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H.R. 2004

U.S. HouseIn 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.txt
119 HR 2004 IH: Tyler’s Law
U.S. House of Representatives
2025-03-10
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.
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 BILL
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.
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) ).

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-03-10
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. 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.md

Shown 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.

Committees

H.R. 2004 went before 2 committees: Energy and Commerce and Health Subcommittee.

Energy and Commerce
Energy and Commerce
Markup By · Jul 21, 2026 · 1,636 Bills
Health Subcommittee
Health Subcommittee
Reported by · Jun 25, 2026 · 143 Bills

Actions

H.R. 2004 has taken 8 actions since Mar 10, 2025, the latest on Jul 21, 2026.

ChamberAction
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.

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.

ClientBusinessStateFirmsFilingsReported
EMERGENCY NURSES ASSOCIATIONProfessional nursing associationIllinois29$60K
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSDistrict of Columbia16
AMERICAN MEDICAL ASSOCIATIONDistrict of Columbia12
SOUTHEAST GEORGIA HOSPITAL SYSTEMHospital System, three hospitals and a nursing homeGeorgia11$24K
AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTSMaryland11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 38.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 second_quarter$5.1M2nd Quarter - Amendme…
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 second_quarter$513K2nd Quarter - Report
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSAMERICAN COLLEGE OF EMERGENCY PHYSICIANS2025 fourth_quarter$501.1K4th Quarter - Report
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSAMERICAN COLLEGE OF EMERGENCY PHYSICIANS2025 first_quarter$498.8K1st Quarter - Report
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSAMERICAN COLLEGE OF EMERGENCY PHYSICIANS2026 second_quarter$498.3K2nd Quarter - Report
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSAMERICAN COLLEGE OF EMERGENCY PHYSICIANS2026 first_quarter$468.7K1st Quarter - Report
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSAMERICAN COLLEGE OF EMERGENCY PHYSICIANS2025 third_quarter$408.6K3rd Quarter - Report
AMERICAN COLLEGE OF EMERGENCY PHYSICIANSAMERICAN COLLEGE OF EMERGENCY PHYSICIANS2025 second_quarter$387.5K2nd Quarter - Report
AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTSAMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS2026 second_quarter$260K2nd Quarter - Report
EMERGENCY NURSES ASSOCIATIONEMERGENCY NURSES ASSOCIATION2026 second_quarter$110.7K2nd Quarter - Report
EMERGENCY NURSES ASSOCIATIONEMERGENCY NURSES ASSOCIATION2025 second_quarter$105.4K2nd Quarter - Report
SOUTHEAST GEORGIA HOSPITAL SYSTEMCAROL G HOLLADAY & ASSOCIATES2026 second_quarter$24K2nd Quarter - Report
EMERGENCY NURSES ASSOCIATIONBROWNSTEIN HYATT FARBER SCHRECK, LLP2026 second_quarter$20K2nd Quarter - Report
EMERGENCY NURSES ASSOCIATIONBROWNSTEIN HYATT FARBER SCHRECK, LLP2026 first_quarter$20K1st Quarter - Report
EMERGENCY NURSES ASSOCIATIONBROWNSTEIN HYATT FARBER SCHRECK, LLP2025 fourth_quarter$20K4th Quarter - Report
EMERGENCY NURSES ASSOCIATIONEMERGENCY NURSES ASSOCIATION2025 fourth_quarter$17.6K4th Quarter - Report
EMERGENCY NURSES ASSOCIATIONEMERGENCY NURSES ASSOCIATION2025 third_quarter$15.4K3rd Quarter - Report
EMERGENCY NURSES ASSOCIATIONEMERGENCY NURSES ASSOCIATION2025 first_quarter$15.4K1st Quarter - Report
EMERGENCY NURSES ASSOCIATIONEMERGENCY NURSES ASSOCIATION2026 first_quarter$12.6K1st 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.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 2004 carries 6 of CRS’s legislative subjects, from Drug, alcohol, tobacco use to Medical tests and diagnostic methods.

hr2004/subjects.txt
Drug, alcohol, tobacco useEmergency medical services and trauma careGovernment information and archivesGovernment studies and investigationsHospital careMedical tests and diagnostic methods

Constitutional 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