Obstructive Sleep Apnea Overview of Advance Notice of

Obstructive Sleep Apnea Overview of Advance Notice of Proposed Rulemaking Medical Review Board August 22, 2016 Mark Patterson Federal Railroad Administration Office of Safety

Obstructive Sleep Apnea Advance Notice of Proposed Rulemaking Ø 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. Ø During the working group process, OST decided to make the ANPRM a joint FRA and FMCSA ANPRM, co-signed by the respective acting Administrators. Ø The joint ANPRM included background information on FAA’s guidelines on OSA and efforts already taken by FRA and FMCSA Ø OSA ANPRM published in the Federal Register March 8, 2016 Ø 90 Day comment period extended 30 days to July 8, 2016 Ø Three listening sessions: Washington, DC Chicago, IL Los Angeles, CA

Obstructive Sleep Apnea Advance Notice of Proposed Rulemaking Ø 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 OSA

Obstructive Sleep Apnea Advance Notice of Proposed Rulemaking Requested comment on twenty questions divided into 5 categories: Ø The Problem of OSA Ø Cost & Benefits Ø Screening Procedures & Diagnostics Ø Medical Personnel Qualifications & Restrictions Ø Treatment Effectiveness

Obstructive Sleep Apnea Advance Notice of Proposed Rulemaking Listening Sessions Ø Moderate attendance Ø More motor carrier stakeholders than rail Ø Passionate comments from some with personal experience Ø Academic studies discussed and referenced Ø Rail Labor Ø Independent Operators

Obstructive Sleep Apnea Advance Notice of Proposed Rulemaking Discussion