1. OTETA UPDATE Regina Doural, C-SAPA
General Manager, Compliance Services
April 7, 2016

2. Agenda Electronic CCF Changes at FirstLab Drug Testing Trends
FMCSA Updates
Commercial Driver Medical Exam

3. Electronic Chain of Custody Forms
ODAPC approved the use of an eCCF for DOT drug testing programs on April 13, 2015.
Laboratory must have their eCCF approved by HHS prior to use
Alere Toxicology, Gretna LA

4. FirstLab Changes
Online Invoices
Limited Access Users
Dashboard

5. Drug Testing Trends
The 2014 positivity rate for the U.S. general workforce increased overall by 9.3%.
Illicit drug use may be increasing.
Marijuana positivity rate increased for the second consecutive year.
Positivity rate for 6-acetylmorphine or 6-AM doubled between 2011 and for the general U.S. workforce.

6. Emerging Drugs Synthetic Cannabinoids Synthetic Cathinones
K2/Spice
Mr. Smiley, Black Mamba, Aztec Fire, Eclipse
Users tend to be Males in 20’s, working or attending school
Synthetic Cathinones
Bath Salts, Ivory Wave, Cloud 9, White Lightning, Flakka, Gravel
Highest rate of recent increase seen in Florida
Easy Overdoses
Mexxy (Methoxetamine)
Special K
Opiods
Oxy, Percocet, Vicodin
Almost 100% of world hydrocodone is consumed in US
Decrease Opiod, increase Heroin
Krokodil (Desomorphine)
Marijuana Concentrates

7. 25% FMCSA Updates FMCSA lowered their random drug testing rates
Commercial Driver's License Drug and Alcohol Clearinghouse
Final Rule expected late summer or early fall 2016
Only applies to FMCSA covered employers
May still need to use current method on some.
The motor carrier must have been using hair testing for last 24 months
Some sources indicate the possibility of passing is less than 1%

8. Commercial Driver Medical Exam
April 2016 New Medical Examination Reports
Extensions on Short cards are no longer allowed
Determination pending replaces Temporary DQ
May 2015 NPRM
Comments on allowing Drivers treating Diabetes with insulin to operate in interstate commerce.
October 2015
Recommendations were made to revise medical questionnaire
No action yet
March 2016 NPRM
Seeking comments on issues regarding Sleep Apnea

9. Q & A Questions? Regina Doural, C-SAPA
General Manager, Compliance Services
Mary Ann Malarkey
WP Team Supervisor & FL Account Manager