Bill Sponsor
House Bill 2004
119th Congress(2025-2026)
Tyler’s Law
Active
Active
Passed House on Sep 15, 2026
Overview
Text
Bill Intelligence

The bill aims to study fentanyl testing in hospital emergency departments, considering frequency, costs, patient benefits and risks, privacy protections, and impact on patient-physician relationship. The Secretary of Health and Human Services will provide guidance on implementing fentanyl testing, raising awareness among clinicians about tested substances, and assessing the impact on overdose risk and health outcomes. The bill defines "hospital emergency department" in the context of this effort.

AI-generated from the bill text (Introduced in House)
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Sponsor
Introduced
Mar 10, 2025
Latest Action
Sep 16, 2026
Origin Chamber
House
Type
Bill
Bill
The primary form of legislative measure used to propose law. Depending on the chamber of origin, bills begin with a designation of either H.R. or S. Joint resolution is another form of legislative measure used to propose law.
Bill Number
2004
Congress
119
Policy Area
Health
Health
Primary focus of measure is science or practice of the diagnosis, treatment, and prevention of disease; health services administration and funding, including such programs as Medicare and Medicaid; health personnel and medical education; drug use and safety; health care coverage and insurance; health facilities. Measures concerning controlled substances and drug trafficking may fall under Crime and Law Enforcement policy area.
Sponsorship by Party
House Votes (1)
Senate Votes (0)
checkPassed on September 15, 2026
Status
Passed
Type
Voice Vote
Voice Vote
A vote in which the presiding officer states the question, then asks those in favor and against to say "Yea" or "Nay," respectively, and announces the result according to his or her judgment. The names or numbers of senators voting on each side are not recorded.
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
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.

Text (4)
September 16, 2026
September 15, 2026
September 14, 2026
March 10, 2025
Actions (17)
09/16/2026
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
09/15/2026
Motion to reconsider laid on the table Agreed to without objection.
09/15/2026
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)
09/15/2026
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
09/15/2026
DEBATE - The House proceeded with forty minutes of debate on H.R. 2004.
09/15/2026
Considered under suspension of the rules. (consideration: CR H5673-5674)
09/15/2026
Mr. Guthrie moved to suspend the rules and pass the bill.
09/14/2026
Placed on the Union Calendar, Calendar No. 716.
09/14/2026
Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
07/21/2026
Ordered to be Reported by the Yeas and Nays: 46 - 0.
07/21/2026
Committee Consideration and Mark-up Session Held
07/20/2026
Committee Consideration and Mark-up Session Held
06/25/2026
Forwarded by Subcommittee to Full Committee by Voice Vote.
06/25/2026
Subcommittee Consideration and Mark-up Session Held
03/10/2025
Referred to the House Committee on Energy and Commerce.
03/10/2025
Referred to the Subcommittee on Health.
03/10/2025
Introduced in House
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H.R.2004 119 Tylers Law 2
H.R.2004 119 Tylers Law
Public Record
Record Updated
Sep 24, 2026 6:26:18 PM