Rule2026-04337

Procedures for Transportation Workplace Drug and Alcohol Testing Programs: Substance Abuse Professional and the Return-to-Duty Process

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Published
March 4, 2026

Issuing agencies

Transportation Department

Abstract

The Substance Abuse Professional (SAP) is the `gatekeeper' for the Department of Transportation's return-to-duty process (RTD). As the `gatekeeper', the SAP has a crucial role to play in recommending the level of treatment an employee may need in their path to returning to performing a safety-sensitive function after violating the DOT's drug and alcohol testing regulations. Given this critical role, the Department is publishing this notification in response to several SAP/ RTD-related issues that the Department has recently become aware of, to remind DOT-qualified SAPs to follow all the RTD process procedures in the drug and alcohol testing regulation (49 CFR part 40) and to remind DOT-regulated employers of the SAP responsibilities and RTD process.

Full Text

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<title>Federal Register, Volume 91 Issue 42 (Wednesday, March 4, 2026)</title>
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[Federal Register Volume 91, Number 42 (Wednesday, March 4, 2026)]
[Rules and Regulations]
[Pages 10518-10520]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-04337]


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DEPARTMENT OF TRANSPORTATION

Office of the Secretary

49 CFR Part 40


Procedures for Transportation Workplace Drug and Alcohol Testing 
Programs: Substance Abuse Professional and the Return-to-Duty Process

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

ACTION: Notification: The Do's and Don'ts for the Substance Abuse 
Professional and the Return-to-Duty Process in the U.S. Department of 
Transportation Drug and Alcohol Testing Program.

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SUMMARY: The Substance Abuse Professional (SAP) is the `gatekeeper' for 
the Department of Transportation's return-to-duty process (RTD). As the 
`gatekeeper', the SAP has a crucial role to play in recommending the 
level of treatment an employee may need in their path to returning to 
performing a safety-sensitive function after violating the DOT's drug 
and alcohol testing regulations. Given this critical role, the 
Department is publishing this notification in response to several SAP/
RTD-related issues that the Department has recently become aware of, to 
remind DOT-qualified SAPs to follow all the RTD process procedures in 
the drug and alcohol testing regulation (49 CFR part 40) and to remind 
DOT-regulated employers of the SAP responsibilities and RTD process.

DATES: March 4, 2026.

FOR FURTHER INFORMATION CONTACT: Doug Simon, Director, Office of Drug 
and Alcohol Policy and Compliance 1200 New Jersey Ave. SE, Washington, 
DC 20590; telephone number 202-366-3784; <a href="/cdn-cgi/l/email-protection#1758535647546072757a767e7b5773786339707861"><span class="__cf_email__" data-cfemail="e7a8a3a6b7a49082858a868e8ba7838893c9808891">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION:

I. Purpose

    The Department's drug and alcohol testing program requires that 
employees who test positive, refuse a test, or violate other DOT Agency 
testing regulation provisions to immediately be removed from performing 
safety-sensitive functions [Sec.  40.23] and to successfully complete 
the RTD requirements, outlined in 49 CFR part 40 (Part 40), before the 
employee can again perform DOT-regulated safety-sensitive functions. 
SAPs play an important role as ``gatekeepers'' for DOT's RTD process. 
SAPs are responsible for several duties important to the evaluation, 
referral, and treatment

[[Page 10519]]

of employees in the RTD process. SAPs represent the major decision 
point (and in some cases, the only decision point) an employer may have 
in choosing whether or not to place an employee behind the steering 
wheel of a school bus, in the cockpit of a plane, at the helm of an oil 
tanker, at the throttle of a train, in the engineer compartment of a 
subway car, or at the emergency control valves of a natural gas 
pipeline. The SAP's responsibility to the public is enormous.
    On several occasions, the Department issued reminders to SAPs on 
their roles and responsibilities in the drug and alcohol testing 
program. For example, on October 4, 2022, the Office of Drug and 
Alcohol Policy and Compliance (ODAPC) sent a list serve notice titled 
``Reminder to Substance Abuse Professionals--Ensuring a Return-to-Duty 
Process Unique to Each Individual Employee.'' This list serve was in 
response to learning that some SAPs were telling employees how long 
their RTD process would take before conducting the required initial 
evaluation and SAP assessment of the employee. The list serve reminded 
the SAPs not to provide employees with estimated RTD timelines because 
each employee's situation was unique. It also reminded the SAPs of 
their Part 40 roles and responsibilities and that decisions they make 
and the actions they take regarding an employee who has violated the 
DOT drug or alcohol regulations have the potential to impact 
transportation safety.
    On June 1, 2023, ODAPC issued updated Substance Abuse Professional 
Guidelines. This document addresses and provides guidance concerning 
the RTD process and the SAP's responsibilities in that process. Among 
other updates, it reiterated that assessments, evaluations, 
recommendations for education or treatment, and follow-up testing, had 
to be unique to each employee.
    On August 2, 2023, ODAPC sent a list serve titled `Back to Basics' 
directed at SAPs to `Do it right the first time and every time'. The 
notice in part said, ``Your function is to protect the public interest 
in safety by professionally evaluating the employee and recommending 
appropriate education and/or treatment, follow-up tests, and aftercare. 
Your decisions and actions have the potential to impact transportation 
safety directly.'' The notice also highlighted several important points 
regarding SAP's role as the `gatekeeper' of the RTD process.
    `Back to Basics' was a series of short reminders for service agents 
(e.g., Substance Abuse Professionals, specimen collectors, Medical 
Review Officers, etc.). The series emphasized `Doing it right' because 
`doing it right' is important for protecting the safety of the 
traveling public, protecting the integrity of the testing process, and 
making sure that the process is fair to employees. `Back to Basics' 
pointed out the more common issues we heard about regarding the drug 
and alcohol testing process. It was not a checklist for service agents, 
but a reminder that their role is crucial to the drug and alcohol 
testing process. We wanted to remind service agents to ``Do it right 
the first time, and every time.''
    Recently, the Department has become aware of other issues related 
to the SAP's roles and responsibilities. For example, employers were 
having a hard time getting the follow-up testing plans from SAPs; SAPs 
were referring employees solely to online programs as opposed to in-
person programs as appropriate; SAPs were prescribing the minimum 
number of follow up tests in response to pressure from consortium/
third-party administrators (C/TPA) to only prescribe the minimum number 
of follow up tests or risk being removed from the C/TPA's list of 
recommended SAPs; SAPs were administering follow up tests; SAPs not 
holding an appropriate credential to act as a DOT-qualified SAP; SAPs 
were performing the RTD process in a very short timeframe to get the 
employee back to work quicker; SAPs were going outside their 
credential's geographical limit to perform remote evaluations; and SAPs 
were performing remote evaluations without real time two-way audio and 
visual communication with the employee.
    As previously stated, the SAP's responsibility to the public is 
enormous. When an employee tests positive for drugs, has an alcohol 
violation, or refuses to submit to testing, the employee has chosen to 
violate their responsibility to safety. Due to this threat to safety, 
they are immediately removed from performing safety-sensitive functions 
and cannot return to performing those functions until they have 
successfully completed the SAP/RTD process.
    SAPs clinically evaluate employees, make treatment recommendations 
based on those evaluations, let the employer know when the employee has 
`successfully' completed the RTD process, and provide a follow-up 
testing plan to the employer. The decisions SAPs make and the actions 
SAPs take regarding an employee who has violated the DOT drug or 
alcohol regulations have the potential to impact transportation safety. 
Based on this, employers decide whether to place the employee back in a 
safety-sensitive position. This is why the Department has emphasized 
the importance of the SAP/RTD process from the beginning and is now 
reminding SAPs to strictly adhere to Part 40. SAPs must not prioritize 
`volume' of evaluations over the `quality' of the evaluation. There is 
no room for error in this process by DOT-qualified SAPs, nor for non-
qualified SAPs to act as DOT-qualified SAPs.
    The following outlines the RTD process in DOT's drug and alcohol 
testing program, including the SAP's role; however, it is not a 
substitute for Part 40, and SAPs should refer to Part 40 and the SAP 
Guidelines as the authoritative documents. It addresses several 
questions participants have raised about the process and the SAP role 
and applies to participants in the programs of all DOT operating 
administrations involved: the Federal Aviation Administration (FAA), 
Federal Railroad Administration (FRA), Federal Motor Carrier Safety 
Administration (FMCSA), Federal Transit Administration (FTA), Pipeline 
and Hazardous Materials Safety Administration (PHMSA), and the United 
States Coast Guard (USCG).

General Role and Functions of a Substance Abuse Professional (SAP)

    The following can be found in Part 40, which we reference: <a href="https://www.transportation.gov/odapc/part40">https://www.transportation.gov/odapc/part40</a>.
    <bullet> As a SAP, your function is to protect the public interest 
in safety by evaluating the employee and recommending appropriate 
education or treatment, follow-up tests, and aftercare [Sec.  
40.291(b)].
    <bullet> You are not an advocate for the employer or employee 
[Sec.  40.291(b)].
    <bullet> To be a SAP, you need to have certain credentials, possess 
specific knowledge, receive training, and achieve a passing score on an 
examination. You must meet all the requirements before performing any 
SAP functions [Sec.  40.281(c)(3)]. You must also take 12 professional 
development hours (e.g., CEUs) every three years, relevant to your 
performing SAP duties [Sec.  40.281(d)].
    <bullet> SAPs should be current on the permissions and 
jurisdictional limitations of their qualifying credentials [Sec.  
40.281(f)].
    <bullet> If a State licensing authority or DOT-recognized 
credentialing organization decides that it is appropriate for one or 
more of their authorized practitioner categories that qualify a person 
to be a SAP to practice

[[Page 10520]]

across State lines, DOT will defer to that granting authority.
    <bullet> SAPs must evaluate each employee within the parameters of 
the SAP's State-issued license or other credential [Sec.  40.291(a)].
    <bullet> All assessments and evaluations must be done face-to-face 
(whether in-person or remote) [Sec.  40.291(a)(1)].
    <bullet> The evaluation should be comprised of a review of the 
employee's psychosocial history, an in-depth review of the employee's 
drug and alcohol use history (with information regarding onset, 
duration, frequency, and amount of use; substance(s) of use and choice; 
emotional and physical characteristics of use; and associated health, 
work, family, personal, and interpersonal problems), and an evaluation 
of the employee's current mental status [Sec.  40.281(f)].
    <bullet> The evaluation should provide a diagnosis, treatment 
recommendations, and a treatment plan that the employee must complete 
before becoming eligible for the required follow-up evaluation and 
subsequent return (if the employer desires) to safety-sensitive 
functions.
    <bullet> You must conduct a comprehensive assessment and clinical 
evaluation unique to each employee [Sec.  40.293(e)].
    <bullet> It is never appropriate to provide employees with an 
estimated RTD timeline before conducting an initial SAP evaluation and 
assessment.
    <bullet> You must recommend a course of education or treatment 
unique to each employee.
    <bullet> It is never appropriate to assign the same education or 
treatment to every employee.
    <bullet> As a SAP, when determining what your recommendations will 
be, you must not take into consideration any of the following [Sec.  
40.293(g)]:
    [cir] Claims that the testing process was unjust or inaccurate;
    [cir] Employee attempts to mitigate the seriousness of the 
violation (e.g., hemp oil, ``medical marijuana'' use, ``contact 
positives'', poppy seed ingestion, job stress);
    [cir] Personal opinions about the justification or rationale for 
the drug and alcohol testing.
    <bullet> SAPs should not provide employees with an estimated RTD 
timeline because each employee's situation is different. SAPs should 
not `fast-track' the RTD process with a promise to get the employee 
back to performing safety-sensitive functions as soon as possible. 
Again, each employee's situation is unique, and the RTD process will 
progress accordingly.
    <bullet> You must NEVER give the employee a copy of their follow-up 
testing plan. You should also instruct the employer not to share the 
follow-up testing plan with the employee.
    <bullet> SAPs may direct an employee to be tested for both alcohol 
and drugs for the RTD test and for the follow-up testing plan.
    <bullet> FAA ONLY--SAPs must understand the FAA's requirements for 
RTD testing. The type of RTD test (drug or alcohol) must be in 
accordance with 14 CFR 120.109(e) and/or 120.217(e).
    <bullet> FAA ONLY--When working with individuals who hold or are 
required to hold an airman medical certificate issued under 14 CFR part 
67 to perform a safety-sensitive function for an employer, the SAP must 
follow 14 CFR 120.113(d)(2) or 120.221(c)(4) to ensure the individual 
has an airman medical certificate dated after their drug or alcohol 
violation before recommending to the employer that the individual may 
be returned to a safety-sensitive position.
    <bullet> FMCSA ONLY--SAPs are required to report specific 
information to FMCSA's Clearinghouse. This reporting must comply with 
the requirements outlined in 49 CFR 382.705(d).
    <bullet> FRA ONLY--SAPs performing the role of the `Drug and 
Alcohol Counselor (DAC)' as outlined in FRA's crewmember certification 
rules (see Sec. Sec.  240.115 and 240.111) for non-DOT testing 
violations, DUIs, and voluntary self-referrals must not apply Part 40 
requirements. Any follow-up testing resulting from a DAC evaluation 
must be non-DOT. SAPs and employers must verify and re-verify together, 
the authority under which the violations or referrals occur. Using DOT 
authority for directly observed RTD and follow-up testing without a 
Part 40 violation is a serious breach of an employee's Constitutional 
right to reasonable search and seizure.

Confidentiality and Recordkeeping

    <bullet> Part 40 authorizes SAPs to provide written reports 
(including the follow-up testing plan) directly to the employer or the 
gaining employer when requested. Ensure the SAP report includes all 
required elements [Sec.  40.311].
    <bullet> When requested by the employee, you must provide the SAP 
reports, from which you must redact the follow-up testing requirements 
[Sec.  40.329(c)].
    <bullet> You may communicate with the MRO or the education or 
treatment program personnel [Sec.  40.293(h) & Sec.  40.301(b)(1)].
    <bullet> Maintain copies of the employee's reports for five years 
(from the date of the 2nd report) [Sec.  40.311(g)]. All records should 
be maintained in limited-access areas that permit no unauthorized 
entry.
    <bullet> Nothing in Part 40 limits the number of times a SAP can 
provide the follow-up testing plan to a potential or gaining employer.

Enforcement

    <bullet> Examples of the kinds of serious noncompliance that the 
Department views as appropriate grounds for starting a Public Interest 
Exclusion (PIE) proceeding (not an exclusive list) [Sec.  40.365]:
    [cir] Providing SAP services while not meeting the SAP 
qualifications required in Sec.  40.281 or performing evaluations 
without interviews meeting the requirements of Sec.  40.291(a)(1);
    [cir] Any service agent falsely representing that the service 
agent, or its activities, are approved or certified by the Department 
or a DOT agency (such presentation includes, but is not limited to, the 
use of a Department or DOT agency logo, title, or emblem);
    [cir] Any service agent maintaining a relationship with another 
party that constitutes a conflict of interest under Part 40.

    Issued in Washington, DC.
Douglas Simon,
Director, Office of Drug and Alcohol Policy Compliance.
[FR Doc. 2026-04337 Filed 3-3-26; 8:45 am]
BILLING CODE 4910-9X-P


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Indexed from Federal Register on March 4, 2026.

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