Sen. Thom Tillis (R-N.C.) leaves a Senate Republican luncheon as the Senate holds a “vote-a-rama” to pass President Donald Trump’s domestic policy bill on Capitol Hill in Wa

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.

Republican Sen. Thom Tillis of North Carolina announced Sunday he is not seeking reelection next year, a day after he was one of only two Republicans who voted against advancing President Donald Trump’s sweeping agenda bill.