H.R. 2004 Passed the House Health

Tyler’s Law

To direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement fentanyl testing as a routine procedure for patients experiencing an overdose, and for other purposes.

  1. Introduced
  2. Committee
  3. Passed House
  4. Passed Senate
  5. To President
  6. Became law
Sponsor Rep. Lieu, Ted [D-CA-36] Introduced March 10, 2025 Cosponsors 65 (30 R, 35 D) Latest action September 16, 2026

Summary

Tyler’s Law
This bill requires the Department of Health and Human Services (HHS) to complete, within one year after the bill’s enactment, a study on how frequently Medicare-participating hospital emergency departments test for fentanyl in patients experiencing an overdose, the costs associated with such testing, and how such testing may impact patients. 
Within six months after the study’s completion and based on its results, HHS must issue guidance regarding (1) whether hospital emergency departments should implement fentanyl testing as a routine procedure for patients experiencing an overdose, (2) how to ensure clinicians know which substances they are testing for in routine drug tests, and (3) how fentanyl testing may affect the future risk of overdose and other health outcomes.

Summary by the Congressional Research Service, Library of Congress.

Congress.gov

Actions

  1. Sep 16, 2026 Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
  2. Sep 15, 2026 Motion to reconsider laid on the table Agreed to without objection.
  3. Sep 15, 2026 On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)
  4. Sep 15, 2026 Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
  5. Sep 15, 2026 DEBATE - The House proceeded with forty minutes of debate on H.R. 2004.
  6. Sep 15, 2026 Considered under suspension of the rules. (consideration: CR H5673-5674)
  7. Sep 15, 2026 Mr. Guthrie moved to suspend the rules and pass the bill.
  8. Sep 14, 2026 Placed on the Union Calendar, Calendar No. 716.
  9. Sep 14, 2026 Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
  10. Jul 21, 2026 Ordered to be Reported by the Yeas and Nays: 46 - 0.
  11. Jul 21, 2026 Committee Consideration and Mark-up Session Held
  12. Jul 20, 2026 Committee Consideration and Mark-up Session Held

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