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.

The U.S. Senate’s budget proposal backed by Republican President Donald Trump could cause hundreds of thousands of North Carolinians to lose their health insurance — a scenario that could also fuel a new round of rural hospital closures.

GOP Sen. Thom Tillis was back on Capitol Hill on Monday as Senate Republicans struggled to pass their "One Big Beautiful Bill Act" he opposes -- before President Donald Trump's July Fourth deadline. "I may look for an opportunity to speak again,