I 
119TH CONGRESS 
1ST SESSION H. R. 2004 
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. 
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. BARRAGA´N, 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 depart-
ments 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 Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as ‘‘Tyler’s Law’’. 
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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 depart-
ments 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 pa-
tient, including— 
(A) protections for the confidentiality and 
privacy of the patient’s personal health informa-
tion; and 
(B) the patient-physician relationship. 
(b) GUIDANCE.—Not later than 6 months after com-
pletion 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: 
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(1) Whether hospital emergency departments 
should implement fentanyl testing as a routine pro-
cedure 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 rou-
tinely-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 de-
partment as such term is used in section 1867(a) of the 
Social Security Act (42 U.S.C. 1395dd(a)). 
Æ 
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