ACCREDITED DRUG TESTING
Importance Notice!
Effective January 1, 2018, The Department of Transportation is amending its drug-testing program regulation to add hydrocodone, hydromorphone, oxymorphone, and oxycodone to its drug-testing panel; add methylenedioxyamphetamine as an initial test analyte; and remove methylenedioxyethylamphetamine as a confirmatory test analyte. The revision of the drug-testing panel harmonizes DOT regulations with the revised HHS Mandatory Guidelines established by the U.S. Department of Health and Human Services for Federal drug-testing programs for urine testing. This final rule clarifies certain existing drug-testing program provisions and definitions, makes technical amendments and removes the requirement for employers and Consortium/Third Party Administrators to submit blind specimens.
On November 10th 2017, The United States Department Of Transportation (DOT) announced they will be amending the mandatory 5-panel drug screen to include expanded opiates, and expanding on CFR 49 Part 40.
Effective January 1st, 2018, the mandatory urine drug screening for all safety sensitive positions guided under CFR 49 Part 40 will include hydrocodone, hydromorphone, oxymorphone, and oxycodone.
This new revision of HS Mandatory Guidelines with which the NPRM
proposed to harmonize Part 40, comes in two parts.
Part 1
Previous to this newly added regulation, the mandatory drug screening was a 5-panel urine which consisted of testing for the 5 most common street drugs.
A 5-Panel Urine Analysis consists of :
Amphetamines (Meth)
Cocaine
Marijuana
Opiates
Phencyclidine (PCP)
As of January 1st, 2018, under the new revisions of CFR 49 Part 40, a DOT drug screening will test for four semi-synthetic opioids (i.e., hydrocodone, oxycodone, hydromorphone, oxymorphone). Some common names for these semi-synthetic opioids include OxyContin®, Percodan®, Percocet®, Vicodin®, Lortab®, Norco®, Dilaudid®, Exalgo®.
A 5-panel expanded opiates urine analysis consists of:
Amphetamines (Meth)
Cocaine
Marijuana
Opiates
Hydrocodone
Hydromorphone
Oxymorphone
Oxycodone
Phencyclidine (PCP)
What has caused this new DOT Part 40 Amendment?
Since President Donald Trumps declaration of the Opioid Crisis, America has become much more aware of the rapidly progressing problem of drug addiction.
On October 26th, 2017, President Trump directed the Department of Health and Human Services to declare the opioid crisis a public health emergency, striving to take action on this salient soar effecting the lives of American citizens today.
Opioid Addiction Statistics
A governmental account of drug overdose statistics shows that from the year 2015 to 2016 the death toll due to drug overdose rose 22 percent.
This upwards trend of overdose has been on a steady incline since the year 2000 and was likely to continue until President Trump declared the opioid crisis.
Knowing the disease of addiction himself through the actions of his brother, President Trump can understand the difficulties those who suffer from addiction face, making it known and urging Americans to remember the phrase “prevention not punishment”.
Since the Opioid Crisis Americans have been made queenly aware of the consequences and statistics of drug abuse. How the opioid crisis has affected the American economy, the American workplace, and just America as a whole. Many now know that you don’t have to be an addict yourself to feel the effects of addiction.
Policy makers have quickly taken notice of these growing trends and decided to take swift action.
The DOT is one of the most prominent government sectors. The dot itself employs about 55,000 Americans, not including the employees in each DOT regulated agency.
Federal Motor Carriers Safety Administration (FMCSA) 
“As the lead federal government agency responsible for regulating and providing safety oversight of commercial motor vehicles (CMVs), FMCSA’s mission is to reduce crashes, injuries, and fatalities involving large trucks and buses.”
Pipeline and Hazardous Materials Safety Administration (PHMSA) 
“The Pipeline and Hazardous Materials Safety Administration (PHMSA) operates in a dynamic and challenging environment. The scope and complexity of our safety mission will continue to grow, requiring that we fundamentally rethink how we will use data, information, and technology to achieve our safety goals.”
Federal Aviation Administration (FAA)
“Our continuing mission is to provide the safest, most efficient aerospace system in the world.”
Federal Railroad Administration (FRA) 
“The Federal Railroad Administration’s mission is to enable the safe, reliable, and efficient movement of people and goods for a strong America, now and in the future.”
Federal Transit Administration (FTA)
“The Federal Transit Administration (FTA) provides financial and technical assistance to local public transit systems, including buses, subways, light rail, commuter rail, trolleys, and ferries. FTA also oversees safety measures and helps develop next-generation technology research.” “Improving Public Transportation for America’s Communities”.
UNITED STATES COAST GUARD (USCG)
The Coast Guard does not fall under the Department of Defense. Until recently, the Coast Guard was under the Department of Transportation.
Saftey Sensitive Positions
A safety-sensitive position refers to a job in which the employee is responsible for his or her own or other people’s safety. It also refers to jobs that would be particularly dangerous if performed under the influence of drugs or alcohol. For this reason, Safety-sensitive positions are often the focus of drug and alcohol testing.
Generally, DOT regulations cover safety-sensitive transportation employers and employees. Each DOT agency (e.g. FRA, FMCSA, FTA, FAA, and PHMSA) and the USCG have specific drug and alcohol testing regulations that outline who is subject to their testing regulations.
DOT Office of Drug and Alcohol Policy and Compliance
The Director of the DOT Office of Drug and Alcohol Policy and Compliance, Patrice Kelley, has been creating government substance abuse policies for many years. Under her jurisdiction, the new amendment to CFR 49 will help serve to uphold the ODAPC mission statement. 
“Ensure that the drug and alcohol testing policies and goals of the Secretary of Transportation are developed and carried out in a consistent, efficient, and effective manner within the transportation industries for the ultimate safety and protection of the traveling public. This is accomplished through program review, compliance evaluation, and the issuance of consistent guidance material for DOT Operating Administrations (OAs) and for their regulated industries.”
Part 2
HHS Mandatory Guidelines remove
methylenedioxyethylamphetamine (MDEA) as a confirmatory test analyte from the existing drug-testing panel and add methylenedioxyamphetamine (MDA) as an initial test analyte.
What does this mean?
An analyte is by definition a substance whose chemical constituents are being identified and measured. For example, morphine is the target analyte for codeine/morphine testing. The DOT will now focus on the MDA analyte for its testing analysis, rather than the previous MDEA. This could lead to a test confirming positive due to the difference in the initial test analyte.
| Initial test analyte | Initial test cutoff concentration | Confirmatory test analyte | Confirmatory test cutoff concentration |
|---|---|---|---|
| Marijuana metabolites | 50 ng/mL | THCA 1 | 15 ng/mL. |
| Cocaine metabolites | 150 ng/mL | Benzoylecgonine | 100 ng/mL. |
| Opiate metabolites | |||
| Codeine/Morphine 2 | 2000 ng/mL | Codeine | 2000 ng/mL. |
| Morphine | 2000 ng/mL. | ||
| 6-Acetylmorphine | 10 ng/mL | 6-Acetylmorphine | 10 ng/mL. |
| Phencyclidine | 25 ng/mL | Phencyclidine | 25 ng/mL. |
| Amphetamines 3 | |||
| AMP/MAMP 4 | 500 ng/mL | Amphetamine | 250 ng/mL. |
| Methamphetamine 5 | 250 ng/mL. | ||
| MDMA 6 | 500 ng/mL | MDMA | 250 ng/mL. |
| MDA 7 | 250 ng/mL. | ||
| MDEA 8 | 250 ng/mL |
Other recognizable CFR 49 Part 40 revisions
Creating a name change from the word opiates to opioids now expands the drug testing panel to 6 commonly abused illicit and licit drugs (Heroin); Codeine; Morphine, Hydrocodone; Hydromorphone; Oxymorphone; and Oxycodone.
- The DOT added a new section reiterating that, in the DOT testing program, only urine specimens can be collected and analyzed.
- The DOT added language further emphasizing the existing DOT prohibition on the use of DNA testing on DOT drug-testing specimens.
- The final rule made minor modifications to certain section headings.
- The final rule moved the list of Substance Abuse Professional certification organizations from the rule text to ODAPC’s website.
- The final rule moved the MIS instructions from Appendix H to ODAPC’s website.
- Outdated compliance dates were removed and links were updated.
- Appendices B, C, D, and H were updated.
The revision of the drug testing panel harmonizes DOT regulations with the revised HHS Mandatory Guidelines established by the U.S. Department of Health and Human Services for Federal drug-testing programs for urine testing.
For any questions regarding DOT Drug Testing, or DOT compliance please visit us at www.Accrediteddrugtesting.com or call (800)221-4291.
