U.S. Sen. Susan Collins, R-Maine, predicted Monday the GOP-led Congress will face “tremendous pressure” to change President Donald Trump’s megabill of tax breaks and spending cuts if “we start seeing Americans getting sicker” as a result.

The comments from Collins, who was one of three Republican senators to vote against the bill that squeaked through Congress this summer, came during a health care forum in Massachusetts. It also served as a partial acknowledgement of the law being a vulnerability for her party as Democrats use it against Collins and other lawmakers ahead of 2026 elections.

The “One Big Beautiful Bill” extends Trump’s 2017 tax breaks, includes sizable cuts to Medicaid that Collins said total more than $900 billion, slashes food stamp programs and contains other Rep

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