119 HR 2004 RH: Tyler’s Law U.S. House of Representatives 2026-09-14 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

IBUnion Calendar No. 716119th CONGRESS2d SessionH. R. 2004[Report No. 119–817]IN THE HOUSE OF REPRESENTATIVESMarch 10, 2025Mr. Lieu (for himself, Mr. Latta, Ms. Kamlager-Dove, Mr. Grijalva, Mr. Crenshaw, Mr. Balderson, Mr. Ciscomani, Mr. Valadao, Mr. Lawler, Ms. Davids of Kansas, Ms. Norton, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Ms. Barragán, Mr. Veasey, Ms. Titus, Ms. McBride, Mrs. Dingell, Mr. Bacon, and Mr. Peters) introduced the following bill; which was referred to the Committee on Energy and CommerceSeptember 14, 2026Additional sponsors: Mr. Fitzpatrick, Mr. Yakym, Mr. Gottheimer, Mr. Landsman, Mr. Nunn of Iowa, Mrs. Miller-Meeks, Ms. Craig, Mr. Bilirakis, Ms. Kelly of Illinois, Mrs. Miller of West Virginia, Mrs. Kim, Ms. Ocasio-Cortez, Ms. De La Cruz, Mr. Tonko, Mr. Evans of Colorado, Mr. Weber of Texas, Mrs. Trahan, Ms. Schrier, Ms. McClellan, Ms. Schakowsky, Mr. Ruiz, Mr. Obernolte, Mr. Soto, Ms. Budzinski, Mr. Bresnahan, Ms. Dean of Pennsylvania, Mr. Kennedy of New York, Ms. Houlahan, Mr. Suozzi, Mr. Mackenzie, Mr. Pfluger, Mr. Pappas, Ms. Wasserman Schultz, Mr. Rutherford, Mr. Fry, Mr. Fine, Mr. Mills, Mr. Dunn of Florida, Mr. Alford, Mr. Vasquez, Mr. Menendez, Mr. Neguse, Mr. Wilson of South Carolina, Mrs. Beatty, Mr. Meuser, and Mr. Moore of North CarolinaSeptember 14, 2026Committed to the Committee of the Whole House on the State of the Union and ordered to be printedA BILLTo 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.

Short title

This Act may be cited as Tyler’s Law.

2.

Testing for fentanyl in hospital emergency departments

(a)

Study

Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services shall complete a study to determine—(1)how frequently hospital emergency departments test for fentanyl (in addition to testing for other substances such as amphetamines, phencyclidine, cocaine, opiates, and marijuana) when a patient is experiencing an overdose;(2)the costs associated with such testing for fentanyl;(3)the potential benefits and risks for patients receiving such testing for fentanyl; and(4)how fentanyl testing in hospital emergency departments may impact the experience of the patient, including—(A)protections for the confidentiality and privacy of the patient’s personal health information; and(B)the patient-physician relationship.(b)

Guidance

Not later than 6 months after completion of the study under subsection (a), based on the results of such study, the Secretary of Health and Human Services shall issue guidance on the following:(1)Whether hospital emergency departments should implement fentanyl testing as a routine procedure for patients experiencing an overdose.(2)How hospitals can ensure that clinicians in their hospital emergency departments are aware of which substances are being tested for in their routinely-administered drug tests, regardless of whether those tests screen for fentanyl.(3)How the administration of fentanyl testing in hospital emergency departments may affect the future risk of overdose and general health outcomes.(c)

Definition

In this section, the term hospital emergency department means a hospital emergency department as such term is used in section 1867(a) of the Social Security Act (42 U.S.C. 1395dd(a)).

September 14, 2026Committed to the Committee of the Whole House on the State of the Union and ordered to be printed