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Oral fluid drug testing approved by DOT

Trucking news and briefs for Tuesday, May 2, 2023:

The Department of Transportation on Tuesday published a final rule that will allow oral fluid as an authorized testing method for the presence of unlawful drugs. The 227-page final rule  will become effective on June 1. 

In order for an employer to implement oral fluid testing under DOT's regulation, however, the U.S. Department of Health and Human Services (HHS) will need to certify at least two laboratories for oral fluid testing, which has not yet been done. In essence, the DOT has cleared a regulatory hurdle that allows for oral fluid testing, but those tests are not yet authorized until HHS makes its certifications. 

DOT in February proposed amending the transportation industry’s drug testing program procedures regulation to allow oral fluid testing in lieu of urine testing, following a 2022 comment period, giving "employers a choice that will help combat employee cheating on urine drug tests and provide a less intrusive means of achieving the safety goals of the program."

The measure comes as the number of drivers flagged for drug infractions continues to climb. As of Jan. 1, 2022, 81,052 professional drivers were in prohibited status in FMCSA's Drug and Alcohol Clearinghouse with a violation. A year later, that number reached 120,345, and less than nine weeks ago was at 125,810. 

Oral fluid collection mitigates cheating, it's contended, since the test is administered face-to-face, usually with a sample collector swabbing inside the cheek of an applicant, and the DOT contends "adding oral fluid testing as an option is consistent with the careful balancing of an individual’s right to privacy with the Department’s strong interest in preserving transportation safety by deterring illicit drug use."

Prior to the issuing of the final rule, urinalysis and blood analysis (in limited circumstances) were the only acceptable means to conduct DOT drug screenings.