H.R. 2004 · 119th Congress

Tyler’s Law

Introduced on Mar 10, 2025 by Ted Lieu (D-CA-36). 65 cosponsors, 30 of them from another party. Latest action (Sep 16, 2026): Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.

Stage
Passed one chamber
Introduced
Mar 10, 2025
Cosponsors
65
30 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

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.

Subjects

  • Drug, alcohol, tobacco use
  • Emergency medical services and trauma care
  • Government information and archives
  • Government studies and investigations
  • Hospital care
  • Medical tests and diagnostic methods

Summary

By the Congressional Research Service (Introduced in House, Mar 10, 2025). Public domain.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Ted LieuD-CA-36Sponsor

Democrats · 35

Republicans · 30

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 10, 2025Introduced in House
  2. Mar 10, 2025Introduced in House
  3. Mar 10, 2025 · HouseReferred to the Subcommittee on Health.
  4. Mar 10, 2025 · HouseReferred to the House Committee on Energy and Commerce.
  5. Jun 25, 2026 · HouseSubcommittee Consideration and Mark-up Session Held
  6. Jun 25, 2026 · HouseForwarded by Subcommittee to Full Committee by Voice Vote.
  7. Jul 20, 2026 · HouseCommittee Consideration and Mark-up Session Held
  8. Jul 21, 2026 · HouseCommittee Consideration and Mark-up Session Held
  9. Jul 21, 2026 · HouseOrdered to be Reported by the Yeas and Nays: 46 - 0.
  10. Sep 14, 2026Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
  11. Sep 14, 2026 · HouseReported by the Committee on Energy and Commerce. H. Rept. 119-817.
  12. Sep 14, 2026 · HousePlaced on the Union Calendar, Calendar No. 716.
  13. Sep 15, 2026 · HouseMr. Guthrie moved to suspend the rules and pass the bill.
  14. Sep 15, 2026 · HouseConsidered under suspension of the rules. (consideration: CR H5673-5674)
  15. Sep 15, 2026 · HouseDEBATE - The House proceeded with forty minutes of debate on H.R. 2004.
  16. Sep 15, 2026Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
  17. Sep 15, 2026 · HouseOn motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)
  18. Sep 15, 2026 · HouseMotion to reconsider laid on the table Agreed to without objection.
  19. Sep 16, 2026 · SenateReceived in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. Emergency Nurses Association9 reports
    $277.1K reported (all issues)Federal contractor: EMERGENCY NURSES ASSOCIATION$201.3K in contracts, FY2026AI match · 100%
  2. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS6 reports
    $2.8M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  3. American Medical Association1 report
    $5.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  4. American Society of Health-System Pharmacists1 report
    $260K reported (all issues)Federal contractor: AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS INC$350.5K in contracts, FY2026AI match · 100%
  5. Southeast Georgia Hospital System1 report
    $24K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.