Though patients don't rush through the doors of this emergency room anymore, an empty hospital in Williamston, North Carolina, offers an evocative illustration of why Republican Sen. Thom Tillis would buck his party leaders to vote down President Donald Trump's signature domestic policy package.

Lara Trump, President Donald Trump’s daughter-in-law, is the leading potential candidate to run for Senate from North Carolina with Donald Trump’s backing, multiple sources tell CNN.

Political parties typically benefit from having an incumbent candidate on the ballot, but U.S. Sen. Thom Tillis didn’t bring that advantage to the campaign trail in 2026, Republican insiders and political scientists say.