Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014
description
Transcript of Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014
![Page 1: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/1.jpg)
Update on OTETA
Drug and Alcohol Testing Programs
Lynn Carr
VP Operations
April 10, 2014
![Page 2: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/2.jpg)
www.firstlab.com
FirstLab
Third Party Administrator (TPA)
Manage the Drug and Alcohol Testing Program for School Districts under the Florida DOE State Contract
![Page 3: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/3.jpg)
www.firstlab.com
History 1991 Omnibus Transportation Employee Testing Act
mandated drug and alcohol testing for all Commercial Driver’s Licensed (CDL) employees
Requirements for testing are detailed in FMCSA regulation 49 CFR Part 382 and the procedures for conducting the testing are found in 49 CFR Part 40
OTETA was aimed at preventing illicit drug use and alcohol misuse by employees in public transportation occupations to promote and protect public safety
![Page 4: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/4.jpg)
www.firstlab.com
Program Basics
Each employer must: Have a written substance abuse policy Appoint a Designated Employer Representative (DER) Conduct required drug and alcohol testing in accordance
with Part 40 procedures Conduct Reasonable Suspicion Training for supervisors Provide drug and alcohol education materials or training for all CDL employees Maintain records and documents as required by DOT
regulations Conduct a check for previous drug and alcohol violations
with prior employers for all CDL applicants
![Page 5: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/5.jpg)
www.firstlab.com
Reasons for Testing
Pre-employment Reasonable Suspicion Random Return-to-duty Follow-up Post-Accident
![Page 6: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/6.jpg)
www.firstlab.com
FirstLab - Primary Services
Identify Qualified Collection Sites Contract with Laboratories for Analysis of Samples Medical Review of Results Generate Random Lists Monitor Random Compliance Provide Regulatory Guidance Training Additional Services such as Previous Employer Drug
and Alcohol Background Checks
![Page 7: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/7.jpg)
www.firstlab.com
Current Requirement for Previous Employer Drug and Alcohol Background Checks
Required at time of application or transfer to a CDL position
Applicant must sign release, identifying employers in past 2 years
Prospective employers must contact prior employers, provide signed release and request info on D & A violations
If previous employers report a DOT violation and applicant is hired, new employer must ensure SAP process is complete and FU testing is conducted
![Page 8: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/8.jpg)
Proposed Rule for National Clearinghouse for D & A Data
February 20, 2014, the FMCSA posted the proposed rules for the CDL Drug and Alcohol Clearinghouse (Clearinghouse).
![Page 9: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/9.jpg)
Proposed Rule for National Clearinghouse
Purpose is to diminish or eliminate the problem of:
1.A currently-employed CDL holder testing positive with a second employer or another potential employer while continuing to operate a CMV under his or her current employment without the current employer knowing and acting on the positive test.
2.A driver with previous positive tests seeking and obtaining work without prospective employers knowing and acting on that information.
![Page 10: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/10.jpg)
Proposed Rule for National Clearinghouse
New Orleans Bus Crash - 1999
22 passenger fatalities
Post Accident drug test showed use of marijuana and a sedating antihistamine
Failed pre-employment drug test when applying for previous positions (current employer not aware)
Driver failed to disclose on application a previous employer who fired him after a positive drug test
Serious medical conditions
![Page 11: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/11.jpg)
Proposed Rule for National Clearinghouse
![Page 12: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/12.jpg)
Proposed Rule for National Clearinghouse
![Page 13: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/13.jpg)
Proposed Rule for National Clearinghouse
NTSB recommended that FMCSA “develop a system that records all positive drug and alcohol results and refusal determinations and require prospective employers to query the system before making a hiring decision and certifying authorities to query the system before making a certification decision.”
![Page 14: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/14.jpg)
Proposed Rule for National Clearinghouse
NTSB recommended that FMCSA “develop a system that records all positive drug and alcohol results and refusal determinations and require prospective employers to query the system before making a hiring decision and certifying authorities to query the system before making a certification decision.”
![Page 15: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/15.jpg)
Proposed Rule for National Clearinghouse
US Government Accountability Office published Report
“Examples of Job Hopping by Commercial Drivers after Failed Drug Test”
http://www.gao.gov/assets/100/95567.pdf
![Page 16: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/16.jpg)
Proposed Rule for National Clearinghouse
Significant Changes for School Districts:
Must use CDL # and State of issuance as donor identification
Must now go back 3 years on check instead of 2 years
Must conduct annual queries on current employees in addition to queries on new hires
![Page 17: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/17.jpg)
Proposed Rule for National Clearinghouse
Additional Changes:
US DOT or EIN number must be referenced on CCFs and ATFs
Laboratories required to report annual aggregate statistical summary for all FMCSA covered employers to the FMCSA
![Page 18: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/18.jpg)
Proposed Rule for National Clearinghouse
Costs:
Pre-Employment: $5.00 (full query)
Annual: $2.50 (limited query)
Cost benefit analysis is in the NPRM
![Page 19: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/19.jpg)
Querying the National Clearinghouse
Full Query: Must be conducted for all new hires. Provides access to the reportable information in a driver’s
record and would require the employer to obtain written consent from the driver for access to Clearinghouse
information.
Limited Query: Grants access to information in the Clearinghouse but only indicates whether information exists in the database about a particular driver.
![Page 20: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/20.jpg)
Proposed Rule for National Clearinghouse
NPRM can be found at: http://www.fmcsa.dot.gov/regulations/rulemaking/2014-03213
NPRM comments due by April 21st
FirstLab submitted questions/comments April 8th
![Page 21: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/21.jpg)
www.firstlab.com
What Else is Ahead?
Electronic CCFs Oral Fluid Testing Synthetic Opioids Hair Testing National Registry of Certified Medical
Examiners
![Page 22: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/22.jpg)
www.firstlab.com
Electronic Chain of Custody Forms
July 15, 2013, SAMHSA requested public comment on its proposal that the OMB approve use of a new with a proposed implementation date of September 1, 2013.
OMB has not yet approved the use of an eCCF
The current 5-part paper CCF remains the only approved Federal CCF.
![Page 23: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/23.jpg)
www.firstlab.com
Electronic Chain of Custody Forms
When?Proposed rule in 2014?Implementation in 2015?
Improve Quality and EfficiencyImprove Turn-a-Round Time Currently used on wide spread
basis for Non-Federal programs
![Page 24: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/24.jpg)
Oral Fluid Testing
Many advantages
When? On SAMHSA’s Fast Track
Probably 2014 but might be 2015
![Page 25: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/25.jpg)
www.firstlab.com
Synthetic Opioids
AddingOxycodoneOxymorphoneHydrocodoneHydromorphone
When?Probably 2014 but might be 2015
![Page 26: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/26.jpg)
National Registry of Certified Medical Examiners (NRCME)
The National Registry of Certified Medical Examiners (NRCME) is scheduled to be fully implemented by May 21, 2014.
Only examiners that have met the FMCSA criteria for training and testing will be able to perform commercial driver medical certification examinations after that date.
Applies to Interstate
![Page 27: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/27.jpg)
National Registry of Certified Medical Examiners (NRCME)
Log into the FMCSA website to search for certified medical examiners or for more information
https://nationalregistry.fmcsa.dot.gov/NRPublicUI/home.seam
![Page 28: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/28.jpg)
Marijuana
Medical Marijuana legal in 20 States + DC
Recreational use is legal in 2 states, Washington and Colorado
For employees covered by Federal drug testing rules, marijuana is not permitted regardless of state laws
![Page 29: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/29.jpg)
Statistics-Florida DOE Contracted Business2013Drug Test Positive Rate = 0.5%
Marijuana
Cocaine
Opiates
Amphetamines
Alcohol Test Positive Rate = 0.1% (> or = 0.04)
![Page 30: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/30.jpg)
Quest Diagnostics Drug Testing Index
![Page 31: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/31.jpg)
Who to call?
Mary Ann Malarkey
Florida Team Supervisor
800-732-3784 extension 5515
![Page 32: Update on OTETA Drug and Alcohol Testing Programs Lynn Carr VP Operations April 10, 2014](https://reader036.fdocuments.net/reader036/viewer/2022070415/56814f39550346895dbcd996/html5/thumbnails/32.jpg)