Procedures for Transportation Workplace Drug and Alcohol Testing Programs: 6-acetylmorphine (6-AM) Testing, 60318-60319 [2012-24337]

Download as PDF 60318 Federal Register / Vol. 77, No. 192 / Wednesday, October 3, 2012 / Rules and Regulations DEPARTMENT OF TRANSPORTATION Office of the Secretary 49 CFR Part 40 [Docket DOT–OST–2010–0026] RIN 2105–AE14 Procedures for Transportation Workplace Drug and Alcohol Testing Programs: 6-acetylmorphine (6-AM) Testing Office of the Secretary, U.S. Department of Transportation (DOT). ACTION: Final rule. AGENCY: This rule adopts as final, without change, a May 4, 2012, interim final rule (IFR) which no longer requires laboratories and Medical Review Officers (MRO) to consult with one another regarding the testing for the presence of morphine when the laboratory confirms the presence of 6acetylmorphine (6-AM). Also, laboratories and MROs will no longer need to report 6-AM results to the Office of Drug and Alcohol Policy and Compliance (ODAPC). This rule also responds to comments on the IFR. DATES: The rule is effective October 3, 2012. FOR FURTHER INFORMATION CONTACT: Bohdan Baczara, U.S. Department of Transportation, Office of Drug and Alcohol Policy and Compliance, 1200 New Jersey Avenue SE., Washington, DC 20590; 202–366–3784 (voice), 202– 366–3897 (fax), or bohdan.baczara@dot.gov (email). SUPPLEMENTARY INFORMATION: SUMMARY: Background and Purpose On August 16, 2010, [75 FR 49850] the Department published its final rule to harmonize with many aspects of the revised Department of Health and Human Services (HHS) Mandatory Guidelines [73 FR 71858]. One item with which the DOT harmonized was the laboratory testing for 6- acetylmorphine (6-AM) without a morphine marker. 6-AM is a unique metabolite produced when a person uses the illicit drug heroin. Prior to the October 1, 2010, rulemaking, both the HHS and Department of Transportation (DOT) regulations required the laboratory to first test for morphine, and if it detected morphine at the HHS/DOT cutoff of 2000ng/mL, the lab would then test for 6-AM. For the reasons discussed in the DOT final rule [75 FR 49850], we decided that, until more experience was gained with the new testing procedures for 6AM, we would place additional requirements on laboratories and MROs. Specifically, when there was a 6-AM positive result and morphine was not detected by a laboratory at the 2000ng/ mL cutoff, we added a requirement for the laboratory and MRO to determine whether morphine was detected at the laboratory’s level of detection (LOD). If morphine was not detected at the laboratory’s LOD, the laboratory and MRO were to report that result to DOT’s Office of Drug and Alcohol Policy and Compliance (ODAPC). After consulting with ODAPC, the MRO would make a verified result determination, keeping in mind that there is no legitimate explanation for 6-AM in the employee’s specimen [see § 40.151(g)]. The Department would track these results and discuss them with HHS. On May 4, 2012, the Department issued an IFR [77 FR 26471] and effective July 3, 2012, related to 6-AM testing. For reasons stated in that IFR, we removed the requirement for laboratories and MROs to consult with one another regarding the testing for the presence of 6-AM. The IFR also streamlined the laboratory analysis and MRO reporting of 6-AM results by not having either the laboratory or MRO report the 6-AM information to ODAPC. The IFR also sought comments to the IFR which were to be submitted by June 4, 2012. There were two such comments. Discussion of Comments to the Docket There were two comments to the docket representing three organizations. One comment was submitted by a large organization which represents physicians who are MROs. The other comment was submitted by a large medical review officer service and consortium which provide drug and alcohol testing services primarily to the pipeline industry. Each of the commentors fully supported the Department’s position on amending the requirements for testing and reporting 6-AM test results. Their support of the IFR further reinforces that there are no legitimate medical explanations for the confirmation of 6AM on a DOT drug test and that the MRO must make positive results determinations in these cases. One commenter asked whether we had noted a spike followed by a decline in the 6-AM results during the first year of testing, as they did. They wondered whether our commissioned study was designed to shed light on their observation. We would note that over time, the Department has indeed seen an increase of laboratory-reported 6-AM test results. However, we found that the largest semi-annual period rise of 6-AM results, by number and percentage increase, came even before the October 2010 effective date of the new rules. This larger rise was noted when we compared the July–December 2009 period with the January–June 2010 period. Also, it is important to note that the number of total drug tests reported by laboratories has risen during each 6month period, starting with the July– December 2009 period, and the number of 6-AM positive results has steadily risen each period since July–December 2008. The following table displays the laboratory data for 6-AM before, during transition, and after full implementation of the new testing protocols: Semi-Annual period 2008 July–Dec 2009 Jan–June 2009 July–Dec 2010 Jan–June 2010 * July–Dec 2011 Jan–June Total Laboratory Test Results. 6-AM Laboratory Positives .. 2.85 million ... 2.59 million ... 2.57 million ... 2.69 million ... 2.77 million ... 2.82 million ... 2.87 million 121 ............... 158 ............... 173 ............... 281 ............... 298 ............... 371 ............... 429 erowe on DSK2VPTVN1PROD with * The new requirement for 6-AM testing was in effect for the last 3 months of the period. VerDate Mar<15>2010 16:31 Oct 02, 2012 Jkt 229001 PO 00000 Frm 00034 Fmt 4700 Sfmt 4700 E:\FR\FM\03OCR1.SGM 03OCR1 2011 July–Dec Federal Register / Vol. 77, No. 192 / Wednesday, October 3, 2012 / Rules and Regulations Our commissioned study was not designed to evaluate the pattern of 6AM test results over time. Its scope was ‘‘* * * to verify the atypical results obtained by the laboratories, to determine if other drug or metabolites present in the specimens could explain the absence of morphine, and to determine if something other than heroin use could explain the presence of 6-AM.’’ [77 FR 26472] The study’s findings were presented and discussed in the IFR. [77 FR 26472] We would note that the rise in 6-AM positives was predicted, and a rise seems to have become the trend over time. For the reasons discussed above and outlined in the IFR, we are adopting the rule text in the IFR as final. Regulatory Analyses and Notices The statutory authority for this rule derives from the Omnibus Transportation Employee Testing Act of 1991 (49 U.S.C. 102, 301, 322, 5331, 20140, 31306, and 54101 et seq.) and the Department of Transportation Act (49 U.S.C. 322). Executive Order 12866 and Regulatory Flexibility Act This Final Rule is not significant for purposes of Executive Order 12866 or the DOT’s regulatory policies and procedures. It finalizes modifications, already in effect, to our procedures that do not increase costs on regulated parties. The rule will impose no new burdens on any parties, and will actually decrease the burden upon the laboratories and the MROs. I hereby certify, under the Regulatory Flexibility Act, that this rule does not have a significant economic impact on a substantial number of small entities. List of Subjects in 49 CFR Part 40 Administrative practice and procedures, Alcohol abuse, Alcohol testing, Drug abuse, Drug testing, Laboratories, Reporting and recordkeeping requirements, Safety, Transportation. erowe on DSK2VPTVN1PROD with Accordingly, the Interim Final Rule amending 49 CFR Part 40 which was published at 77 FR 26471 on May 4, 2012 is adopted as a final rule without change. [FR Doc. 2012–24337 Filed 10–2–12; 8:45 am] BILLING CODE 4910–9X–P VerDate Mar<15>2010 14:51 Oct 02, 2012 Jkt 229001 National Oceanic and Atmospheric Administration 50 CFR Part 229 RIN 0648–XC099 Harbor Porpoise Take Reduction Plan; Coastal Gulf of Maine Closure Area Established With a Temporary Shift of Its Effective Date National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Establishment of the Coastal Gulf of Maine Closure Area; temporary shift of its effective date. AGENCY: Through this notice, NOAA’s National Marine Fisheries Service (NMFS) announces the establishment of the Coastal Gulf of Maine Closure Area under the Harbor Porpoise Take Reduction Plan (Plan), and temporarily shifts the effective date of year 1 of its implementation from October 1, 2012, to February 1, 2013. Recent information suggests that harbor porpoise bycatch is higher in February and March than in October and November since the implementation of sectors in May 2010, warranting a temporary shift of the closure in year 1 to a time period that would provide greater conservation benefit to harbor porpoises and allow time for more complete consideration of updated information on harbor porpoise bycatch, harbor porpoise abundance, and fishing effort by the Harbor Porpoise Take Reduction Team (Team). As such, this area will be closed to gillnet fishing in February and March of 2013 rather than October and November of 2012. DATES: Year 1 effective February 1, 2013; Year 2 and beyond effective October 1, 2013. FOR FURTHER INFORMATION CONTACT: Kate Swails, NMFS, Northeast Region, 978– 282–8481, kate.swails@noaa.gov; or Kristy Long, NMFS, Office of Protected Resources, 301–427–8402, kristy.long@noaa.gov. SUMMARY: Authority Issued on September 20th, 2012, at Washington DC Ray LaHood, Secretary of Transportation. DEPARTMENT OF COMMERCE SUPPLEMENTARY INFORMATION: Background The Harbor Porpoise Take Reduction Plan (Plan) was implemented in late 1998 pursuant to section 118(f) of the Marine Mammal Protection Act (MMPA) to reduce the level of serious injury and mortality of the Gulf of Maine/Bay of Fundy (GOM/BOF) stock of harbor porpoises (63 FR 66464, December 2, 1998). NMFS amended the PO 00000 Frm 00035 Fmt 4700 Sfmt 4700 60319 Plan in 2010 (75 FR 7383, February 19, 2010) to address increased mortalities of harbor porpoises in New England and Mid-Atlantic commercial gillnet fisheries due to non-compliance with the Plan requirements and observed interactions occurring outside of existing management areas. The 2010 amendments, based largely on consensus recommendations from the Team, included the expansion of seasonal and temporal requirements within the Plan’s management areas, the incorporation of additional management areas, and the creation of three closure areas off the coast of New England that would prohibit the use of gillnet gear if certain levels of harbor porpoise bycatch are exceeded (consequence closure area strategy). For New England, the 2010 amendments to the Plan implemented a ‘‘consequence’’ closure strategy, which would close specific areas to gillnet gear during certain times of the year if observed average bycatch rates exceed specified target bycatch rates over the course of two consecutive management seasons. If observed bycatch rates exceeded the target rates, the following three areas would become closed: the Coastal Gulf of Maine, Eastern Cape Cod, and Cape Cod South Expansion Consequence Closure Areas. This measure was intended to provide an incentive for the gillnet industry to comply with pinger requirements in areas with historically high harbor porpoise bycatch levels resulting from relatively low levels of compliance. The consequence closures, if implemented, would further reduce harbor porpoise mortalities due to the times and areas chosen for their implementation. The Coastal Gulf of Maine Consequence Closure would be triggered if the observed average bycatch rates of harbor porpoises in the MidCoast, Stellwagen Bank, and Massachusetts Bay Management Areas (combined) exceed the target bycatch rate of 0.031 harbor porpoise takes/ metric tons of fish landed (takes/mtons) (1 harbor porpoise taken per 71,117 pounds of fish landed) after two consecutive management seasons. If triggered, the use of gillnet gear would be prohibited during the months of October and November, which historically have been the months with the highest amount of observed harbor porpoise bycatch. When this area is not closed, the seasonal requirements of the three overlapping management areas, including the March gillnet closure in the Massachusetts Bay Management Area, would remain in effect. The Cape Cod South Expansion and Eastern Cape Cod Consequence Closures E:\FR\FM\03OCR1.SGM 03OCR1

Agencies

[Federal Register Volume 77, Number 192 (Wednesday, October 3, 2012)]
[Rules and Regulations]
[Pages 60318-60319]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-24337]



[[Page 60318]]

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DEPARTMENT OF TRANSPORTATION

Office of the Secretary

49 CFR Part 40

[Docket DOT-OST-2010-0026]
RIN 2105-AE14


Procedures for Transportation Workplace Drug and Alcohol Testing 
Programs: 6-acetylmorphine (6-AM) Testing

AGENCY: Office of the Secretary, U.S. Department of Transportation 
(DOT).

ACTION: Final rule.

-----------------------------------------------------------------------

SUMMARY: This rule adopts as final, without change, a May 4, 2012, 
interim final rule (IFR) which no longer requires laboratories and 
Medical Review Officers (MRO) to consult with one another regarding the 
testing for the presence of morphine when the laboratory confirms the 
presence of 6-acetylmorphine (6-AM). Also, laboratories and MROs will 
no longer need to report 6-AM results to the Office of Drug and Alcohol 
Policy and Compliance (ODAPC). This rule also responds to comments on 
the IFR.

DATES: The rule is effective October 3, 2012.

FOR FURTHER INFORMATION CONTACT: Bohdan Baczara, U.S. Department of 
Transportation, Office of Drug and Alcohol Policy and Compliance, 1200 
New Jersey Avenue SE., Washington, DC 20590; 202-366-3784 (voice), 202-
366-3897 (fax), or bohdan.baczara@dot.gov (email).

SUPPLEMENTARY INFORMATION:

Background and Purpose

    On August 16, 2010, [75 FR 49850] the Department published its 
final rule to harmonize with many aspects of the revised Department of 
Health and Human Services (HHS) Mandatory Guidelines [73 FR 71858]. One 
item with which the DOT harmonized was the laboratory testing for 6-
acetylmorphine (6-AM) without a morphine marker. 6-AM is a unique 
metabolite produced when a person uses the illicit drug heroin. Prior 
to the October 1, 2010, rulemaking, both the HHS and Department of 
Transportation (DOT) regulations required the laboratory to first test 
for morphine, and if it detected morphine at the HHS/DOT cutoff of 
2000ng/mL, the lab would then test for 6-AM.
    For the reasons discussed in the DOT final rule [75 FR 49850], we 
decided that, until more experience was gained with the new testing 
procedures for 6-AM, we would place additional requirements on 
laboratories and MROs. Specifically, when there was a 6-AM positive 
result and morphine was not detected by a laboratory at the 2000ng/mL 
cutoff, we added a requirement for the laboratory and MRO to determine 
whether morphine was detected at the laboratory's level of detection 
(LOD). If morphine was not detected at the laboratory's LOD, the 
laboratory and MRO were to report that result to DOT's Office of Drug 
and Alcohol Policy and Compliance (ODAPC). After consulting with ODAPC, 
the MRO would make a verified result determination, keeping in mind 
that there is no legitimate explanation for 6-AM in the employee's 
specimen [see Sec.  40.151(g)]. The Department would track these 
results and discuss them with HHS.
    On May 4, 2012, the Department issued an IFR [77 FR 26471] and 
effective July 3, 2012, related to 6-AM testing. For reasons stated in 
that IFR, we removed the requirement for laboratories and MROs to 
consult with one another regarding the testing for the presence of 6-
AM. The IFR also streamlined the laboratory analysis and MRO reporting 
of 6-AM results by not having either the laboratory or MRO report the 
6-AM information to ODAPC. The IFR also sought comments to the IFR 
which were to be submitted by June 4, 2012. There were two such 
comments.

Discussion of Comments to the Docket

    There were two comments to the docket representing three 
organizations. One comment was submitted by a large organization which 
represents physicians who are MROs. The other comment was submitted by 
a large medical review officer service and consortium which provide 
drug and alcohol testing services primarily to the pipeline industry.
    Each of the commentors fully supported the Department's position on 
amending the requirements for testing and reporting 6-AM test results. 
Their support of the IFR further reinforces that there are no 
legitimate medical explanations for the confirmation of 6-AM on a DOT 
drug test and that the MRO must make positive results determinations in 
these cases.
    One commenter asked whether we had noted a spike followed by a 
decline in the 6-AM results during the first year of testing, as they 
did. They wondered whether our commissioned study was designed to shed 
light on their observation.
    We would note that over time, the Department has indeed seen an 
increase of laboratory-reported 6-AM test results. However, we found 
that the largest semi-annual period rise of 6-AM results, by number and 
percentage increase, came even before the October 2010 effective date 
of the new rules. This larger rise was noted when we compared the July-
December 2009 period with the January-June 2010 period. Also, it is 
important to note that the number of total drug tests reported by 
laboratories has risen during each 6-month period, starting with the 
July-December 2009 period, and the number of 6-AM positive results has 
steadily risen each period since July-December 2008.
    The following table displays the laboratory data for 6-AM before, 
during transition, and after full implementation of the new testing 
protocols:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                       2010 \*\  July-
      Semi-Annual period        2008  July-Dec    2009  Jan-June    2009  July-Dec    2010  Jan-June         Dec         2011  Jan-June   2011  July-Dec
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Laboratory Test Results  2.85 million....  2.59 million....  2.57 million....  2.69 million....  2.77 million...  2.82 million...  2.87 million
6-AM Laboratory Positives....  121.............  158.............  173.............  281.............  298............  371............  429
--------------------------------------------------------------------------------------------------------------------------------------------------------
\*\ The new requirement for 6-AM testing was in effect for the last 3 months of the period.


[[Page 60319]]

    Our commissioned study was not designed to evaluate the pattern of 
6-AM test results over time. Its scope was ``* * * to verify the 
atypical results obtained by the laboratories, to determine if other 
drug or metabolites present in the specimens could explain the absence 
of morphine, and to determine if something other than heroin use could 
explain the presence of 6-AM.'' [77 FR 26472] The study's findings were 
presented and discussed in the IFR. [77 FR 26472] We would note that 
the rise in 6-AM positives was predicted, and a rise seems to have 
become the trend over time.
    For the reasons discussed above and outlined in the IFR, we are 
adopting the rule text in the IFR as final.

Regulatory Analyses and Notices

Authority

    The statutory authority for this rule derives from the Omnibus 
Transportation Employee Testing Act of 1991 (49 U.S.C. 102, 301, 322, 
5331, 20140, 31306, and 54101 et seq.) and the Department of 
Transportation Act (49 U.S.C. 322).

Executive Order 12866 and Regulatory Flexibility Act

    This Final Rule is not significant for purposes of Executive Order 
12866 or the DOT's regulatory policies and procedures. It finalizes 
modifications, already in effect, to our procedures that do not 
increase costs on regulated parties. The rule will impose no new 
burdens on any parties, and will actually decrease the burden upon the 
laboratories and the MROs. I hereby certify, under the Regulatory 
Flexibility Act, that this rule does not have a significant economic 
impact on a substantial number of small entities.

List of Subjects in 49 CFR Part 40

    Administrative practice and procedures, Alcohol abuse, Alcohol 
testing, Drug abuse, Drug testing, Laboratories, Reporting and 
recordkeeping requirements, Safety, Transportation.

    Accordingly, the Interim Final Rule amending 49 CFR Part 40 which 
was published at 77 FR 26471 on May 4, 2012 is adopted as a final rule 
without change.

    Issued on September 20th, 2012, at Washington DC
Ray LaHood,
Secretary of Transportation.
[FR Doc. 2012-24337 Filed 10-2-12; 8:45 am]
BILLING CODE 4910-9X-P
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