U.S. Sen. Thom Tillis says the Senate’s current megabill would effectively end Medicaid expansion in North Carolina — and that’s the main reason he’s opposing the bill.

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.