This story was produced as part of a partnership between NOTUS and The Assembly.
Before his fateful vote, Thom Tillis tried to persuade North Carolina’s top lawmakers that President Donald Trump’s signature bill would severely hurt their state and party.
His own analysis showed the “One Big Beautiful Bill” would cost the state billions of dollars while virtually gutting Medicaid benefits for more than 600,000 people and posing new risks for rural hospitals and health care.