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By BRIDGET BOWMAN and SIMONE PATH

Twenty Republicans bucked their party and voted against thehealth care overhaulon Thursday.

More than half of the members who voted no are part of the Tuesday Group, a collection ofmoderate House Republicans. Nine of the lawmakers represent districts that Democratic presidential nominee Hillary Clinton carriedin 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 theno votes are Democratic Congressional Campaign Committee targets. Five of the lawmakers are also part of the National Republican Campaign Committees Patriot Program, which assists members in tough races.

Arizona Rep. Andy Biggs: The freshman lawmaker was the only member of the Freedom Caucusto oppose the bill. He hails from thesafely Republican 5th District where he overperformed Trump by nearly 7 points last fall. Biggs benefited from the Club for Growths support in a 2016 primary, but it remains to be seen how outside groups will treat the conservative holdout. The club announcedits 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.

Colorado Rep. Mike Coffman: Also a Tuesday Group member, Coffman was leaning toward voting yes on the original version of the bill in March. Hours before Thursdays vote, he announced he was concerned that some Americans with pre-existing conditions wouldnt be covered under the Meadows-MacArthur amendment and he wasnt willing to support a bill without seeing a CBO score. A perennial Democratic target, Coffman represents a suburban district outside Denver with a diverse population that voted for Clinton by 9 points. He overperformed Trump by nearly 10 points, but hes once again at the top of the DCCCs target list, and the NRCC added him to the Patriot Program earlier this week. Inside Elections rates his raceLeans Republican.

Virginia Rep. Barbara Comstock: A member of the moderate Tuesday Group, Comstock would have had a hard time defending a vote for the bill in a suburban district outside Washington, D.C., thats a favorite Democratic target. The NRCC included her on its initial Patriot Program list for vulnerable members in February. Her survival likely depends on her ability to distance herself from her party and Trump when necessary. She did that well last cycle, overperforming Trump by 11 points in a district Clinton carried by 10 points. Inside Elections this raceLeans Republican.

Pennsylvania Rep. Ryan A. Costello: Another Tuesday Group member, Costello represents a district outside Philadelphia that narrowly voted for Clinton last fall. The sophomore, who chairs the NRCCs Patriot Program, easily overcame a Democratic challenge last year from an underwhelming candidate. He overperformed Trump by 10 points. But Democrats are once again targeting the seat, hoping they can knock him off with the right candidate. Inside Elections rates his raceLikely Republican.

Pennsylvania Rep. Charlie Dent: A co-chairman of the Tuesday Group, Dent is the rare GOP moderate whos not vulnerable. He won his seventh term last fall by a comfortable 20-point margin, overperforming Trump by 7points. Trump still carried the district, which is rated Solid Republican.

New York Rep. Dan Donovan: Democrats didnt seriously contest this Staten Island-based district last year after Donovan won a special election in 2015. He went on to win his first full term by 26 points. Trump did well here, too, defeating Clinton by about 10 points in a district Obama narrowly carried in 2012. But this Tuesday Group member is now one of eight New York Republicans on the DCCCs initial target list. Inside Elections rates his raceSolid Republican.

Pennsylvania Rep. Brian Fitzpatrick: ATuesday Group freshman, Fitzpatrick won theBucks County seat vacated by his brother by 9 points last fall. Hes a moderate in a district that Trump carried by less than half a point. Democrats are always trying to pick off Philadelphia suburban seats, and next year will be no exception. Fitzpatrick is both a DCCC target and a member of the NRCCs Patriot Program. His race is rated Lean Republican.

Washington Rep. Jaime Herrera Beutler:Another Tuesday Group member, shes one of three female Republicans who voted against the bill. Shes never been in much danger before, winning a fourth term last fall with62 percent of the vote. But Trump carriedher district withless than 50 percent, and shes a DCCC target in 2018. Her race is rated Solid Republican.

Texas Rep. Will Hurd: The second-term congressman is one of the most vulnerable GOP incumbents, and is among the DCCC targets and NRCC Patriots. Clinton carriedhis southwest Texas district, whileHurd overperformed Trump by roughly 2points. Inside Elections rates his race a Tossup.

North Carolina Rep. Walter B. Jones: The 12-term Liberty Caucus member does his own thing and isnt afraid to buck leadership. He represents a solidly red district on North Carolinas coast, which he won by 7 points more than Trump last fall. Any electoral danger Jones would face for his vote would come in a primary. He secured the GOP nod by less than 6 points in 2014. But two years later, he easily dispatched two primary challengers. Plus, the Jones names goes far in this district; his father represented the same area for 26 years. Inside Elections rates his raceSolid Republican.

Ohio Rep. David Joyce: The Ohio Republican is not a DCCC target. Trump carried Joyces GOP-leaning district in 2016 but the Tuesday Group memberoutperformed himby 9 points. Inside Elections rates his race Solid Republican.

New York Rep. John Katko: The second-term congressman is a DCCC target and also part of the NRCCs Patriot Program. Clinton carriedhis upstate New York district, but Katko overperformed Trump by 15 points. Katko has raised concerns about the bills effect on coverage costs. Inside Election rates his raceLikely Republican.

New Jersey Rep. Leonard Lance:The fifth-term congressman represents a district that Clinton won in 2016, making him a DCCC target next year. He outperformed Trump by roughly 5 points last November. Like other House Republicans, Lance has faced questions about the GOPs health care plans at a recent town hall meetingsin his district. The Tuesday Group member touted his position that lawmakers should repair the 2010 health care law, which differs from the GOP mantra to repeal and replace. His race is rated Likely Republican.

New Jersey Rep. Frank A. LoBiondo:The Tuesday Group member, first elected in 1994, is one of the Democrats targets in 2018. Hes an original opponent of the bill, saying last week that no one in his district liked it. Trump won his district in 2016, though voters chose Obama in 2008 and 2012. In 2016, LoBiondo outperformed Trump by nearly 7 points. His race is rated Solid Republican.

Kentucky Rep. Thomas Massie:He is one of the few conservatives who was not swayed to support the bill by an amendment allowing states to waive some insurance coverage requirements. Massie is not a member of the Freedom Caucus but votes with the most conservative House members. For Massie, the GOP bill did not fully repeal the 2010 law. Massie overperformed Trump by 6 points. Inside Elections rates his raceSolid Republican.

Pennsylvania Rep. Patrick Meehan: A member of the Tuesday Group, Meehan is a DCCC target in 2018 since Clinton won his southeastern Pennsylvania district. But the fourth-term congressman outperformed Trump by roughly 12 points in November. His race is rated Likely Republican.

Washington Rep. Dave Reichert: The seven-term member, another Tuesday Group moderate, was supportive of the original GOP bill in March. He came out against the latest version shortly before Thursdays vote, saying it did not provide the essential protections he needed to support it. Reichert easily won re-election last year, but Clinton narrowly carried his district, making him a DCCC target in 2018. Inside Elections rates his raceSolid Republican.

Florida Rep. Ileana Ros-Lehtinen: The veteran congresswoman recently announced she will retire after this Congress, increasing Democrats chances of flipping her district, which Clinton won in 2016 by nearly 20 points. Ros-Lehtinen, in her 14th full term, said the amendments to the GOP bill were fig leaves, adding, I feel bad for all the vulnerable members. Ros-Lehtinen outperformed Trump by nearly 16 points last fall. Inside Elections rates her raceLean Democratic following her retirement announcement.

New Jersey Rep. Christopher H. Smith: The veteran congressman wasnt on the DCCCs initial target list and is currently in his 19th term in the House. Trump carriedSmiths district but Smith outperformed Trump by nearly 8 points. His race is rated Solid Republican.

Ohio Rep. Michael R. Turner: The eight-term lawmaker wasnt on the original whip lists as a no, but he said in a statement immediately after the vote that he couldnt support a bill that would leave our most vulnerable citizens with inadequate health coverage and that he had repeatedly voiced those concerns to leadership. He represents a safeRepublican seat that Trump carried by 7 points. His race is rated Solid Republican.

Correction 4:20 p.m. | An earlier version of the story incorrectly identified Rep. Christopher H. Smith as a member of the Tuesday Group.

Lindsey McPherson, Erin Mershon and Andrew Siddons contributed to this report.

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Meet the Republicans Who Voted 'No' on the Health Care Bill - Roll Call