I 
119TH CONGRESS 
1ST SESSION H. R. 4340 
To require hospitals, medical examiner offices, and coroner offices to report 
to the Consumer Product Safety Commission with respect to certain 
incidents involving the death or serious injury of a child, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 10, 2025 
Ms. MACE introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committee on Ways 
and Means, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To require hospitals, medical examiner offices, and coroner 
offices to report to the Consumer Product Safety Com-
mission with respect to certain incidents involving the 
death or serious injury of a child, 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’’. 
SEC. 2. REQUIREMENT TO REPORT CERTAIN INCIDENTS. 
(a) HOSPITALS.— 
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(1) IN GENERAL.—A hospital shall submit to 
the Consumer Product Safety Commission written 
notice of any incident— 
(A) involving the death or serious injury of 
a child; 
(B) that results in such hospital providing 
a service of any kind; and 
(C) with respect to which, in the deter-
mination of such hospital, the injury or death 
is associated with a children’s product or a du-
rable infant or toddler product. 
(2) CONTENTS.—A notice required under para-
graph (1) shall include, to the extent available— 
(A) a description of the incident involved, 
including— 
(i) the date of the incident; 
(ii) the city and State in which the in-
cident occurred; and 
(iii) the type of facility where the inci-
dent occurred; 
(B) a description of the product involved, 
including the applicable product code; 
(C) a description of the child involved, in-
cluding— 
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(i) the age, gender, race, and ethnicity 
of the child; 
(ii) the affected body parts of the 
child; and 
(iii) any diagnoses the child was 
given; 
(D) a description of the role the hospital 
served in the treatment of the child, including 
whether the child— 
(i) was treated at the hospital and re-
leased; 
(ii) admitted to the hospital; 
(iii) held for observation at the hos-
pital; or 
(iv) died before or during treatment at 
the hospital; 
(E) a description of any role played by al-
cohol, controlled substances, or fire; and 
(F) any related reports prepared by the 
hospital. 
(3) TIMING.—A notice required to be submitted 
by a hospital under paragraph (1) shall be submitted 
not later than 7 days after the date on which such 
hospital makes the applicable determination under 
paragraph (1)(C). 
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(4) MEDICARE
CONDITION
OF
PARTICIPA-
TION.—Section 1866(a)(1) of the Social Security 
Act (42 U.S.C. 1395cc(a)(1)) is amended— 
(A) in subparagraph (X), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (Y)(ii)(V), by striking 
the period and inserting ‘‘; and’’; and 
(C) by inserting after subparagraph (Y) 
the following new subparagraph: 
‘‘(Z) in the case of a hospital, to comply 
with the requirements of section 2(a) of Tyler’s 
Law.’’. 
(b) MEDICAL EXAMINER AND CORONER OFFICES.— 
(1) IN GENERAL.—A medical examiner or cor-
oner office shall submit to the Consumer Product 
Safety Commission written notice of any incident— 
(A) involving the death of a child; 
(B) that results in such office providing a 
service of any kind; and 
(C) with respect to which, in the deter-
mination of such office, the death is associated 
with a children’s product or a durable infant or 
toddler product. 
(2) CONTENTS.—A notice required under para-
graph (1) shall include, to the extent available— 
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(A) a description of the incident involved, 
including— 
(i) the date of the incident; 
(ii) the city and State in which the in-
cident occurred; 
(iii) the type of facility where the inci-
dent occurred; 
(iv) any medical treatment provided in 
response to the incident, including any re-
ports relating to such treatment; and 
(v) the cause of death; 
(B) a description of the product involved, 
including the applicable product code; 
(C) a description of the child involved, in-
cluding the age, gender, race, and ethnicity of 
the child; 
(D) a description of any role played by al-
cohol, controlled substances, or fire; and 
(E) any related reports prepared by the of-
fice involved. 
(3) TIMING.—A notice required to be submitted 
by an office under paragraph (1) shall be submitted 
not later than 7 days after the date on which such 
office makes the applicable determination under 
paragraph (1)(C). 
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(4) ENFORCEMENT.—A medical examiner or 
coroner office that fails to comply with this sub-
section during a fiscal year shall be ineligible for a 
Medical Examiner Coroner Office Accreditation 
grant under the Strengthening the Medical Exam-
iner-Coroner System Program of the Department of 
Justice during the following fiscal year. 
(c) DEFINITIONS.—In this section: 
(1) CHILD.—The term ‘‘child’’ means an indi-
vidual under the age of 18 years. 
(2) CHILDREN’S
PRODUCT.—The term ‘‘chil-
dren’s product’’ has the meaning given such term in 
section 3(a) of the Consumer Product Safety Act 
(15 U.S.C. 2052(a)). 
(3) DURABLE
INFANT
OR
TODDLER
PROD-
UCT.—The term ‘‘durable infant or toddler product’’ 
has the meaning given such term in section 104(f) 
of the Consumer Product Safety Improvement Act of 
2008 (15 U.S.C. 2056a(f)). 
(4) HOSPITAL.—The term ‘‘hospital’’ has the 
meaning given such term in section 1861(e) of the 
Social Security Act (42 U.S.C. 1395x(e)). 
(5) PRODUCT CODE.—The term ‘‘product code’’ 
means, with respect to a product, the product code 
used for such product in the NEISS Coding Manual 
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