S 921
· 119th Congress
· Health
Tyler’s Law
Sponsor
Latest action
Held at the desk.
Action timeline
Every recorded action on this bill, newest first. Stage badges color-code the legislative path.
Mar 24, 2026
floor
Message on Senate action sent to the House.
Mar 24, 2026
floor
Received in the House.
Mar 24, 2026
floor
Held at the desk.
Mar 23, 2026
passed
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Mar 23, 2026
passed
Passed Senate with an amendment by Unanimous Consent. (consideration: CR S1559-1560; text: CR S1559-1560)
Jan 28, 2026
committee
Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.
Health, Education, Labor, and Pensions Committee
Jan 28, 2026
other
Placed on Senate Legislative Calendar under General Orders. Calendar No. 307.
Jan 15, 2026
committee
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Health, Education, Labor, and Pensions Committee
Mar 10, 2025
introduced
Introduced in Senate
Mar 10, 2025
introduced
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Health, Education, Labor, and Pensions Committee
Text versions
Each stage of the bill — official text published by GPO. Click any format to read on congress.gov / govinfo.
Changelog
ⓘ
How a bill moves through Congress. Each stage produces a new official text. The diff between them shows what changed at that step.
ih / is — Introduced in House / Senate. First filed version.rfh / rfs — Referred to a committee for review.rh / rs — Reported back by the committee to the floor (often with amendments — this is where most language changes happen).pcs / pch — Placed on Calendar for floor consideration.eh / es — Engrossed. Passed by the originating chamber. Text is now what was actually voted on.rdh / rds — Received by the other chamber.eah / eas — Engrossed Amendment. The other chamber passed an amended version.ath / ats — Agreed to. Both chambers settled on the same text.enr — Enrolled. Final reconciled text, sent to the President.pl — Public Law. Signed by the President. It's now law.pp — Public Print. Official printing post-enactment.
Most bills die before eh/es. Going from pcs → enr is the full path through both chambers.
ⓘ
How a bill moves through Congress. Each stage produces a new official text. The diff between them shows what changed at that step.
ih/is— Introduced in House / Senate. First filed version.rfh/rfs— Referred to a committee for review.rh/rs— Reported back by the committee to the floor (often with amendments — this is where most language changes happen).pcs/pch— Placed on Calendar for floor consideration.eh/es— Engrossed. Passed by the originating chamber. Text is now what was actually voted on.rdh/rds— Received by the other chamber.eah/eas— Engrossed Amendment. The other chamber passed an amended version.ath/ats— Agreed to. Both chambers settled on the same text.enr— Enrolled. Final reconciled text, sent to the President.pl— Public Law. Signed by the President. It's now law.pp— Public Print. Official printing post-enactment.
Most bills die before eh/es. Going from pcs → enr is the full path through both chambers.
Line-level diff between text versions of this bill — what actually changed at each legislative stage.
+8
−81
34 unchanged
--- Reported (Senate)
+++ Engrossed (Senate)
@@ -1,39 +1,15 @@
[From the U.S. Government Publishing Office]
-[S. 921 Reported in Senate (RS)]
+[S. 921 Engrossed in Senate (ES)]
<DOC>
-Calendar No. 307
119th CONGRESS
2d Session
S. 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.
-
_______________________________________________________________________
-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
+AN ACT
To direct the Secretary of Health and Human Services to issue guidance
on whether hospital emergency departments should implement fentanyl
@@ -42,53 +18,6 @@
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. SHORT TITLE.
@@ -156,8 +85,12 @@
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))).
-Calendar No. 307
+Passed the Senate March 23, 2026.
+
+Attest:
+
+Secretary.
119th CONGRESS
2d Session
@@ -166,15 +99,9 @@
_______________________________________________________________________
-A BILL
+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.
-
-_______________________________________________________________________
-
-January 28, 2026
-
-Reported with an amendment
Lobbying activity
Organizations whose LDA filings reference this bill, ranked by filing count. Position not disclosed — LDA does not require lobbyists to report support / oppose / monitor. Bill-number references can be stale (lobbyists sometimes copy text year-over-year), so verify against the filing description.
5
filings · 2026 Q3
4
filings · 2025 Q3
4
filings · 2025 Q3
1
filings · 2025 Q3
1
filings · 2026 Q1
1
filings · 2026 Q1
via Senate LDA · self-reported quarterly. Filing count = filings mentioning this bill (no position required), not money spent on it. Click a client to see all bills they've filed on.
Cosponsors (12)
Members who signed on to support this bill.