Some Democratic leaders and officials believe the combination of tax cuts and potential changes to some Americans' health care coverage could allow the party to recapture the anger and anti-Trump backlash that helped the party reclaim the House in 2018, after Republicans passed their tax package and repeatedly failed to repeal Obamacare.

A Republican Congressman sold a Medicaid-related stock before voting for President Donald Trump 's massive tax and spending package, which affects Medicaid.

On July 3, Fitzpatrick was the only Republican opposed to the rule that set up a straight up-or-down vote on the Senate's version of the bill. The near unanimity came after Trump hosted skeptical lawmakers at the White House to answer their questions, worked the phones overnight and cheered the vote through social media.