119th Congress · introduced in the House · Mar 10, 2025
Tyler’s Law
Official title from Congress.gov
Latest action (Sep 16, 2026): Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Mar 10, 2025)
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.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 625.
Motion to reconsider laid on the table Agreed to without objection.
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5673)
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.
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.
Placed on the Union Calendar, Calendar No. 716.
Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
Reported by the Committee on Energy and Commerce. H. Rept. 119-817.
Ordered to be Reported by the Yeas and Nays: 46 - 0.
Committee Consideration and Mark-up Session Held
Committee Consideration and Mark-up Session Held
Forwarded by Subcommittee to Full Committee by Voice Vote.
Subcommittee Consideration and Mark-up Session Held
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Drug, alcohol, tobacco use · Emergency medical services and trauma care · Government information and archives · Government studies and investigations · Hospital care · Medical tests and diagnostic methods
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
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Introduced in House
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Coverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
20 citations.
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Alcohol and Drug Abuse
$393,240
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS · lobbying firm or registrant: AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Health Issues
$250,000
Spent on own lobbying
Issues related to vaccine access and evidence-based resources for patients and pharmacists (generally, no specific legislation). Tylers Law (H.R. 2004), the ALERT Communities Act (H.R. 1561), and the HERO Act (H.R. 7994), issues related to access to fentanyl test strips and medications for opioid use disorder…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: BROWNSTEIN HYATT FARBER SCHRECK, LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
S. 266 Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Healthcare work shortages S.1600 Save Healthcare Workers Act S. 921 Tyler's Law H.R. 2004 Tyler's Law
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 30, 2026 · issue area: Alcohol and Drug Abuse
$498,299
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SOUTHEAST GEORGIA HOSPITAL SYSTEM · lobbying firm or registrant: CAROL G HOLLADAY & ASSOCIATES
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$24,000
Paid to lobbying firm
…stances list subscriber.politicopro.com. H.R. 7970 - STOP Nitazenes Act (Latta): Places nitazenes on the controlled substances list subscriber.politicopro.com. H.R. 2004 - Tylers Law (Lieu, Latta): Expands naloxone access and overdose prevention measures House Committee on Energy and Commerce. H.R. 1561 - ALERT Communities Act…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS · lobbying firm or registrant: AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$260,000
Spent on own lobbying
Issues related to vaccine access and evidence-based resources for patients and pharmacists (generally, no specific legislation). Tylers Law (H.R. 2004), the ALERT Communities Act (H.R. 1561), and the HERO Act (H.R. 7994), issues related to access to fentanyl test strips and medications for opioid use disorder…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: BROWNSTEIN HYATT FARBER SCHRECK, LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
S. 266 Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Healthcare work shortages S.1600 Save Healthcare Workers Act S. 921 Tyler's Law H.R. 2004 Tyler's Law
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: EMERGENCY NURSES ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 9, 2026 · issue area: Health Issues
$110,700
Spent on own lobbying
…. 1282); MISSION ZERO Act (H.R. 2414); SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483); SOAR Act Reauthorization (H.R. 1669); Tyler's Law (H.R. 2004/S. 921); PRECEPT Nurses Act (H.R. 392/S. 131); Reintroduction of the Improving Mental Health Access in the Emergency Department Act; Tyler's Law (H.R. 2004/ S.…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted May 5, 2026 · issue area: Alcohol and Drug Abuse
$468,727
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: EMERGENCY NURSES ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted May 4, 2026 · issue area: Health Issues
$12,600
Spent on own lobbying
…. 1282); MISSION ZERO Act (H.R. 2414); SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483); SOAR Act Reauthorization (H.R. 1669); Tyler's Law (H.R. 2004/S. 921); PRECEPT Nurses Act (H.R. 392/S. 131); Reintroduction of the Improving Mental Health Access in the Emergency Department Act; Tyler's Law (H.R. 2004/ S.…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: BROWNSTEIN HYATT FARBER SCHRECK, LLP
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 18, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
S. 266 Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Healthcare work shortages S.1600 Save Healthcare Workers Act S. 921 Tyler's Law H.R. 2004 Tyler's Law
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Alcohol and Drug Abuse
$501,071
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: BROWNSTEIN HYATT FARBER SCHRECK, LLP
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 16, 2026 · issue area: Health Issues
$20,000
Paid to lobbying firm
S. 266 Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Healthcare work shortages S.1600 Save Healthcare Workers Act S. 921 Tyler's Law H.R. 2004 Tyler's Law
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: EMERGENCY NURSES ASSOCIATION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 15, 2026 · issue area: Health Issues
$17,600
Spent on own lobbying
…. 1282); MISSION ZERO Act (H.R. 2414); SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483); SOAR Act Reauthorization (H.R. 1669); Tyler's Law (H.R. 2004/S. 921); PRECEPT Nurses Act (H.R. 392/S. 131); Reintroduction of the Improving Mental Health Access in the Emergency Department Act; Tyler's Law (H.R. 2004/ S.…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: EMERGENCY NURSES ASSOCIATION
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 28, 2025 · issue area: Health Issues
$15,400
Spent on own lobbying
…. 1282); MISSION ZERO Act (H.R. 2414); SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483); SOAR Act Reauthorization (H.R. 1669); Tyler's Law (H.R. 2004/S. 921); PRECEPT Nurses Act (H.R. 392/S. 131); Reintroduction of the Improving Mental Health Access in the Emergency Department Act; Tyler's Law (H.R. 2004/ S.…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 21, 2025 · issue area: Alcohol and Drug Abuse
$408,597
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: EMERGENCY NURSES ASSOCIATION
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 29, 2025 · issue area: Health Issues
$105,400
Spent on own lobbying
…. 1282); MISSION ZERO Act (H.R. 2414); SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483); SOAR Act Reauthorization (H.R. 1669); Tyler's Law (H.R. 2004/S. 921); PRECEPT Nurses Act (H.R. 392/S. 131); Reintroduction of the Improving Mental Health Access in the Emergency Department Act; Tyler's Law (H.R. 2004/ S.…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q2 report (Apr 1, 2025 – Jun 30, 2025) · posted Jul 21, 2025 · issue area: Alcohol and Drug Abuse
$387,539
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
EMERGENCY NURSES ASSOCIATION · lobbying firm or registrant: EMERGENCY NURSES ASSOCIATION
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted May 7, 2025 · issue area: Health Issues
$15,400
Spent on own lobbying
…. 1282); MISSION ZERO Act (H.R. 2414); SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483); SOAR Act Reauthorization (H.R. 1669); Tyler's Law (H.R. 2004/S. 921); PRECEPT Nurses Act (H.R. 392/S. 131); Reintroduction of the Improving Mental Health Access in the Emergency Department Act
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS · lobbying firm or registrant: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
2025 Q1 report (Jan 1, 2025 – Mar 31, 2025) · posted Apr 23, 2025 · issue area: Alcohol and Drug Abuse
$498,834
Spent on own lobbying
Opioids, pain management Federal funding for substance use disorder treatments H.R.2004-Tylers Law, to direct the Secretary of Health and Human Services to issue guidance on whether hospital emergency departments should implement routine fentanyl…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing