SenateS. 921119th Congress

Tyler’s Law

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[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 921 Engrossed in Senate (ES)]

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119th CONGRESS
  2d Session
                                 S. 921

_______________________________________________________________________

                                 AN ACT

 
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.

    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 3 years after the date of enactment of 
this Act, the Secretary of Health and Human Services, acting through 
the Assistant Secretary for Mental Health and Substance Use and in 
coordination with other Federal departments, agencies, or stakeholders, 
as appropriate, shall complete a study to determine--
            (1) how frequently hospital emergency departments test for 
        fentanyl or fentanyl-related substances when a patient is 
        experiencing an overdose, and test for other controlled 
        substances related to such an overdose;
            (2) scenarios in which hospital emergency departments do 
        not administer tests for fentanyl or fentanyl-related 
        substances when a patient is experiencing an overdose, or for 
        other controlled substances related to such an overdose;
            (3) the costs associated with such testing for fentanyl or 
        fentanyl-related substances;
            (4) the potential benefits and risks for patients receiving 
        such testing for fentanyl or fentanyl-related substances;
            (5) potential staff training needs to support testing for 
        fentanyl or fentanyl-related substances;
            (6) how testing for fentanyl or fentanyl-related substances 
        in hospital emergency departments may impact the experience of 
        the patient, including--
                    (A) protections for the privacy and security of the 
                patient's protected health information (as defined in 
                section 160.103 of title 45, Code of Federal 
                Regulations (or any successor regulations)) under part 
                160 of title 45, Code of Federal Regulations, and 
                subparts C and E of part 164 of title 45, Code of 
                Federal Regulations (or any successor regulations); and
                    (B) the patient-health care professional 
                relationship; and
            (7) barriers that hospital emergency departments may 
        encounter when trying to implement testing for fentanyl or 
        fentanyl-related substances and recommendations on how best to 
        address those barriers.
    (b) Guidance.--Not later than 9 months after completion of the 
study under subsection (a), based on the results of such study, the 
Secretary of Health and Human Services, acting through the Assistant 
Secretary for Mental Health and Substance Use and in coordination with 
other Federal departments, agencies, or stakeholders, as appropriate, 
shall issue guidance on the following:
            (1) Whether hospital emergency departments should implement 
        testing for fentanyl or fentanyl-related substances as a 
        routine procedure for patients experiencing an overdose.
            (2) How hospitals can ensure that health care professionals 
        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 or fentanyl-related substances.
            (3) How the administration of testing for fentanyl or 
        fentanyl-related substances in hospital emergency departments 
        may affect the future risk of overdose and health outcomes.
            (4) Available Federal resources that can assist hospital 
        emergency departments in implementing testing for fentanyl or 
        fentanyl-related substances.
    (c) Definitions.--In this section, the term ``hospital emergency 
department'' means an emergency department of a hospital or an 
independent freestanding emergency department (as such terms are 
defined in section 2799A-1(a)(3) of the Public Health Service Act (42 
U.S.C. 300gg-111(a)(3))).

            Passed the Senate March 23, 2026.

            Attest:

                                                             Secretary.
119th CONGRESS

  2d Session

                                 S. 921

_______________________________________________________________________

                                 AN ACT

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.