Advance Notice of Proposed Rulemaking Mark Patterson Federal Railroad Administration Office of Safety Medical Review Board August 22 2016 Obstructive Sleep Apnea Advance Notice of Proposed Rulemaking ID: 692958
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Obstructive Sleep ApneaOverview of Advance Notice of Proposed Rulemaking
Mark PattersonFederal Railroad AdministrationOffice of Safety
Medical Review BoardAugust 22, 2016Slide2
Obstructive Sleep ApneaAdvance Notice of Proposed Rulemaking
OST convened a DOT working group to develop a DOT OSA ANPRM that would collect information to inform a DOT or multi-modal rulemaking process to address OSA in safety-sensitive positions.
During the working group process, OST decided to make the ANPRM a joint FRA and FMCSA ANPRM, co-signed by the respective acting Administrators.
The joint ANPRM
included
background information on FAA’s guidelines on OSA and efforts
already taken by FRA and FMCSAOSA ANPRM published in the Federal Register March 8, 201690 Day comment period extended 30 days to July 8, 2016Three listening sessions: Washington, DC Chicago, IL Los Angeles, CASlide3
Obstructive Sleep ApneaAdvance Notice of Proposed Rulemaking
In the ANPRM FMCSA and FRA request
data and information:
concerning
the prevalence of moderate-to-severe obstructive sleep apnea (OSA) among individuals occupying safety sensitive positions in highway and rail
transportation
on its potential consequences for the safety of rail and highway transportation
on potential costs and benefits from regulatory actions that address the safety risks associated with motor carrier and rail transportation workers in safety sensitive positions who have OSASlide4
Obstructive Sleep ApneaAdvance Notice of Proposed Rulemaking
Requested comment on twenty questions divided into 5 categories:The Problem of OSA
Cost & BenefitsScreening Procedures & Diagnostics
Medical Personnel Qualifications & Restrictions
Treatment EffectivenessSlide5
Obstructive Sleep ApneaAdvance Notice of Proposed Rulemaking
Listening SessionsModerate attendance
More motor carrier stakeholders than railPassionate comments from some with personal experience
Academic studies discussed and referenced
Rail Labor
Independent OperatorsSlide6
Obstructive Sleep ApneaAdvance Notice of Proposed Rulemaking
Discussion