Patrick Semansky/AP

President Trump gave his third official State of the Union address tonight, one day before the Senate is expected to acquit him in the impeachment trial.

The speech, which took place in the same room where he was impeached in December, had dramatic surprises and was heavy on reelection themes. Here are the night's key moments:

Trump-Pelosi tension: Before the speech, Speaker of the House Nancy Pelosi revealed she hasn't spoken to the President since October, and their dynamic tonight was tense. Pelosi extended her hand to Trump when he first approached her, but he did not take it. At the end of the address, Pelosi was seen ripping up a copy of his speech.

Before the speech, Speaker of the House Nancy Pelosi revealed she hasn't spoken to the President since October, and their dynamic tonight was tense. Pelosi extended her hand to Trump when he first approached her, but he did not take it. At the end of the address, Pelosi was seen ripping up a copy of his speech. Democrats lashed out on health care: A chorus of Democrats yelled out “you” when Trump said that some are trying to destroy health care. Democrats could be heard laughing when the President said he was taking on big pharmaceutical companies. As Trump riffed on the subject, a crowd of Democrats also started chanting “HR3," referencing the Democratic health care bill to lower drug prices.

A chorus of Democrats yelled out “you” when Trump said that some are trying to destroy health care. Democrats could be heard laughing when the President said he was taking on big pharmaceutical companies. As Trump riffed on the subject, a crowd of Democrats also started chanting “HR3," referencing the Democratic health care bill to lower drug prices. An unexpected medal ceremony: During his State of the Union address, President Trump presented conservative political radio host Rush Limbaugh with the Presidential Medal of Freedom. Democrats yelled “no” when the President announced it.

During his State of the Union address, President Trump presented conservative political radio host Rush Limbaugh with the Presidential Medal of Freedom. Democrats yelled “no” when the President announced it. And a surprise reunion: President Trump reunited a military family during his State of the Union address. Amy Williams and her two children were in the audience when Trump introduced Sergeant First Class Townsend Williams was home from his fourth deployment to the Middle East.

Watch Trump and Pelosi interact for the first time in months:

Pelosi rips copy of Trump's speech following his address: