| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 2004 |
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| 5 | 5 | | To direct the Secretary of Health and Human Services to issue guidance |
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| 6 | 6 | | on whether hospital emergency departments should implement fentanyl |
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| 7 | 7 | | testing as a routine procedure for patients experiencing an overdose, |
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| 8 | 8 | | and for other purposes. |
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| 9 | 9 | | IN THE HOUSE OF REPRESENTATIVES |
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| 10 | 10 | | MARCH10, 2025 |
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| 11 | 11 | | Mr. L |
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| 12 | 12 | | IEU(for himself, Mr. LATTA, Ms. KAMLAGER-DOVE, Mr. GRIJALVA, Mr. |
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| 13 | 13 | | C |
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| 14 | 14 | | RENSHAW, Mr. BALDERSON, Mr. CISCOMANI, Mr. VALADAO, Mr. |
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| 15 | 15 | | L |
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| 16 | 16 | | AWLER, Ms. DAVIDSof Kansas, Ms. NORTON, Mr. KRISHNAMOORTHI, |
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| 17 | 17 | | Mrs. C |
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| 18 | 18 | | HERFILUS-MCCORMICK, Ms. BARRAGA´N, Mr. VEASEY, Ms. TITUS, |
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| 19 | 19 | | Ms. M |
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| 20 | 20 | | CBRIDE, Mrs. DINGELL, Mr. BACON, and Mr. PETERS) introduced |
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| 21 | 21 | | the following bill; which was referred to the Committee on Energy and |
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| 22 | 22 | | Commerce |
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| 23 | 23 | | A BILL |
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| 24 | 24 | | To direct the Secretary of Health and Human Services to |
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| 25 | 25 | | issue guidance on whether hospital emergency depart- |
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| 26 | 26 | | ments should implement fentanyl testing as a routine |
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| 27 | 27 | | procedure for patients experiencing an overdose, and for |
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| 28 | 28 | | other purposes. |
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| 29 | 29 | | Be it enacted by the Senate and House of Representa-1 |
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| 30 | 30 | | tives of the United States of America in Congress assembled, 2 |
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| 31 | 31 | | SECTION 1. SHORT TITLE. 3 |
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| 32 | 32 | | This Act may be cited as ‘‘Tyler’s Law’’. 4 |
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| 33 | 33 | | VerDate Sep 11 2014 20:37 Mar 21, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2004.IH H2004 |
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| 34 | 34 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 35 | 35 | | •HR 2004 IH |
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| 36 | 36 | | SEC. 2. TESTING FOR FENTANYL IN HOSPITAL EMERGENCY 1 |
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| 37 | 37 | | DEPARTMENTS. 2 |
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| 38 | 38 | | (a) S |
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| 39 | 39 | | TUDY.—Not later than 1 year after the date of 3 |
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| 40 | 40 | | enactment of this Act, the Secretary of Health and 4 |
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| 41 | 41 | | Human Services shall complete a study to determine— 5 |
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| 42 | 42 | | (1) how frequently hospital emergency depart-6 |
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| 43 | 43 | | ments test for fentanyl (in addition to testing for 7 |
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| 44 | 44 | | other substances such as amphetamines, 8 |
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| 45 | 45 | | phencyclidine, cocaine, opiates, and marijuana) when 9 |
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| 46 | 46 | | a patient is experiencing an overdose; 10 |
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| 47 | 47 | | (2) the costs associated with such testing for 11 |
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| 48 | 48 | | fentanyl; 12 |
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| 49 | 49 | | (3) the potential benefits and risks for patients 13 |
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| 50 | 50 | | receiving such testing for fentanyl; and 14 |
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| 51 | 51 | | (4) how fentanyl testing in hospital emergency 15 |
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| 52 | 52 | | departments may impact the experience of the pa-16 |
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| 53 | 53 | | tient, including— 17 |
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| 54 | 54 | | (A) protections for the confidentiality and 18 |
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| 55 | 55 | | privacy of the patient’s personal health informa-19 |
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| 56 | 56 | | tion; and 20 |
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| 57 | 57 | | (B) the patient-physician relationship. 21 |
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| 58 | 58 | | (b) G |
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| 59 | 59 | | UIDANCE.—Not later than 6 months after com-22 |
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| 60 | 60 | | pletion of the study under subsection (a), based on the 23 |
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| 61 | 61 | | results of such study, the Secretary of Health and Human 24 |
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| 62 | 62 | | Services shall issue guidance on the following: 25 |
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| 63 | 63 | | VerDate Sep 11 2014 20:37 Mar 21, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2004.IH H2004 |
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| 64 | 64 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 65 | 65 | | •HR 2004 IH |
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| 66 | 66 | | (1) Whether hospital emergency departments 1 |
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| 67 | 67 | | should implement fentanyl testing as a routine pro-2 |
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| 68 | 68 | | cedure for patients experiencing an overdose. 3 |
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| 69 | 69 | | (2) How hospitals can ensure that clinicians in 4 |
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| 70 | 70 | | their hospital emergency departments are aware of 5 |
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| 71 | 71 | | which substances are being tested for in their rou-6 |
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| 72 | 72 | | tinely-administered drug tests, regardless of whether 7 |
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| 73 | 73 | | those tests screen for fentanyl. 8 |
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| 74 | 74 | | (3) How the administration of fentanyl testing 9 |
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| 75 | 75 | | in hospital emergency departments may affect the 10 |
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| 76 | 76 | | future risk of overdose and general health outcomes. 11 |
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| 77 | 77 | | (c) D |
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| 78 | 78 | | EFINITION.—In this section, the term ‘‘hospital 12 |
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| 79 | 79 | | emergency department’’ means a hospital emergency de-13 |
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| 80 | 80 | | partment as such term is used in section 1867(a) of the 14 |
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| 81 | 81 | | Social Security Act (42 U.S.C. 1395dd(a)). 15 |
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| 82 | 82 | | Æ |
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| 83 | 83 | | VerDate Sep 11 2014 20:37 Mar 21, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H2004.IH H2004 |
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| 84 | 84 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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