H.R. 2004 119th Congress House

Tyler’s Law

Official title: To direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement fentanyl testing as a routine… Show full official titleShow less

Introduced: March 10, 2025 Introduced by: Ted Lieu Democratic · California See on congress.gov

Health Drug, alcohol, tobacco useEmergency medical services and trauma careGovernment information and archivesGovernment studies and investigations

More subjectsShow fewer subjects

Hospital careMedical tests and diagnostic methods

Everywhere this bill has been 17 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Sep 16, 2026

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.

Sep 15, 2026 · 7:31 PM EDT

Motion to reconsider laid on the table Agreed to without objection.

Sep 15, 2026 · 7:31 PM EDT

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)

Sep 15, 2026 · 7:31 PM EDT

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.

Sep 15, 2026 · 7:24 PM EDT

DEBATE - The House proceeded with forty minutes of debate on H.R. 2004.

Sep 15, 2026 · 7:24 PM EDT

Considered under suspension of the rules. (consideration: CR H5673-5674)

Sep 15, 2026 · 7:24 PM EDT

Mr. Guthrie moved to suspend the rules and pass the bill.

Sep 14, 2026

Placed on the Union Calendar, Calendar No. 716.

Sep 14, 2026

Reported by the Committee on Energy and Commerce. H. Rept. 119-817.

Jul 21, 2026

Committee Consideration and Mark-up Session Held

Jul 21, 2026

Ordered to be Reported by the Yeas and Nays: 46 - 0.

Jul 20, 2026

Committee Consideration and Mark-up Session Held

Jun 25, 2026

Forwarded by Subcommittee to Full Committee by Voice Vote.

Jun 25, 2026

Subcommittee Consideration and Mark-up Session Held

Mar 10, 2025

Referred to the Subcommittee on Health.

Mar 10, 2025

Referred to the House Committee on Energy and Commerce.

Mar 10, 2025

Introduced in House

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What's happening now September 16, 2026

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.

Plain-English summary Congressional Research Service

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.

Hearings & markups 4

Full Committee Markup of Twenty-Nine Pieces of Legislation
Markup Jul 20, 2026 · 5:00 PM EDT · Energy and Commerce Committee
Nine Pieces of Legislation
Markup Postponed Jul 1, 2026 · 11:00 AM EDT · Energy and Commerce Committee
Markup of Fifteen Bills
Markup Rescheduled Jun 25, 2026 · 1:00 PM EDT · Health Subcommittee
Policies to Protect Our Communities From Illicit Drug Threats
Hearing Mar 26, 2026 · 2:00 PM EDT · Health Subcommittee

Related & companion bills 1

Bill text 4 versions

Engrossed in House Formatted Text PDF Formatted XML
Introduced in House Formatted Text PDF Formatted XML
Placed on Calendar Senate Formatted Text PDF Formatted XML
Reported in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 2

Energy and Commerce Committee
House of Representatives
Health Subcommittee
House of Representatives · subcommittee of Energy and Commerce Committee

Lobbying activity 5

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS
for AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS · Maryland · 3rd Quarter 2026 (July 1 - Sep 30)
AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS
for AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS · Maryland · 2nd Quarter 2026 (Apr 1 - June 30)
AMERICAN MEDICAL ASSOCIATION
for AMERICAN MEDICAL ASSOCIATION · District of Columbia · 2nd Quarter 2026 (Apr 1 - June 30)
AMERICAN MEDICAL ASSOCIATION
for AMERICAN MEDICAL ASSOCIATION · District of Columbia · 2nd Quarter 2026 (Apr 1 - June 30)
EMERGENCY NURSES ASSOCIATION
for EMERGENCY NURSES ASSOCIATION · District of Columbia · 1st Quarter 2025 (Jan 1 - Mar 31)

Bodies those filers lobbied

Centers For Medicare and Medicaid Services (CMS)
5 filings
Health & Human Services, Dept of (HHS)
5 filings
HOUSE OF REPRESENTATIVES
5 filings
SENATE
5 filings
Food & Drug Administration (FDA)
4 filings
Health Resources & Services Administration (HRSA)
4 filings
Bureau of Citizenship & Immigration Services (BCIS)
2 filings
Congressional Budget Office (CBO)
2 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

Cosponsors 65