By BRIDGET BOWMAN and SIMONE PATHÉ

Twenty Republicans bucked their party and voted against the health care overhaul on Thursday.

More than half of the members who voted “no” are part of the Tuesday Group, a collection of moderate House Republicans. Nine of the lawmakers represent districts that Democratic presidential nominee Hillary Clinton carried in November. President Donald Trump carried the districts of 11 of the members voting “no.”. But all of the lawmakers outperformed Trump last fall.

Fourteen of the “no” votes are Democratic Congressional Campaign Committee targets. Five of the lawmakers are also part of the National Republican Campaign Committee’s Patriot Program, which assists members in tough races.

Arizona Rep. Andy Biggs: The freshman lawmaker was the only member of the Freedom Caucus to oppose the bill. He hails from the safely Republican 5th District where he overperformed Trump by nearly 7 points last fall. Biggs benefited from the Club for Growth’s support in a 2016 primary, but it remains to be seen how outside groups will treat the conservative holdout. The club announced its support for the Meadows-MacArthur amendment last week and said Thursday it has no plans to oppose Biggs for his vote against the bill. Inside Elections with Nathan L. Gonzales rates his race Solid Republican.