The bill encompasses Trump's domestic agenda, extending tax breaks to millions of American households and businesses that are projected to add trillions to the national debt.

Brian Fitzpatrick, a Pennsylvania Republican who is one of the most moderate in his party, was a surprising 'no' vote against advancing the bill. Unlike other Republicans who have voted 'no' and are now being courted in person by House Republican leaders, Fitzpatrick raced off the floor and away from the chamber after he voted no.