844-I-CANT-PEE (422-6873) getinfo@paruresis.org

New DOT Drug Testing Rules – May 2023

[April 15, 2024: Nearly a year later and we are still waiting for the promiseD approval of labs for testing. We continue to work with our industry contacts to stay on top of this situation. Stay tuned for more. We hope soon!]

NEWS FLASH! May 2, 2023

The Department of Transportation has released new procedures that allow for oral fluid specimen drug testing. The IPA’s official comment can be found at the link below. In summary, the DOT has been very favorable and notes the IPA’s contribution specifically. Thank you for your participation! Like most things with the government, the proof will be in the implementation which will take some time as there does not appear to be an explicit right to oral fluid testing and there will be a delay as testing labs are certified to do oral fluid testing. Progress!

Click here for the IPA Press Release (May 11, 2023): feel free to share with your local media outlets.

The proposed rules for the US Department of Transportation (DOT) were open for public comment for the addition of Oral Fluid Specimen Testing for Drugs in March and April 2022. The International Paruresis Association thanks those who supported our effort to ensure the most favorable rules were adopted for people suffering from shy bladder syndrome by submitting their comments to the US Government.

While the federal Substance Abuse and Mental Health Services Administration had adopted rules for oral fluid collection for workplace drug and alcohol testing programs, individual agencies could – and can still – decide whether to provide an oral fluid option using those rules. The DOT is a bellwether for other government agencies. Many other departments follow the DOT’s lead in implementing their own rules. So, it is important they get the DOT process correct.

The comment period was the paruresis community’s ideal opportunity to ensure fair treatment of those suffering from this social anxiety. Our goal is for employees to have the right to choose oral fluid testing upfront or to improve options and processes for those who may still be required to undergo urine testing.

We’re convinced that the personal stories that were shared made a significant impact. Thank you for taking full advantage of this chance to share concerns about the unfair rules to make new rules available to all, starting with the Department of Transportation. If you need more information, use the Contact the IPA form and we’ll respond as soon as possible.

Again, thanks for your time and your effort.



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This website is NOT a substitute for medical or legal advice and does not constitute the practice of law, medicine, psychiatry, clinical psychology, clinical social work, or any other mental health profession. If you are having trouble urinating, you should always contact a physician since difficulty with voiding can be a symptom of a serious medical condition. We are a group of professional people and people who have suffered with paruresis. We have assembled a board and a board of advisors to help people cope with urinary dysfunction that has a psychological or social origin. On this website, we are NOT practicing medicine, psychiatry, clinical psychology, clinical social work or any other mental health profession. You should have your doctor evaluate your condition before diagnosing yourself, and seek the appropriate necessary mental health counseling if warranted. IPA, Inc. disclaims any and all legal liability whatsoever.