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.

The president exhorted holdout House Republicans to get behind his tax-and-spending bill , after the party’s efforts to pass it ran into stubborn resistance.