,,ii ,calendar ,no4 #cjg #aaith ,,congress #b;d ,session ,s4 #iba ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #aj1 #bjbe,mr4 ,banks 7for himself1 ,mr4 ,padilla1 ,mr4 ,grassley1 ,mr4 ,warner1 ,mr4 ,young1 ,mr4 ,scott of ,florida1 ,mr4 ,mullin1 ,mr4 ,kim1 ,ms4 ,klobuchar1 ,mr4 ,warnock1 ,ms4 ,hassan1 ,mrs4 ,moody1 and ,mr4 ,tuberville7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,january #bh1 #bjbf,reported by ,mr4 ,cassidy1 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 overdose1 and for other purposes4 #a4 ,short title ,this ,act may be cited as ,tyler's ,law4 #b4 ,testing for fentanyl in hospital emergency departments 7a7 ,study ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall complete a study to determine-- 7#a7 how frequently hospital emergency departments test for fentanyl 7in addition to testing for other substances such as amphetamines1 phencyclidine1 cocaine1 opiates1 and marijuana7 when a patient is experiencing an overdose2 7#b7 the costs associated with such testing for fentanyl2 7#c7 the potential benefits and risks for patients receiving such testing for fentanyl2 and 7#d7 how fentanyl testing in hospital emergency departments may impact the experience of the patient1 including-- 7,a7 protections for the confidentiality and privacy of the patient's personal health information2 and 7,b7 the patient-physician relationship4 7b7 ,guidance ,not later than #f months after completion of the study under subsection 7a71 based on the results of such study1 the ,secretary of ,health and ,human ,services shall issue guidance on the following3 7#a7 ,whether hospital emergency departments should implement fentanyl testing as a routine procedure for patients experiencing an overdose4 7#b7 ,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 tests1 regardless of whether those tests screen for fentanyl4 7#c7 ,how the administration of fentanyl testing in hospital emergency departments may affect the future risk of overdose and general health outcomes4 7c7 ,definition ,in this section1 the term hospital emergency department means a hospital emergency department as such term is used in section #ahfg7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;dd7a774 #a4 ,short title ,this ,act may be cited as ,tyler's ,law4 #b4 ,testing for fentanyl in hospital emergency departments 7a7 ,study ,not later than #c years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use and in coordination with other ,federal departments1 agencies1 or stakeholders1 as appropriate1 shall complete a study to determine-- 7#a7 how frequently hospital emergency departments test for fentanyl or fentanyl-related substances when a patient is experiencing an overdose1 and test for other controlled substances related to such an overdose2 7#b7 scenarios in which hospital emergency departments do not administer tests for fentanyl or fentanyl-related substances when a patient is experiencing an overdose1 or for other controlled substances related to such an overdose2 7#c7 the costs associated with such testing for fentanyl or fentanyl-related substances2 7#d7 the potential benefits and risks for patients receiving such testing for fentanyl or fentanyl-related substances2 7#e7 potential staff training needs to support testing for fentanyl or fentanyl-related substances2 7#f7 how testing for fentanyl or fentanyl-related substances in hospital emergency departments may impact the experience of the patient1 including-- 7,a7 protections for the privacy and security of the patient's protected health information 7as defined in section #afj4ajc of title #de1 ,code of ,federal ,regulations 7or any successor regulations77 under part #afj of title #de1 ,code of ,federal ,regulations1 and subparts ,c and ,e of part #afd of title #de1 ,code of ,federal ,regulations 7or any successor regulations72 and 7,b7 the patient-health care professional relationship2 and 7#g7 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 barriers4 7b7 ,guidance ,not later than #i months after completion of the study under subsection 7a71 based on the results of such study1 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use and in coordination with other ,federal departments1 agencies1 or stakeholders1 as appropriate1 shall issue guidance on the following3 7#a7 ,whether hospital emergency departments should implement testing for fentanyl or fentanyl-related substances as a routine procedure for patients experiencing an overdose4 7#b7 ,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 tests1 regardless of whether those tests screen for fentanyl or fentanyl-related substances4 7#c7 ,how the administration of testing for fentanyl or fentanyl-related substances in hospital emergency departments may affect the future risk of overdose and health outcomes4 7#d7 ,available ,federal resources that can assist hospital emergency departments in implementing testing for fentanyl or fentanyl-related substances4 7c7 ,definitions ,in this section1 the term hospital emergency department means an emergency department of a hospital or an independent freestanding emergency department 7as such terms are defined in section #bgii;,a-#a7;a77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa7;a77#c7774 ,january #bh1 #bjbf,reported with an amendment