21
16

Tyler’s Law

9/15/2026, 8:05 AM

Summary of Bill HR 2004

Bill 119 hr 2004, also known as the Fentanyl Testing Guidance Act, aims to address the growing concern of fentanyl overdoses in hospital emergency departments. The bill directs the Secretary of Health and Human Services to issue guidance on whether hospitals should implement fentanyl testing as a routine procedure for patients who have experienced an overdose.

Fentanyl is a powerful synthetic opioid that is significantly more potent than other opioids, such as heroin or morphine. It has been increasingly found in street drugs, leading to a rise in overdoses across the country. By implementing routine fentanyl testing in emergency departments, healthcare providers can quickly identify if fentanyl is present in a patient's system and provide appropriate treatment.

The guidance issued by the Secretary of Health and Human Services will provide hospitals with clear recommendations on when and how to conduct fentanyl testing, as well as how to interpret the results. This will help standardize the testing process and ensure that patients receive the necessary care in a timely manner. Overall, the Fentanyl Testing Guidance Act aims to improve the response to fentanyl overdoses in emergency departments and ultimately save lives. It is an important step in addressing the opioid crisis and ensuring that healthcare providers have the tools they need to effectively treat patients experiencing an overdose.

Congressional Summary of HR 2004

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.

Current Status of Bill HR 2004

Bill HR 2004 is currently in the status of Bill Introduced since March 10, 2025. Bill HR 2004 was introduced during Congress 119 and was introduced to the House on March 10, 2025.  Bill HR 2004's most recent activity was Placed on the Union Calendar, Calendar No. 716. as of September 14, 2026

Bipartisan Support of Bill HR 2004

Total Number of Sponsors
1
Democrat Sponsors
1
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
404
Democrat Cosponsors
225
Republican Cosponsors
179
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 2004

Primary Policy Focus

Health

Potential Impact Areas

- 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

Alternate Title(s) of Bill HR 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.
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.

Comments