the president over Medicaid moved up the timeline of the announcement.