A Democratic bill with 30 Republican cosponsors · See all 65 cosponsors
Last activity — Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
Waiting for a floor vote in the other chamber
Passed one chamber and is on the other chamber's calendar.
The calendar is a queue, not a date. The majority leadership decides what comes to the floor and when; much of what is placed on it is never called, and a bill that is never called simply expires with the Congress.
Its path through Congress
- Introduced
- Passed House voice vote
- Awaiting Senate
- On Senate calendar
The House by voice vote (members called out yes or no together): no member's position on it was recorded.
What this bill would do
This bill is known as Tyler's Law. It directs the Secretary of Health and Human Services to complete a study within one year of the bill's enactment. The study will look at how often emergency departments test for fentanyl during an overdose, the costs of this testing, and the potential benefits and risks. It will also examine how fentanyl testing impacts patient privacy and the patient-physician relationship. Within six months of finishing the study, the Secretary must issue guidance on whether emergency departments should make fentanyl testing routine for overdose patients. This guidance must also cover how hospitals can ensure clinicians know which substances are in their routine drug tests and how testing affects future overdose risks and health outcomes.
Yes· 3 of 9
- Scored +7
Does this do more about addiction and overdose deaths?
Specifically targets the identification of fentanyl in overdose cases to improve patient outcomes.
- Scored +3
Would people in their twenties and thirties be better off under this?
Young adults are a high-risk demographic for opioid overdoses who may benefit from better diagnostics.
- Scored +3
Would people in middle age be better off under this?
Middle-aged adults suffering from overdose may receive more accurate testing and guidance.
The opposite
- Scored -2
Does this protect people from being watched or searched?
The bill identifies potential negative impacts on patient privacy and confidentiality of health information.
Who it would affect, and how
Potential Positive Impacts for People
-
Section 2(a): This section requires a study on how frequently emergency departments test for fentanyl, the costs, and the potential benefits and risks for patients. This is positive because it aims to understand the current landscape of overdose testing.
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Section 2(b): This section requires the Secretary of Health and Human Services to issue guidance on whether emergency departments should make fentanyl testing a routine procedure for overdose patients. This could lead to clearer standards for patient care.
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Section 2(b): This provision instructs on how hospitals can ensure clinicians know which substances are included in routine drug tests, regardless of whether fentanyl is tested for. This helps doctors be better informed about what their tests actually show.
Potential Negative Impacts for People
- Section 2(a): The text does not explicitly detail negative impacts, but the study must look at the risks of testing for patients and how testing may impact the confidentiality and privacy of personal health information and the patient-physician relationship.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would people in middle age be better off under this? — Middle-aged adults suffering from overdose may receive more accurate testing and guidance. Would people in their twenties and thirties be better off under this? — Young adults are a high-risk demographic for opioid overdoses who may benefit from better diagnostics. Would high-income households be better off under this? — General improvement in emergency medical guidance benefits all households. Would households on low incomes be better off under this? — Low-income populations often rely on emergency departments and would benefit from standardized care. Would middle-income households be better off under this? — General improvement in emergency medical guidance benefits all households.
- Healthcare
- Does this do more about addiction and overdose deaths? — Specifically targets the identification of fentanyl in overdose cases to improve patient outcomes. Does this make health care easier to get in general? — The bill seeks to improve diagnostic clarity for overdose patients in emergency departments. Does this put more money into medical research? — Directs a formal study by HHS into the efficacy and costs of fentanyl testing.
- Governance And Ideology
- Does this give the federal government more power? — Gives the HHS Secretary authority to issue nationwide guidance for hospital procedures. Does this protect people from being watched or searched? — The bill identifies potential negative impacts on patient privacy and confidentiality of health information.
In the queue for a floor vote, with no date set
- 9/16/2026
- Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
- 9/15/2026
- Motion to reconsider laid on the table Agreed to without objection.
- Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
- On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)
- DEBATE - The House proceeded with forty minutes of debate on H.R. 2004.
- Considered under suspension of the rules. (consideration: CR H5673-5674)
- Mr. Guthrie moved to suspend the rules and pass the bill.
- 9/14/2026
- Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
- Placed on the Union Calendar, Calendar No. 716.
- 7/21/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported by the Yeas and Nays: 46 - 0.
- 1 Cosponsor added.
- 7/20/2026
- Committee Consideration and Mark-up Session Held
- 7/15/2026
- 1 Cosponsor added.
- 7/14/2026
- 1 Cosponsor added.
- 7/13/2026
- 2 Cosponsors added.
- 6/29/2026
- 1 Cosponsor added.
- 6/25/2026
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee by Voice Vote.
- 6/24/2026
- 2 Cosponsors added.
- 6/10/2026
- 1 Cosponsor added.
- 6/2/2026
- 1 Cosponsor added.
- 5/19/2026
- 1 Cosponsor added.
- 4/15/2026
- 2 Cosponsors added.
- 4/9/2026
- 2 Cosponsors added.
- 3/26/2026
- 1 Cosponsor added.
- 2/20/2026
- 2 Cosponsors added.
- 1/30/2026
- 2 Cosponsors added.
- 1/22/2026
- 1 Cosponsor added.
- 12/18/2025
- 1 Cosponsor added.
- 12/12/2025
- 3 Cosponsors added.
- 11/12/2025
- 1 Cosponsor added.
- 11/7/2025
- 1 Cosponsor added.
- 10/17/2025
- 2 Cosponsors added.
- 10/3/2025
- 2 Cosponsors added.
- 7/16/2025
- 1 Cosponsor added.
- 6/4/2025
- 1 Cosponsor added.
- 5/21/2025
- 2 Cosponsors added.
- 5/20/2025
- 1 Cosponsor added.
- 4/14/2025
- 1 Cosponsor added.
- 4/8/2025
- 1 Cosponsor added.
- 4/7/2025
- 1 Cosponsor added.
- 4/1/2025
- 2 Cosponsors added.
- 3/24/2025
- 3 Cosponsors added.
- 3/18/2025
- 2 Cosponsors added.
- 3/10/2025
- Referred to the Subcommittee on Health.
- Referred to the House Committee on Energy and Commerce.
- 19 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Mark AlfordRepublican · Missouri
Gus BilirakisRepublican · Florida
Joyce BeattyDemocrat · Ohio
Don BaconRepublican · Nebraska
Nanette BarragánDemocrat · California
Troy BaldersonRepublican · Ohio
Nikki BudzinskiDemocrat · Illinois
Robert BresnahanRepublican · Pennsylvania
Angie CraigDemocrat · Minnesota
Dan CrenshawRepublican · Texas
Sheila Cherfilus-McCormickDemocrat · Florida
Juan CiscomaniRepublican · Arizona
Monica De La CruzRepublican · Texas
Debbie DingellDemocrat · Michigan
Neal DunnRepublican · Florida
Sharice DavidsDemocrat · Kansas
Madeleine DeanDemocrat · Pennsylvania
Gabe EvansRepublican · Colorado
Brian FitzpatrickRepublican · Pennsylvania
Russell FryRepublican · South Carolina
Randy FineRepublican · Florida
Raúl GrijalvaDemocrat · Arizona
Josh GottheimerDemocrat · New Jersey
Chrissy HoulahanDemocrat · Pennsylvania
Robin KellyDemocrat · Illinois
Raja KrishnamoorthiDemocrat · Illinois
Young KimRepublican · California
Sydney Kamlager-DoveDemocrat · California
Timothy KennedyDemocrat · New York
Robert LattaRepublican · Ohio
Michael LawlerRepublican · New York
Greg LandsmanDemocrat · Ohio
Daniel MeuserRepublican · Pennsylvania
Carol MillerRepublican · West Virginia
Mariannette Miller-MeeksRepublican · Iowa
Cory MillsRepublican · Florida
Robert MenendezDemocrat · New Jersey
Jennifer McClellanDemocrat · Virginia
Ryan MackenzieRepublican · Pennsylvania
Tim MooreRepublican · North Carolina
Sarah McBrideDemocrat · Delaware
Eleanor NortonDemocrat · District of Columbia
Joe NeguseDemocrat · Colorado
Zachary NunnRepublican · Iowa
Jay ObernolteRepublican · California
Alexandria Ocasio-CortezDemocrat · New York
August PflugerRepublican · Texas
Scott PetersDemocrat · California
Chris PappasDemocrat · New Hampshire
Raul RuizDemocrat · California
John RutherfordRepublican · Florida
Janice SchakowskyDemocrat · Illinois
Darren SotoDemocrat · Florida
Thomas SuozziDemocrat · New York
Kim SchrierDemocrat · Washington
Dina TitusDemocrat · Nevada
Paul TonkoDemocrat · New York
Lori TrahanDemocrat · Massachusetts
David ValadaoRepublican · California
Marc VeaseyDemocrat · Texas
Gabe VasquezDemocrat · New Mexico
Joe WilsonRepublican · South Carolina
Debbie Wasserman SchultzDemocrat · Florida
Randy WeberRepublican · Texas
Rudy YakymRepublican · Indiana