United States 119th Congress Status: Passed Senate Bipartisan · 7 R · 7 D cosponsors

S 921 — Tyler’s Law

Last action — Held at the desk.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Senate. Introduced March 10, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 54% · moderate confidence

  • Passed Senate

    Current position in the legislative process.

  • 14 sponsors

    1 primary, 13 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 R · 7 D) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

6 added · 59 removed

Plain-language change summary

The amended version of the bill removed the short title "Tyler's Law" and eliminated a section that required a study on how often hospital emergency departments test for fentanyl alongside other substances. This change means that the specific requirement for research on fentanyl testing practices in emergency departments is no longer part of the bill.

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Latest
921 Reported in Senate (RS)] <DOC> Calendar No.
921 Engrossed in Senate (ES)] <DOC> 119th CONGRESS 2d Session S.
307 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.
921 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.
_______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 10, 2025 Mr.
Banks (for himself, Mr.
Padilla, Mr.
Grassley, Mr.
Warner, Mr.
Young, Mr.
Scott of Florida, Mr.
Mullin, Mr.
Kim, Ms.
Klobuchar, Mr.
Warnock, Ms.
Hassan, Mrs.
Moody, and Mr.
Tuberville) introduced the following bill;
which was read twice and referred to the Committee on Health, Education, Labor, and Pensions January 28, 2026 Reported by Mr.
Cassidy, with an amendment [Strike out all after the enacting clause and insert the part printed in italic] _______________________________________________________________________ A BILL 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, <DELETED>SECTION 1.
SHORT TITLE.</DELETED> <DELETED> This Act may be cited as ``Tyler's Law''.</DELETED> <DELETED>SEC.
2.
TESTING FOR FENTANYL IN HOSPITAL EMERGENCY DEPARTMENTS.</DELETED> <DELETED> (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--</DELETED> <DELETED> (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;</DELETED> <DELETED> (2) the costs associated with such testing for fentanyl;</DELETED> <DELETED> (3) the potential benefits and risks for patients receiving such testing for fentanyl;
and</DELETED> <DELETED> (4) how fentanyl testing in hospital emergency departments may impact the experience of the patient, including--</DELETED> <DELETED> (A) protections for the confidentiality and privacy of the patient's personal health information;
and</DELETED> <DELETED> (B) the patient-physician relationship.</DELETED> <DELETED> (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:</DELETED> <DELETED> (1) Whether hospital emergency departments should implement fentanyl testing as a routine procedure for patients experiencing an overdose.</DELETED> <DELETED> (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.</DELETED> <DELETED> (3) How the administration of fentanyl testing in hospital emergency departments may affect the future risk of overdose and general health outcomes.</DELETED> <DELETED> (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)).</DELETED> SECTION 1.
Calendar No.
Passed the Senate March 23, 2026.
307 119th CONGRESS 2d Session S.
Attest:
921 _______________________________________________________________________ A BILL 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.
Secretary.
_______________________________________________________________________ January 28, 2026 Reported with an amendment
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.
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Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  3. Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  4. Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  5. Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  6. Placed on Senate Legislative Calendar under General Orders. Calendar No. 307.

  7. Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.

  8. Passed Senate with an amendment by Unanimous Consent. (consideration: CR S1559-1560; text: CR S1559-1560)

  9. Message on Senate action sent to the House.

  10. Received in the House.

  11. Held at the desk.

Sponsors

Sponsorship breakdown

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1 sponsors · 13 co-sponsors · 533 not signed on

Sponsors (1)

Co-sponsors (13)

Not signed on (533)

533 members have not signed on to this bill.

Show all 533 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors S 921?
S 921 is sponsored by Banks, Jim (Republican), Padilla, Alex (Democratic), Grassley, Chuck (Republican), Warner, Mark R. (Democratic), Young, Todd (Republican), Scott, Rick (Republican), Mullin, Markwayne (Republican), Kim, Andy (Democratic), Klobuchar, Amy (Democratic), Warnock, Raphael G. (Democratic), Hassan, Margaret Wood (Democratic), Moody, Ashley (Republican), Tuberville, Tommy (Republican), and Cantwell, Maria (Democratic).
What is the current status of S 921?
This bill has passed the Senate. Introduced March 10, 2025. It now moves to the second chamber.
Where can I track S 921?
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