HR 2004 Passed House Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
Summary
- Requires the Secretary of Health and Human Services to study how frequently hospital emergency departments test for fentanyl in overdose patients within one year of enactment.
- Requires the study to examine the costs, potential benefits and risks, and impacts on patient privacy and the patient-physician relationship.
- Requires the Secretary to issue guidance within six months of the study's completion on whether hospitals should implement routine fentanyl testing for overdose patients.
- Requires the Secretary to provide guidance on how hospitals can ensure clinicians know which substances are tested for in routine drug tests.
- Requires the Secretary to provide guidance on how fentanyl testing may affect future overdose risk and general health outcomes.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
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Rep. Lieu, Ted (D-CA) [#36]
65 cosponsors
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Del. Norton, Eleanor Holmes (D-DC) [At-large] -
Rep. Alford, Mark (R-MO) [#4] -
Rep. Bacon, Don (R-NE) [#2] -
Rep. Balderson, Troy (R-OH) [#12] -
Rep. Barragán, Nanette Diaz (D-CA) [#44] -
Rep. Beatty, Joyce (D-OH) [#3] -
Rep. Bilirakis, Gus M. (R-FL) [#12] -
Rep. Bresnahan, Robert P. (R-PA) [#8] -
Rep. Budzinski, Nikki (D-IL) [#13] -
Rep. Cherfilus-McCormick, Sheila (D-FL) [#20] -
Rep. Ciscomani, Juan (R-AZ) [#6] -
Rep. Craig, Angie (D-MN) [#2] -
Rep. Crenshaw, Dan (R-TX) [#2] -
Rep. Davids, Sharice (D-KS) [#3] -
Rep. Dean, Madeleine (D-PA) [#4] -
Rep. De La Cruz, Monica (R-TX) [#15] -
Rep. Dingell, Debbie (D-MI) [#6] -
Rep. Dunn, Neal P. (R-FL) [#2] -
Rep. Evans, Gabe (R-CO) [#8] -
Rep. Fine, Randy (R-FL) [#6] -
Rep. Fitzpatrick, Brian K. (R-PA) [#1] -
Rep. Fry, Russell (R-SC) [#7] -
Rep. Gottheimer, Josh (D-NJ) [#5] -
Rep. Grijalva, Raúl M. (D-AZ) [#7] -
Rep. Houlahan, Chrissy (D-PA) [#6] -
Rep. Kamlager-Dove, Sydney (D-CA) [#37] -
Rep. Kelly, Robin L. (D-IL) [#2] -
Rep. Kennedy, Timothy M. (D-NY) [#26] -
Rep. Kim, Young (R-CA) [#40] -
Rep. Krishnamoorthi, Raja (D-IL) [#8] -
Rep. Landsman, Greg (D-OH) [#1] -
Rep. Latta, Robert E. (R-OH) [#5] -
Rep. Lawler, Michael (R-NY) [#17] -
Rep. Mackenzie, Ryan (R-PA) [#7] -
Rep. McBride, Sarah (D-DE) [At-large] -
Rep. McClellan, Jennifer L. (D-VA) [#4] -
Rep. Menendez, Robert (D-NJ) [#8] -
Rep. Meuser, Daniel (R-PA) [#9] -
Rep. Miller, Carol D. (R-WV) [#1] -
Rep. Miller-Meeks, Mariannette (R-IA) [#1] -
Rep. Mills, Cory (R-FL) [#7] -
Rep. Moore, Tim (R-NC) [#14] -
Rep. Neguse, Joe (D-CO) [#2] -
Rep. Nunn, Zachary (R-IA) [#3] -
Rep. Obernolte, Jay (R-CA) [#23] -
Rep. Ocasio-Cortez, Alexandria (D-NY) [#14] -
Rep. Pappas, Chris (D-NH) [#1] -
Rep. Peters, Scott H. (D-CA) [#50] -
Rep. Pfluger, August (R-TX) [#11] -
Rep. Ruiz, Raul (D-CA) [#25] -
Rep. Rutherford, John H. (R-FL) [#5] -
Rep. Schakowsky, Janice D. (D-IL) [#9] -
Rep. Schrier, Kim (D-WA) [#8] -
Rep. Soto, Darren (D-FL) [#9] -
Rep. Suozzi, Thomas R. (D-NY) [#3] -
Rep. Titus, Dina (D-NV) [#1] -
Rep. Tonko, Paul (D-NY) [#20] -
Rep. Trahan, Lori (D-MA) [#3] -
Rep. Valadao, David G. (R-CA) [#22] -
Rep. Vasquez, Gabe (D-NM) [#2] -
Rep. Veasey, Marc A. (D-TX) [#33] -
Rep. Wasserman Schultz, Debbie (D-FL) [#25] -
Rep. Weber, Randy K. Sr. (R-TX) [#14] -
Rep. Wilson, Joe (R-SC) [#2] -
Rep. Yakym, Rudy (R-IN) [#2]
Money behind the sponsor
Top reported contributors to Ted Lieu’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NOT-EMPLOYED $255,097
- Employer not reported $21,050
- COTCHETT, PITRE & MCCARTHY, LLP $13,200
- TRENDNET $13,200
- NETFLIX $13,200
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Ted Lieu → · Outside spending →
Actions (17)
- Sep 16, 2026 Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625. · senate
- Sep 15, 2026 Motion to reconsider laid on the table Agreed to without objection. · house
- Sep 15, 2026 On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673) · house
- Sep 15, 2026 Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
- Sep 15, 2026 DEBATE - The House proceeded with forty minutes of debate on H.R. 2004. · house
- Sep 15, 2026 Considered under suspension of the rules. (consideration: CR H5673-5674) · house
- Sep 15, 2026 Mr. Guthrie moved to suspend the rules and pass the bill. · house
- Sep 14, 2026 Placed on the Union Calendar, Calendar No. 716. · house
- Sep 14, 2026 Reported by the Committee on Energy and Commerce. H. Rept. 119-817. · house
- Jul 21, 2026 Ordered to be Reported by the Yeas and Nays: 46 - 0. · house
- Jul 21, 2026 Committee Consideration and Mark-up Session Held · house
- Jul 20, 2026 Committee Consideration and Mark-up Session Held · house
- Jun 25, 2026 Forwarded by Subcommittee to Full Committee by Voice Vote. · house
- Jun 25, 2026 Subcommittee Consideration and Mark-up Session Held · house
- Mar 10, 2025 Referred to the House Committee on Energy and Commerce. · house
- Mar 10, 2025 Referred to the Subcommittee on Health. · house
- Mar 10, 2025 Introduced in House
More bills on these subjects (8)
Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (4)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
AN ACT
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.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as “Tyler’s Law”.
SEC. 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)).
Passed the House of Representatives September 15, 2026.
Attest:
Clerk. 119th CONGRESS
2d Session
H. R. 2004
AN ACT
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.
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