Rep. Jacky Rosen is up with a new Spanish-language television spot Wednesday morning reiterating attacks that her opponent, Sen. Dean Heller, flip-flopped on votes to repeal and replace the Affordable Care Act.

The 30-second spot features the now-familiar orange inflatable tubeman that Rosen has used in previous English-language ads and accuses Heller of bending to President Donald Trump’s wishes during the Senate’s efforts to repeal and replace the federal health-care law last summer. The spot is the Rosen campaign’s fourth Spanish-language television ad and will run statewide backed by an ongoing six-figure buy.

The ad highlights the daylight between Heller’s statement that he would vote against a motion to proceed to debate on legislation to repeal and replace the Affordable Care Act and his vote to do so a little more than a month later. The spot says in Spanish that Heller “gave in and voted with Trump” for a bill that would “take away health insurance from millions” and “eliminate protections for pre-existing conditions.”

“Pobre Dean Heller, no puede quedarse parado ante Donald Trump,” the ad says. (“Poor Dean Heller. He can’t stand his ground against Donald Trump.”)

“Prometió defender nuestro seguro médico, pero Donald Trump sopla y a Dean Heller se lo lleva la corriente,” the ad continues. (“He promised to protect our health insurance. But Donald Trump blows, and Dean Heller gets taken by the wind.”)

The Congressional Budget Office estimated in a May report that the House’s repeal and replace bill would result in millions of people losing health insurance and that people with pre-existing conditions would “ultimately be unable to purchase comprehensive nongroup health insurance at premiums comparable to those under current law, if they could purchase it at all.” The Senate technically voted to open debate on the House bill, though the legislation itself was never seriously under consideration in the Senate, which instead considered a handful of other repeal and replace proposals.

Watch the ad below: