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DOT NPRM on Oral Fluid Drug Testing - Comment Period Extended to 4/29/2022

March 21, 2022 9:00 AM | Deleted user

UPDATE, March 21, 2022:

The Department of Transportation has extended the comment period for their Notice of Proposed Rulemaking (NPRM) on Oral Fluid Drug Testing to April 29, 2022.


The Department of Transportation Office of the Secretary has issued a Notice of Proposed Rulemaking (NPRM) on Procedures for Transportation Workplace Drug and Alcohol Testing Programs: Addition of Oral Fluid Specimen Testing for Drugs. With this NPRM, the U.S. Department of Transportation is proposing to amend the transportation industry drug testing program procedures regulation to include oral fluid testing. Comments are due on this proposal by March 30, 2022.

Here is a brief summary of the proposal:

  1. Permit Oral Fluid testing as an alternative drug testing method for DOT-regulated workplace testing,
  2. Harmonize, as needed, with the new Mandatory Guidelines for Federal Workplace Drug Testing Programs established by the U.S. Department of Health and Human Services,
  3. Allow direct observation urine collections by any licensed or certified medical professional legally authorized to take part in a medical examination in the jurisdiction where the collection takes place,
  4. Allow MRO staff to contact pharmacies to verify a prescription that an employee provided,
  5. ‘Un-cancel’ a test that was ‘cancelled’ by the MRO if circumstances dictate,
  6. Allow the use of options of official identification numbers issued by State or Federal authorities to be used instead of Social Security Numbers,
  7. Laboratories provide to DOT bi-annually data that is categorized by test reason and specimen type,
  8. Laboratories withdrawing from the National Laboratory Certification Program provide DOT with the final data report for the reporting period in which they withdrew,
  9. Laboratories would be required to keep non-negative specimens for only 90 days,
  10. Require that the phone number provided on the Federal Drug Testing Custody Control Form for collectors connect directly to the collector and/or the collector’s supervisor and not a general call center,
  11. Remove provisions that no longer are necessary (such as compliance dates),
  12. Remove the ‘cross-reference’ sections found at the end of the ‘subpart’ sections,
  13. Add clarifying language to other provisions (such as updated definitions and web links where necessary), and
  14. Allow Substance Abuse Professional (SAP) to conduct evaluations virtually.

The full NPRM can be found here: 2022-02364.pdf (

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