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Medical board’s rec’s to FMCSA on sleep apnea could preview rule

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Updated Aug 25, 2016

sleep apneaThe Medical Review Board of the Federal Motor Carrier Safety Administration outlined this week its official recommendations to the agency on screening and disqualification criteria for truck drivers who are suspected of having moderate to severe obstructive sleep apnea.

The board’s preliminary recommendations, which have not yet been approved by the board, encourage FMCSA to require a trucker to be screened for sleep apnea if he or she:

(1) has a body mass index greater than 40, or

(2) has a body mass index greater than 33 and meets three of the following: is older than 42, is male, is a postmenopausal female, has diabetes, has high blood pressure, has a neck size greater than 17 inches (males) or 15.5 inches (females), has a history of heart disease, snores loudly, has witnessed apneas, has a small airway, has untreated hypothyroidism or has micrognathia or retrognathia.

So male truck operators older than 42 and who have a BMI of 33 would only need to meet one of the other criterion to automatically qualify for screening.

The board also would recommend that FMCSA allow truckers with a sleep apnea diagnosis to continue to operate if they’re being “treated effectively,” which is defined as “the resolution of moderate to severe OSA to mild or better, as determined by a certified sleep specialist,” according to the board’s preliminary discussion report.

These recommendations — and the others discussed by the board this week — are not yet final, however, as the board did not vote to approve them. Another meeting will be needed to finalize and approve the recommendations. No meeting date is set yet.