Hardline Republican Congress member Marjorie Taylor Greene has been expelled from the House Freedom Caucus after a clash with a fellow caucus member.

Multiple rounds of votes have produced almost the same outcome with 20 Republican holdouts still refusing to support Kevin McCarthy, leaving him short of the 218 needed to win.

President Donald Trump on Sunday attacked conservative lawmakers for the failure of the Republican bill to replace Barack Obama's health care law as his aides pledged to court moderate Democrats on upcoming initiatives from health care to tax cuts.