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Congressional Daily Record
This section captures a floor statement or debate entry. It mentions legislation such as Tyler’s Law, members such as Brett Guthrie.
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September 15, 2026
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Download official House Record PDFReturn to issue contextMr. GUTHRIE. Mr. Speaker, I move to suspend the rules and pass the bill (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.
The Clerk read the title of the bill.
The text of the bill is as follows:
H.R. 2004
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)).
The SPEAKER pro tempore. Pursuant to the rule, the gentleman from Kentucky (Mr. Guthrie) and the gentlewoman from Texas (Mrs. Fletcher) each will control 20 minutes.
The Chair recognizes the gentleman from Kentucky.
General Leave
Mr. GUTHRIE. Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days to revise and extend their remarks and include extraneous material on H.R. 2004.
The SPEAKER pro tempore. Is there objection to the request of the gentleman from Kentucky?
There was no objection.
Mr. GUTHRIE. Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I rise today in strong support of H.R. 2004, led by the gentleman from California (Mr. Lieu) and the gentleman from Ohio (Mr. Latta).
fentanyl poisoning after doctors did not test for fentanyl when he was admitted to the hospital emergency room. This bill would honor Tyler's memory by helping prevent more tragedies and ensuring providers are able to provide the best practices when treating cases of potential drug overdoses.
I encourage my colleagues to vote for this bill. I can't stop, Mr. Speaker, without bringing up his mother, Juli, who has spent tireless hours flying from California to D.C.—sometimes, because of our schedule change, on a moment's notice—to be present for hearings and bringing this story, knowing that it is not going to bring her son back but wanting to prevent other mothers and other people from going through what she has gone through. I appreciate her hard work, and I acknowledge that.
and the
many families who have suffered similarly. I reserve the balance of my time.
Mrs. FLETCHER. Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I rise to speak in support of H.R. 2004, Tyler's Law. This legislation directs the Secretary of Health and Human Services to study the use of fentanyl testing in hospital emergency departments for patients experiencing an overdose.
Tyler's mom for her tireless advocacy and to thank Representative Lieu for his leadership on this legislation and my colleagues on the Energy and Commerce Committee for working to bring the bill to the floor today.
I encourage all my colleagues to vote “yes,” and I reserve the balance of my time.
Mr. GUTHRIE. Mr. Speaker, I reserve the balance of my time.
Mrs. FLETCHER. Mr. Speaker, I yield such time as he may consume to the gentleman from California (Mr. Lieu).
Mr. LIEU. Mr. Speaker, I rise in support of H.R. 2004, Tyler's Law. This bill requires the Department of Health and Human Services to conduct a study and then to issue guidance to hospitals to test for fentanyl in emergency room screenings.
This may come as a surprise to many. Right now many hospitals do not test for fentanyl in emergency room screenings. This leads to cases where people who walk in the emergency room may not know that they ingested a drug laced with fentanyl, or they may walk out of the emergency room not knowing that they had taken fentanyl and not gotten the right resources. As a result, this could result in preventable deaths.
spot. At 19 years old, Tyler's life was cut short when he died from a fentanyl overdose after initially going to the emergency room. He was not tested for fentanyl, and he was discharged. His toxicology screening came back with no indication of fentanyl, and he went home. The next day he returned to the ER and ultimately died from having ingested fentanyl.
has been a fierce advocate of ensuring that no family experiences the same kind of devastating loss.
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Congresswoman Sydney Kamlager-Dove, and our Senate counterparts on getting Tyler's Law passed. However, the real credit goes to Juli. She is here in the gallery today with other parents who also lost their child to fentanyl. She has been present for every step of the progress we have taken this Congress. I thank Juli for her fierce advocacy and for fighting to advance laws that will prevent future fentanyl-related deaths.
Mr. Speaker, I urge my colleagues to support this bill so we can honor Tyler and prevent fentanyl deaths in the future.
Mrs. FLETCHER. In closing, Mr. Speaker, for the reasons we have just heard, I encourage my colleagues to vote in favor of Tyler's Law, and I yield back the balance of my time.
Mr. GUTHRIE. Mr. Speaker, I appreciate all of the moms who have been working with us. We really appreciate their hard work. Our sympathies are with them, and we are glad that their children are being honored tonight.
Mr. Speaker, I encourage a “yes” vote on the bill, I look forward to voting for it in just a couple of seconds, and I yield back the balance of my time.
The SPEAKER pro tempore. The question is on the motion offered by the gentleman from Kentucky (Mr. Guthrie) that the House suspend the rules and pass the bill, H.R. 2004.
The question was taken; and (two-thirds being in the affirmative) the rules were suspended and the bill was passed.
A motion to reconsider was laid on the table.