Fitzpatrick, a moderate who represents Bucks County, was one of a handful of Republicans to vote against a procedural vote to move the bill forward late Wednesday night. He was the only Republican “no” not to reverse on that vote by the early morning hours as negotiations went on. The House voted 219-213 to advance to final debate.

Fitzpatrick voted in favor of an earlier version of the bill that passed the House, but opposed the amended version that returned from the Senate.

Congressman Brian Fitzpatrick and Kentucky Rep. Thomas Massey broke party lines and joined Democrats against Donald Trump's legislative agenda.