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119th Congress · H.R. 2004 · Passed Origin

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.

Full bill text →

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SubjectsDrug, alcohol, tobacco useEmergency medical services and trauma careGovernment information and archivesGovernment studies and investigationsHospital careMedical tests and diagnostic methods
Sponsor
Ted Lieu, D-CA-36
6 terms · @RepTedLieu
Official website ↗
2454 Rayburn House Office Building Washington DC 20515-0536 · 202-225-3976
Cosponsors (65)
  • Robert E. Latta, R-OH-5Original cosponsor
    Co-sponsored Mar 10, 2025 · 10 terms · @BobLatta
  • Sydney K. Kamlager-Dove, D-CA-37Original cosponsor
    Co-sponsored Mar 10, 2025 · 2 terms · @RepKamlagerDove
  • Raúl M. Grijalva, D-AZ-7Original cosponsor
    Co-sponsored Mar 10, 2025 · 12 terms
  • Dan Crenshaw, R-TX-2Original cosponsor
    Co-sponsored Mar 10, 2025 · 4 terms · @RepDanCrenshaw
  • Troy Balderson, R-OH-12Original cosponsor
    Co-sponsored Mar 10, 2025 · 5 terms · @RepBalderson
  • Juan G. Ciscomani, R-AZ-6Original cosponsor
    Co-sponsored Mar 10, 2025 · 2 terms · @RepCiscomani
  • David G. Valadao, R-CA-22Original cosponsor
    Co-sponsored Mar 10, 2025 · 6 terms · @RepDavidValadao
  • Michael V. Lawler, R-NY-17Original cosponsor
    Co-sponsored Mar 10, 2025 · 2 terms · @RepMikeLawler
  • Sharice Davids, D-KS-3Original cosponsor
    Co-sponsored Mar 10, 2025 · 4 terms · @RepDavids
  • Eleanor H. Norton, D-DC-0Original cosponsor
    Co-sponsored Mar 10, 2025 · 18 terms · @EleanorNorton
  • Raja Krishnamoorthi, D-IL-8Original cosponsor
    Co-sponsored Mar 10, 2025 · 5 terms · @CongressmanRaja
  • Sheila Cherfilus-McCormick, D-FL-20Original cosponsor
    Co-sponsored Mar 10, 2025 · 3 terms
  • Nanette D. Barragán, D-CA-44Original cosponsor
    Co-sponsored Mar 10, 2025 · 5 terms · @RepBarragan
  • Marc A. Veasey, D-TX-33Original cosponsor
    Co-sponsored Mar 10, 2025 · 7 terms · @RepVeasey
  • Dina Titus, D-NV-1Original cosponsor
    Co-sponsored Mar 10, 2025 · 8 terms · @RepDinaTitus
  • Sarah E. McBride, D-DE-0Original cosponsor
    Co-sponsored Mar 10, 2025 · 1 term
  • Debbie Dingell, D-MI-6Original cosponsor
    Co-sponsored Mar 10, 2025 · 6 terms · @RepDebDingell
  • Don Bacon, R-NE-2Original cosponsor
    Co-sponsored Mar 10, 2025 · 5 terms · @RepDonBacon
  • Scott H. Peters, D-CA-50Original cosponsor
    Co-sponsored Mar 10, 2025 · 7 terms · @RepScottPeters
  • Brian K. Fitzpatrick, R-PA-1
    Co-sponsored Mar 18, 2025 · 5 terms · @RepBrianFitz
  • Rudy Yakym, R-IN-2
    Co-sponsored Mar 18, 2025 · 3 terms · @RepRudyYakym
  • Josh Gottheimer, D-NJ-5
    Co-sponsored Mar 24, 2025 · 5 terms · @RepJoshG
  • Greg J. Landsman, D-OH-1
    Co-sponsored Mar 24, 2025 · 2 terms · @repgreglandsman
  • Zachary (Zach) M. Nunn, R-IA-3
    Co-sponsored Mar 24, 2025 · 2 terms · @ZachNunn
  • Mariannette J. Miller-Meeks, R-IA-1
    Co-sponsored Apr 1, 2025 · 3 terms · @RepMMM
  • Angie Craig, D-MN-2
    Co-sponsored Apr 1, 2025 · 4 terms · @RepAngieCraig
  • Gus M. Bilirakis, R-FL-12
    Co-sponsored Apr 7, 2025 · 10 terms · @RepGusBilirakis
  • Robin L. Kelly, D-IL-2
    Co-sponsored Apr 8, 2025 · 7 terms · @RepRobinKelly
  • Carol D. Miller, R-WV-1
    Co-sponsored Apr 14, 2025 · 4 terms · @RepCarolMiller
  • Young O. Kim, R-CA-40
    Co-sponsored May 20, 2025 · 3 terms · @RepYoungKim
  • Alexandria Ocasio-Cortez, D-NY-14
    Co-sponsored May 21, 2025 · 4 terms · @RepAOC
  • Mónica De La Cruz, R-TX-15
    Co-sponsored May 21, 2025 · 2 terms · @RepMonicaDLC
  • Paul Tonko, D-NY-20
    Co-sponsored Jun 4, 2025 · 9 terms · @RepPaulTonko
  • Gabe Evans, R-CO-8
    Co-sponsored Jul 16, 2025 · 1 term · @repgabeevans
  • Randy K. Weber Sr., R-TX-14
    Co-sponsored Oct 3, 2025 · 7 terms · @TXRandy14
  • Lori Trahan, D-MA-3
    Co-sponsored Oct 3, 2025 · 4 terms · @RepLoriTrahan
  • Kim Schrier, D-WA-8
    Co-sponsored Oct 17, 2025 · 4 terms · @RepKimSchrier
  • Jennifer L. McClellan, D-VA-4
    Co-sponsored Oct 17, 2025 · 2 terms · @RepMcClellan
  • Janice D. Schakowsky, D-IL-9
    Co-sponsored Nov 7, 2025 · 14 terms · @JanSchakowsky
  • Raul Ruiz, D-CA-25
    Co-sponsored Nov 12, 2025 · 7 terms · @RepRaulRuizMD
  • Jay P. Obernolte, R-CA-23
    Co-sponsored Dec 12, 2025 · 3 terms · @JayObernolte
  • Darren Soto, D-FL-9
    Co-sponsored Dec 12, 2025 · 5 terms · @RepDarrenSoto
  • Nicole (Nikki) J. Budzinski, D-IL-13
    Co-sponsored Dec 12, 2025 · 2 terms · @RepNikkiB
  • Robert P. Bresnahan Jr., R-PA-8
    Co-sponsored Dec 18, 2025 · 1 term · @RepBresnahan
  • Madeleine Dean, D-PA-4
    Co-sponsored Jan 22, 2026 · 4 terms · @RepDean
  • Timothy M. Kennedy, D-NY-26
    Co-sponsored Jan 30, 2026 · 2 terms · @reptimkennedy
  • Chrissy Houlahan, D-PA-6
    Co-sponsored Jan 30, 2026 · 4 terms · @RepHoulahan
  • Thomas R. Suozzi, D-NY-3
    Co-sponsored Feb 20, 2026 · 5 terms · @reptomsuozzi
  • Ryan E. Mackenzie, R-PA-7
    Co-sponsored Feb 20, 2026 · 1 term · @RepMackenzie
  • August L. Pfluger II, R-TX-11
    Co-sponsored Mar 26, 2026 · 3 terms · @RepPfluger
  • Chris Pappas, D-NH-1
    Co-sponsored Apr 9, 2026 · 4 terms · @RepChrisPappas
  • Debbie Wasserman Schultz, D-FL-25
    Co-sponsored Apr 9, 2026 · 11 terms · @RepDWStweets
  • John H. Rutherford, R-FL-5
    Co-sponsored Apr 15, 2026 · 5 terms · @RepRutherfordFL
  • Russell W. Fry, R-SC-7
    Co-sponsored Apr 15, 2026 · 2 terms · @RepRussellFry
  • Randall A. Fine, R-FL-6
    Co-sponsored May 19, 2026 · 1 term
  • Cory Mills, R-FL-7
    Co-sponsored Jun 2, 2026 · 2 terms · @RepMillsPress
  • Neal P. Dunn, R-FL-2
    Co-sponsored Jun 10, 2026 · 5 terms · @DrNealDunnFL2
  • Mark A. Alford, R-MO-4
    Co-sponsored Jun 24, 2026 · 2 terms · @RepMarkAlford
  • Gabriel (Gabe) Vasquez, D-NM-2
    Co-sponsored Jun 24, 2026 · 2 terms · @RepGabeVasquez
  • Robert J. Menendez Jr., D-NJ-8
    Co-sponsored Jun 29, 2026 · 2 terms · @RepMenendez
  • Joe Neguse, D-CO-2
    Co-sponsored Jul 13, 2026 · 4 terms · @RepJoeNeguse
  • Joe G. Wilson, R-SC-2
    Co-sponsored Jul 13, 2026 · 13 terms · @RepJoeWilson
  • Joyce Beatty, D-OH-3
    Co-sponsored Jul 14, 2026 · 7 terms · @RepBeatty
  • Daniel Meuser, R-PA-9
    Co-sponsored Jul 15, 2026 · 4 terms · @RepMeuser
  • Tim K. Moore, R-NC-14
    Co-sponsored Jul 21, 2026 · 1 term · @RepTimMooreNC
Committees (1)
  • Energy and Commerce Committee
    House Standing · Activity Sep 14, 2026
Actions (19)
  1. Sep 16, 2026 · via Senate
    Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
  2. Sep 15, 2026 · via House floor actions
    Motion to reconsider laid on the table Agreed to without objection.
  3. Sep 15, 2026 · via House floor actions
    On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)
  4. Sep 15, 2026 · via Library of Congress
    Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
  5. Sep 15, 2026 · via House floor actions
    DEBATE - The House proceeded with forty minutes of debate on H.R. 2004.
  6. Sep 15, 2026 · via House floor actions
    Considered under suspension of the rules. (consideration: CR H5673-5674)
  7. Sep 15, 2026 · via House floor actions
    Mr. Guthrie moved to suspend the rules and pass the bill.
  8. Sep 14, 2026 · via House floor actions
    Placed on the Union Calendar, Calendar No. 716.
  9. Sep 14, 2026 · via House floor actions
    Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
  10. Sep 14, 2026 · via Library of Congress
    Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
  11. Jul 21, 2026 · via House committee actions
    Ordered to be Reported by the Yeas and Nays: 46 - 0.
  12. Jul 21, 2026 · via House committee actions
    Committee Consideration and Mark-up Session Held
  13. Jul 20, 2026 · via House committee actions
    Committee Consideration and Mark-up Session Held
  14. Jun 25, 2026 · via House committee actions
    Forwarded by Subcommittee to Full Committee by Voice Vote.
  15. Jun 25, 2026 · via House committee actions
    Subcommittee Consideration and Mark-up Session Held
  16. Mar 10, 2025 · via House floor actions
    Referred to the House Committee on Energy and Commerce.
  17. Mar 10, 2025 · via House committee actions
    Referred to the Subcommittee on Health.
  18. Mar 10, 2025 · via Library of Congress
    Introduced in House
  19. Mar 10, 2025 · via Library of Congress
    Introduced in House
IntroducedMar 10, 2025
Policy areaHealth
RelatedS. 921
SourceView on Congress.gov ↗
Bill textRead full text →

Constitutional authority cited

[Congressional Record Volume 171, Number 44 (Monday, March 10, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. LIEU:H.R. 2004.Congress has the power to enact this legislation pursuantto the following:U.S. Const., Art. 1, Sec. 8[Page H1068]
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