Here Are the Only Three Republicans Who Voted “No” on Trump’s Budget
Trump’s “big, beautiful bill” is expected to kick millions of Americans off their health insurance. But only three Republican senators seem to care.

Only three Senate Republicans were brave enough to vote against Trump’s catastrophic budget, as the One Big Beautiful Bill Act passed through the Senate on Tuesday by the slimmest of margins, 51-50.
Republicans Rand Paul, Thom Tillis, and Susan Collins—who each voiced their distaste for the bill due to the $3.3 trillion it adds to the debt and the millions of Americans it takes Medicaid away from—voted no, along with all 47 Democrats.
Every other Republican voted yes, with Vice President JD Vance breaking the 50-50 tie. The bill now heads back to the House of Representatives.
50-50: Senate passes “Big Beautiful Bill” that would fund Trump’s policies while extending tax cuts for the rich and cutting Medicaid. VP Vance casts the tie-breaking vote.
— The Recount (@therecount) July 1, 2025
Its fate in the House is uncertain, as moderates and hardliners have grumbled about the bill changes. pic.twitter.com/TdNPkvjIUs
The Senate version of the bill contains the biggest Medicaid cuts in history, and 17 million people are expected to lose their health insurance by 2034, according to the Congressional Budget Office.
Tillis warned about the dangers of the bill on Sunday night shortly after announcing his retirement at the end of this term. “Between the state-directed payments and the cuts scheduled in this bill—there’s a reduction of state-directed payments. And then there’s the reduction of the provider tax. They can’t find a hole in my estimate. So what they told me is that ‘yeah, it’s rough, but North Carolina’s used the system, they’re gonna have to make it work,’” Tillis said. “Alright, so what do I tell 663,000 people in two years or three years, when President Trump breaks his promise by pushing them off of Medicaid because the funding’s not there anymore, guys? The people in the White House advising the president … are not telling him that the effect of this bill is to break a promise.”
The bill is likely to face some minor obstruction in the House.
This story has been updated.