Louisiana Administrative Code
Title 43 - NATURAL RESOURCES
Part XIII - Office of Conservation-Pipeline Safety
Subpart 4 - Drug and Alcohol Testing
Chapter 63 - Drug Testing [49 CFR Part 192 Subpart B]
Section XIII-6309 - Review of Drug Testing Results [49 CFR 199 .109]

A. MRO Appointment. Each operator shall designate or appoint a medical review officer (MRO). If an operator does not have a qualified individual on staff to serve as MRO, the operator may contract for the provision of MRO services as part of its anti-drug program. [ 49 CFR 199.109(a)]

B. MRO Qualifications. Each MRO must be a licensed physician who has the qualifications required by DOT procedures. [ 49 CFR 199.109(b)]

C. MRO Duties. The MRO must perform functions for the operator as required by DOT procedures. [ 49 CFR 199.109(c)]

D. MRO Reports. The MRO must report all drug test results to the operator in accordance with DOT procedure. [ 49 CFR 199.109(d)]

E. Evaluation and rehabilitation may be provided by the operator, by a substance abuse professional under contract with the operator, or by a substance abuse professional not affiliated with the operator. The choice of substance abuse professional and assignment or costs shall be made in accordance with the operator/employee agreements and operator/employee policies. [ 49 CFR 199.109(e)]

F. The operator shall ensure that a substance abuse professional, who determines that a covered employee requires assistance in resolving problems with drug abuse, does not refer the covered employee to the substance abuse professional's private practice or to a person or organization from which the substance abuse professional receives remuneration or in which the substance abuse professional has a financial interest. This Subsection does not prohibit a substance abuse professional from referring a covered employee for assistance provided through: [ 49 CFR 199 .109(f)]