News Stories

FMCSA Decides to delay creating rules regarding Obstructive Sleep Apnea for CMV Drivers

  • By Dr. Joel Blanchard, Medical Director Sanford Health OccMed
  • Sep 25, 2017

On August 8, 2017, the Federal Motor Carrier Safety Administration (FMCSA) announced that they would NOT create specific rules on how to handle Obstructive Sleep Apnea (OSA) in Commercial Motor Vehicle (CMV) drivers; though they had previously suggested they would. As OSA is a high risk situation for CMV drivers, the FMCSA recommends that medical examiners continue to use their own clinical judgement and the recommendations from the FMCSA Medical Review Board. 

The FMCSA Medical Review Board and the Motor Carrier Safety Advisory Committee agreed on the following recommendations:

  • A driver with a body mass index (BMI) of 40 or more is to have a sleep study
  • A driver with a BMI equal to or greater than 33 and less than 40 is to be assessed on 11 sleep apnea risk factors. If there are 3 or more of these factors are present a sleep study is to be ordered
    • The risk factors include; high blood pressure, Type 2 diabetes, stroke or heart disease, underactive thyroid disease, snoring, spells of breathing pauses while sleeping, small or recessed jaw, age 42 or older, neck size male greater than 17 inches and female greater than 15.5 inches, being a male or post-menopausal female, and a small airway as assessed by the medical provider.

Please be aware that our current process is what the FMCSA is recommending and there are no changes because of this event.

If you have any questions or concerns, please feel free to contact one of our medical providers, by calling our Sanford OccMed Clinics listed at

Sanford OccMed’s comprehensive program is tailored to your business’ needs and is backed by Sanford’s team of medical specialists.

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