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 House is poised to vote on final package sometime Thursday morning after an all-night pressure campaign to get all members on board.