President Donald Trump secured a sweeping shift in US domestic policy as the House passed a $3.4 trillion fiscal package that cuts taxes, curtails spending on safety-net programs and reverses much of Joe Biden’s efforts to move the country toward a clean-energy economy.

Healthcare groups slammed the passage of U.S. President Donald Trump’s tax-cut and spending bill on Thursday, warning that its sweeping healthcare provisions would inflict widespread harm on millions of Americans.

On July 3, Fitzpatrick was the only Republican opposed to the rule that set up a straight up-or-down vote on the Senate's version of the bill. The near unanimity came after Trump hosted skeptical lawmakers at the White House to answer their questions, worked the phones overnight and cheered the vote through social media.