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flag Senator Thom Tillis won't run for re-election after voting against Trump's spending bill, potentially impacting Medicaid.

flag Senator Thom Tillis, a Republican, announced he will not seek re-election after voting against President Trump's spending bill, which could cut Medicaid coverage for hundreds of thousands in North Carolina. flag Tillis' decision leaves the state's political landscape in flux, with Democrats seeing an opportunity to win the seat in 2026. flag The bill's impact on Medicaid and other programs could affect state elections and policy strategies.

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