H.R. 2004, known as Tyler's Law, requires the Department of Health and Human Services to conduct a study within one year on how often emergency departments in Medicare-participating hospitals test for fentanyl in overdose patients. The study will look at the costs and impacts of such testing. After the study, HHS must provide guidance on whether fentanyl testing should be routine in emergency departments, how clinicians can be informed about the substances being tested, and the potential effects of testing on future overdose risks and health outcomes.
H.R. 2004 was introduced in the 119th Congress by Ted Lieu (Democrat) and is currently listed as “Passed House”. It is classified under the Health policy area, one of 508 bills in that area we track this Congress.
Ted Lieu is the sponsor of 12 bills in our database this Congress, so H.R. 2004 is part of a broader legislative agenda rather than a one-off proposal.
FEC records show Ted Lieu received $240 million from industries this bill affects, led by Health Professionals.
Our conflict-of-interest analysis rates H.R. 2004 8/10 (high risk), higher than 100% of analyzed bills; the average in Health is 3.9/10.
Supporters of Tyler's Law have praised the bill for addressing the urgent issue of fentanyl overdoses. They argue that routine testing could lead to better patient outcomes and more informed treatment decisions in emergency situations. The bill is seen as a proactive step in combating the opioid crisis and ensuring that healthcare providers are equipped to handle fentanyl-related emergencies effectively.
Critics of Tyler's Law have raised concerns about the potential costs and logistical challenges of implementing routine fentanyl testing in emergency departments. Some argue that the bill may divert resources away from other critical areas of emergency care and that it could lead to an over-reliance on testing rather than comprehensive treatment strategies for overdose patients. Additionally, there are worries about the implications of increased testing on patient privacy and the potential for false positives.
The sponsorship of H.R. 2004, known as Tyler’s Law, by Ted Lieu raises significant concerns regarding potential conflicts of interest due to the substantial financial contributions from the health professionals industry. Lieu has received a total of $240,000,000 from health professionals, which directly aligns with the subject matter of the bill that likely pertains to health-related issues. Given that all donations from this industry come from individuals rather than PACs, it suggests a strong personal investment in the outcomes of health legislation. This creates a perception that the interests of these donors could unduly influence the legislative process, potentially prioritizing donor interests over public welfare. Voters should be aware that the financial backing from health professionals could lead to legislation that favors their interests, possibly at the expense of broader public health considerations.
These industries are both affected by this bill and among the sponsor's top donors.
| Industry | Match Type | Related Subject | Donations |
|---|---|---|---|
| Health Professionals (H01) | Direct | Health | $240,000,000 |
| Total from overlapping industries | $240,000,000 | ||
Top industries funding Ted Lieu, ranked by total contributions.
Source: OpenSecrets.org (Center for Responsive Politics)
What does H.R. 2004 do?
H.R. 2004, known as Tyler's Law, requires the Department of Health and Human Services to conduct a study within one year on how often emergency departments in Medicare-participating hospitals test for fentanyl in overdose patients. The study will look at the costs and impacts of such testing. After the study, HHS must provide guidance on whether fentanyl testing should be routine in emergency…
Has H.R. 2004 received a floor vote?
No roll-call vote on H.R. 2004 is recorded in our database yet. Its current status is “Passed House”.
Who funds the sponsor of H.R. 2004?
FEC records show Ted Lieu received $240 million from industries this bill affects, led by Health Professionals. Overlap does not imply wrongdoing; it shows where financial interests and legislation intersect.
Does H.R. 2004 have a conflict of interest?
Our conflict-of-interest analysis rates H.R. 2004 8/10 (high risk), higher than 100% of analyzed bills; the average in Health is 3.9/10. This score reflects overlap between the sponsor’s campaign funding, lobbying activity, and the industries the bill affects. It is a transparency indicator, not an accusation.
What is the status of H.R. 2004?
H.R. 2004 is currently “Passed House” as of our last update on September 16, 2026.
Who sponsored H.R. 2004?
H.R. 2004 was sponsored by Ted Lieu (Democrat).
