FMSCA´s committee considers it possible and their formal recommendation to the agency was to require truckers with elevated Body Mass Index (BMI) to be screened for sleep apnea before being authorized to drive.
Based on the FMCSA committee’s recommendation, a trucker could be required to be examined if they, (besides of having BMI of 33 or higher) comply with three of following conditional criteria:
- Person over 42 years old
- High blood pressure or diabetic
- Male or postmenopausal female
- History of heart disease
- Males with neck sizes bigger than 17 inches or 15.5 inches for women
- Witnessed apneas
- Untreated hypothyroidism
- Loud snoring
- With retrognathia or micrognathia
- With small airways
If those recommendations become law, truckers who meet 3 of these conditions and with an addition of a BMI of 33 or higher will be required to have an apnea screening. They will receive a medical certification for 90 days, while they do the sleep study. If the study finds that they have obstructive sleep apnea, they will need to start a treatment for 90 days.
For now, those recommendations do not have legal grounds however the FMCSA will probably develop a sleep apnea screening based on these criteria.