DOT Issues Interim Final Rule On 6-acetylmorphine (6-AM)

DOT Issues Interim Final Rule On 6-acetylmorphine (6-AM)
Posted in the Friday, May 4, 2012 Federal Register, is a Department of Transportation Interim Final Rule:  Procedures for Transportation Workplace Drug and Alcohol Testing Programs 6-Acetylmorphine (6-AM) Testing The following is a summary of the Interim Final Rule (IFR): 1) The Department is amending certain provisions  of its drug testing procedures for 6-acetylmorphine (6-AM), a unique  metabolite for heroin. 2) The IFR is intended to streamline the  laboratory process for analyzing and reporting 6-AM positive test  results and is designed to facilitate Medical Review Officer (MRO)  verification of 6-AM positive results. 3) Effective July 3, 2012: a) For Laboratories: • Laboratories will not be required to consult  with MROs when 6-AM is confirmed and there is no morphine detected at  2000 ng/mL; • In such cases, laboratories will not be required to test for morphine at Limit of Detection (LOD); and • Laboratories will not be required to report these 6-AM results to ODAPC. b) For MROs: • MROs will no longer be required to consult with  laboratories when 6-AM is confirmed and there is no morphine detected at  2000 ng/mL; and • MROs will not be required to report these 6-AM results to and consult with ODAPC. 4) MROs will continue to adhere to 40.151(g) by  not accepting an employee’s assertion that there is a legitimate medical  explanation for the presence of 6-AM in a specimen. 5) Public comments regarding the IFR will be accepted until June 3, 2012.

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