1. Drug Testing Procedures in Motorsports: IndyCar

2. History
Rules dating back to inception of the League 1996 under USAC Sanctioning: The use of illegal substances or the use of alcoholic beverages during an Event by a Member is strictly prohibited.
2005: IRL reserves the right to conduct random, undeclared testing for drugs and other substances at its discretion, and the Member agrees to submit to such testing if requested.
Based upon Recommendations of Dr. Henry Bock, MD, FACEP: The IRL would conduct drug testing for reasonable suspicion, (targeted testing) but would not have random screening of drivers nor a pre-licensing screening of competitors or officials.

3. 2006: IRL Medical agreed to begin random testing of drivers
2006: IRL Medical agreed to begin random testing of drivers. Drivers to be tested were selected by the League and testing was performed by IRL Medical using commercial point of care testing kits and conducted by the IRL Nurses.

4. History
2007 Changed to saliva specimens and added pre- licensing testing of all drivers.

5. History
2008 Formal Policy

6. History 2008: Formal Policy Procedure if testing is positive
Defined prohibited acts and substances(drugs of abuse)
Testing (Targeted, Annual, Random)
Procedure if testing is positive
Signed Authorization and Receipt
Limited Agreement with Professional Drug Testing Organization

7. History
2009 Entered into a comprehensive agreement with a ProfessionalDrug Testing Organization.

8. History
2009 Entered into a comprehensive agreement with a Professional Drug Testing Organization.
All random and scheduled testing to be conducted through this organization
IndyCar nurses would still collect unscheduled specimens for licensing and send them by FedEX to the Professional Testing Organization
Program expanded to include all Hard Card Holders.
IRL Medical remained the MRO

9. Examples of Professional Drug Testing Organizations SAMHSA Certified
Aegis Labs
American Drug Testing Consortium
Drug Free Sports
Lab Corp
National Drug Testing, Inc.
Quest Diagnostics
SPORT SAFE Testing Service, Inc

10. History 2010 Switched back to urine testing
Professional Testing Organization would collect and test all specimens.
Banned substances included all schedule 1 drugs Schedule 2 Stimulants, Narcotics and Opioid Analgesics, Benzodiazepines, and Barbiturates
MRO responsibilities assumed by Professional Testing Organization.

11. History
2011 and 2012: IndyCar Medical remained involved in program oversight and lobbied to keep list of prohibited substances to the drugs of abuse panel which included all Schedule 1 drugs in addition to Stimulants, Narcotics and Opioid Analgesic, Benzodiazepines, and Barbiturates.
2012 IndyCar Medical argued that this program was not really a medical program, but rather an administrative program, designed to protect the integrity of the league as a drug free organization. Impairment is not determined by results of testing received 1-2 days after the event.

12. History
2013: Program direction and oversight made up of panel that includes IndyCar Officials and members of of the Professional Drug Testing Organization . Sales tactics include activities that have long been banned for the pharmaceutical companies such as Company Sponsored Dinners at a Steak House with fine wine and cocktails.

13. Program Administrator (PA)
2014 IndyCar Substance Abuse Policy Key Players
Program Administrator (PA)
Medical Review Officer (MRO)
Dr Why, MD
Sports Medicine
Professional Drug Testing Organization
Reviews Approves Rx
Review testing results for legitimate medical use
Direct follow-up exams
Reports to PA
IndyCar
Vince Kremer
Vice President Operations, IndyCar
Oversees Policy
Notifies Members for Random Testing
Any Substance Abuse Policy Related Questions
Dr. Who, PhD
Professional Drug Testing Organization
Members to be tested
Specimen/Substances
Determines +/-
Notifies IndyCar if +
Facilitates Evaluation

15. : List of Prohibited Substances in addition to the drugs of abuse expanded to include:
Ephedrine Class drugs including pseudoephedrine,
All beta blockers,
Sleep aids such as Ambien,
Muscle relaxants, e.g., SOMA
Synthetic cannabinoids and cathinones e.g Spice, K-2, K-4, bath salts, etc.
Performance Enhancing Drugs (PEDs) i.e. , Anabolic Androgenic Steroids.

16. Individuals Required to have screening prior to participation
IndyCar Officials: Medical, Technical Inspection/Pit Techs, Track Safety, Pace Car, Race Control, Fuel Service, Spotters
Competitors

18. COMPETITOR DOES NOT INCLUDE:
o Team Owners
o Guests
o Sponsors
o Sales, Marketing, Public Relations and Media Representatives
o Manufacturers and Suppliers (Engine, tire, chassis, etc.)
o Promoters

19. 2015 Tenative:
Testing to be expanded to include in addition to 2014 List:
Add More Performance Enhancing Drugs (PED) to include Growth Factors and Hormones
Add other non-PEDs to prohibited substance list
Publish all Policy Rule violations by competitors
Review Policy and make changes to keep Policy State of the Art

20. Program Evaluation
COST:
Testing: as panel of prohibited substances increases, per test cost increases, dramatically as you add PEDs
Program administration
Number of competitor violations to date
Number of violations to date:
father of one ladder series driver
one employee IndyCar marketing

21. Regulations, Guidelines, and Certifying
DOT rule 49 CFR Part 40
World Anti-Doping Agency WADA
Substance Abuse and Mental Health Services (SAMHSA)

22. Questions