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H.R. 2004
U.S. House•In House Committee
Summary
H.R. 2004, “Tyler’s Law”, was introduced in the House on Mar 10, 2025 by Rep. Ted Lieu (D) with 65 co-sponsors. It last saw action on Jul 21, 2026: Ordered to be Reported by the Yeas and Nays: 46 - 0.
Record
Text
H.R. 2004 has 65 co-sponsors.
hb2004/introduced-in-house.txt119 HR 2004 IH: Tyler’s LawU.S. House of Representatives2025-03-10text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 2004 IN THE HOUSE OF REPRESENTATIVES March 10, 2025 Mr. 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 Commerce A 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 titleThis Act may be cited as Tyler’s Law .2.Testing for fentanyl in hospital emergency departments(a)StudyNot 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)GuidanceNot 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)DefinitionIn 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) ).
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-03-10
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Mar 10, 2025
hb2004/introduced-in-house.mdShown Here:
Introduced in House (03/10/2025)
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.
Sponsors
Rep. Ted Lieu (D) sponsors H.R. 2004, and 65 members have co-sponsored it, 19 of them from the day it was introduced.

Rep. · D–CA-36 · Sponsor
Introduced Mar 10, 2025

Rep. · D–DC-0 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · R–NE-2 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · R–OH-12 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · D–CA-44 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · D–FL-20 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · R–AZ-6 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · R–TX-2 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · D–KS-3 · Co-sponsor
Joined Mar 10, 2025 · Original

Rep. · D–MI-6 · Co-sponsor
Joined Mar 10, 2025 · Original
Committees
H.R. 2004 went before 2 committees: Energy and Commerce and Health Subcommittee.
Actions
H.R. 2004 has taken 8 actions since Mar 10, 2025, the latest on Jul 21, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 21, 2026 | House | Ordered to be Reported by the Yeas and Nays: 46 - 0.Energy and Commerce Committee | ||
Jul 21, 2026 | House | Committee Consideration and Mark-up Session HeldEnergy and Commerce Committee | ||
Jul 20, 2026 | House | Committee Consideration and Mark-up Session HeldEnergy and Commerce Committee | ||
Jun 25, 2026 | House | Subcommittee Consideration and Mark-up Session HeldHealth Subcommittee | ||
Jun 25, 2026 | House | Forwarded by Subcommittee to Full Committee by Voice Vote.Health Subcommittee |
Votes
H.R. 2004 has not gone to a roll call.
Related bills
1 bill is related to H.R. 2004, as Identical bill.
Titles
H.R. 2004 goes by 3 titles, 1 of them short titles.
- Tyler’s Law — Display Title
- Tyler’s Law — Short Title(s) as Introduced
- 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. — Official Title as Introduced
Lobbying
5 clients hired 6 firms and 38 registered lobbyists who named H.R. 2004 in 19 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Budget/Appropriations, Firearms/Guns/Ammunition, Law Enforcement/Crime/Criminal Justice, Labor Issues/Antitrust/Workplace, Education, Transportation, Medicare/Medicaid.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| EMERGENCY NURSES ASSOCIATION | Professional nursing association | Illinois | 2 | 9 | $60K |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | — | District of Columbia | 1 | 6 | — |
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| SOUTHEAST GEORGIA HOSPITAL SYSTEM | Hospital System, three hospitals and a nursing home | Georgia | 1 | 1 | $24K |
| AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS | — | Maryland | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 1 | 6 | — |
| EMERGENCY NURSES ASSOCIATION | 1 | 6 | — |
| BROWNSTEIN HYATT FARBER SCHRECK, LLP | 1 | 3 | $60K |
| AMERICAN MEDICAL ASSOCIATION | 1 | 2 | — |
| AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS | 1 | 1 | — |
| CAROL G HOLLADAY & ASSOCIATES | 1 | 1 | $24K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 38.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| FRED ESSIS | 1 | 1 | 6 |
| JEANNE SLADE | 1 | 1 | 6 |
| LAURA WOOSTER | 1 | 1 | 6 |
| ROBERT KRAMER | 1 | 1 | 6 |
| RYAN MCBRIDE | 1 | 1 | 6 |
| ELIZABETH MAIER | 1 | 1 | 3 |
| EMILY FELDER | 1 | 1 | 3 |
| SAGE SCHAFTEL | 1 | 1 | 3 |
| ALEXIS PIERCE | 1 | 1 | 2 |
| ANDREW WANKUM | 1 | 1 | 2 |
| ANGELA FRANKLIN | 1 | 1 | 2 |
| ASHLEY DELOSH | 1 | 1 | 2 |
| BRYAN HULL | 1 | 1 | 2 |
| CHRISTOPHER SHERIN | 1 | 1 | 2 |
| DANA LICHTENBERG | 1 | 1 | 2 |
| DEEMA TARAZI | 1 | 1 | 2 |
| HANNA AHMARIPOUR | 1 | 1 | 2 |
| JASON MARINO | 1 | 1 | 2 |
| JEFFREY COUGHLIN | 1 | 1 | 2 |
| JENNIFER BROWN | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 2025 fourth_quarter | $501.1K | 4th Quarter - Report |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 2025 first_quarter | $498.8K | 1st Quarter - Report |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 2026 second_quarter | $498.3K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 2026 first_quarter | $468.7K | 1st Quarter - Report |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 2025 third_quarter | $408.6K | 3rd Quarter - Report |
| AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 2025 second_quarter | $387.5K | 2nd Quarter - Report |
| AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS | AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS | 2026 second_quarter | $260K | 2nd Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | EMERGENCY NURSES ASSOCIATION | 2026 second_quarter | $110.7K | 2nd Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | EMERGENCY NURSES ASSOCIATION | 2025 second_quarter | $105.4K | 2nd Quarter - Report |
| SOUTHEAST GEORGIA HOSPITAL SYSTEM | CAROL G HOLLADAY & ASSOCIATES | 2026 second_quarter | $24K | 2nd Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | BROWNSTEIN HYATT FARBER SCHRECK, LLP | 2026 second_quarter | $20K | 2nd Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | BROWNSTEIN HYATT FARBER SCHRECK, LLP | 2026 first_quarter | $20K | 1st Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | BROWNSTEIN HYATT FARBER SCHRECK, LLP | 2025 fourth_quarter | $20K | 4th Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | EMERGENCY NURSES ASSOCIATION | 2025 fourth_quarter | $17.6K | 4th Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | EMERGENCY NURSES ASSOCIATION | 2025 third_quarter | $15.4K | 3rd Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | EMERGENCY NURSES ASSOCIATION | 2025 first_quarter | $15.4K | 1st Quarter - Report |
| EMERGENCY NURSES ASSOCIATION | EMERGENCY NURSES ASSOCIATION | 2026 first_quarter | $12.6K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 2004 under Health, one of its 31 policy areas, and gives it 6 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 2004’s is Health.
hr2004/policy-areas.txtLegislative Subjects
H.R. 2004 carries 6 of CRS’s legislative subjects, from Drug, alcohol, tobacco use to Medical tests and diagnostic methods.
hr2004/subjects.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 2004, as entered in the Congressional Record.
[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]
Source: congress.gov · legiscan.com
