H.R. 2004 Congress 119 session

Tyler’s Law

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.

Status

  1. Introduced
  2. Committee
  3. Floor vote
  4. Passed
  5. Enacted

Passed one chamber — last recorded action September 15, 2026

Motion to reconsider laid on the table Agreed to without objection.

Passage likelihood

95% Higher than most bills at this stage

This is an estimate, not a guarantee. It is computed from the signals listed below and nothing else. It does not account for leadership priorities, floor scheduling, or negotiations that are not in the public record.

What the estimate is based on

  • Historical base rate About 4% of introduced federal bills are enacted.
  • Current stage Passed one chamber.
  • Cosponsors 65 cosponsors.
  • Bipartisan cosponsorship Cosponsors come from 2 parties.

State-level impact

State-level impact data is not available for this bill. The source text does not contain a per-state funding formula or scored breakdown, so no figures are shown.

Official actions

  1. Motion to reconsider laid on the table Agreed to without objection.
  2. On motion to suspend the rules and pass the bill Agreed to by voice vote.
  3. Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
  4. DEBATE - The House proceeded with forty minutes of debate on H.R. 2004.
  5. Considered under suspension of the rules.
  6. Mr. Guthrie moved to suspend the rules and pass the bill.
  7. Placed on the Union Calendar, Calendar No. 716.
  8. Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
  9. Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
  10. Ordered to be Reported by the Yeas and Nays: 46 - 0.
  11. Committee Consideration and Mark-up Session Held
  12. Committee Consideration and Mark-up Session Held
  13. Forwarded by Subcommittee to Full Committee by Voice Vote.
  14. Subcommittee Consideration and Mark-up Session Held
  15. Referred to the House Committee on Energy and Commerce.
  16. Referred to the Subcommittee on Health.
  17. Introduced in House
  18. Introduced in House
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