U.S. Sen. Thom Tillis has come out against one of the key provisions of President Donald Trump's "big, beautiful bill." 

The provision, according to Breitbart News, is the one that makes cuts to Medicaid.

In related news, Tillis has indicated that he will not seek reelection in 2026, after Trump made it clear that he would campaign against Tillis if the senator opposed the "big, beautiful bill."

The Senate version of the One Big Beautiful bill contains significant changes to Medicaid that would be devastating to North Carolina, and I cannot support it. The Senate should go back to the House’s commonsense approach to Medicaid reform to enact work requirements while… pic.twitter.com/eFIc31R0sQ

— Senator Thom Tillis (@SenThomTillis) June 28, 2025

"I cannot support it."

Tillis has released multiple statement explaining his objection to the Medicaid cuts.

In one, he wrote:

I will always do what is in the best interest of North Carolina, even when that puts me at odds with my own party. When Senate leaders of my party presented this bill, I did what every American should expect from their U.S. Senator: I worked to gather the facts and comprehensively analyze what the impact would be on the people I swore an oath to represent.

Tillis went on to say that his "homework" found that these cuts would be bad for the people of North Carolina.

He continued:

I did my homework on behalf of North Carolinians, and I cannot support this bill in its current form. It would result in tens of billions of dollars in lost funding for North Carolina, including our hospitals and rural communities. This will force the state to make painful decisions like eliminating Medicaid coverage for hundreds of thousands in the expansion population, and even reducing critical services for those in the traditional Medicaid population.

Tillis went on to say, "we can and must do better than this." He also said that he likes "the rest of the One Big Beautiful Bill."

Background

The Medicaid cuts have been one of the most controversial aspects of the legislation.

Breitbart notes that "the Senate parliamentarian struck several major Medicaid provisions from the bill, including the provider tax used to pay for the Trump Tax Cuts."

The outlet adds, "The ruling also removed language that would block Medicaid coverage for transgender procedures and benefits for illegal aliens."

An example of a provision that has stayed, according to the outlet, is one that would "include work requirements for some able-bodied adults and anti-fraud measures."

Republican senators continue to try to get the legislation passed by July 4th, as the president requested.