The House passed the bill July 3. President Donald Trump is expected to sign it July 4.Start the day smarter. Get all the news you need in your inbox each morning. Here are some of the key start dates and end dates outlined in the bill: Medicaid Millions of Americans are expected to lose Medicaid coverage due to a drop in Medicaid payments to states and an increase in paperwork tied to new work requirements for low-income and disabled people who qualify.