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.

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.