A newly endorsed use of oral fluid testing will allow federal agencies, contractors and industries regulated by the Department of Transportation (DOT) an easier, less costly sample collection and better detection of recent drug use than urine testing. Effective Jan. 1, 2020, the Substance Abuse and Mental Health Services Administration (SAMHSA) guidelines “establish standards and technical requirements for oral fluid collection devices, including initial and confirmatory oral fluid drug test cutoff concentrations and methods, and processes for review by a medical review officer,” according to Kathryn Russo, an attorney at Jackson Lewis and practice leader of the firm’s Drug Testing and Substance Abuse Management Practice Group.
