The House is nearing a final vote Thursday on President Trump's "big, beautiful bill" after Republican leaders overcame resistance from GOP holdouts in a dramatic overnight session and advanced the Senate version of the measure early Thursday morning.

Brian Fitzpatrick, a Pennsylvania Republican who is one of the most moderate in his party, was a surprising 'no' vote against advancing the bill. Unlike other Republicans who have voted 'no' and are now being courted in person by House Republican leaders, Fitzpatrick raced off the floor and away from the chamber after he voted no.

U.S. Sen. Joni Ernst's vote for President Donald Trump's "big, beautiful bill" could be a defining issue in her reelection race.