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INTERNATIONAL ROADCHECK            driver that comes through or the single   monly use of a  Continuous Positive
              2016 FINDS VIOLATIONS NEAR         owner-operator that’s maybe trying   Airway Pressure (CPAP) machine, was
              BENTON                             to cut corners to make ends meet,” he   only 1.95 percent of the moderate/
                 More than one in five commer-   said. “That’s the exception rather than   severe OSA diagnosed respondents.
              cial trucks inspected by the Arkansas   the rule.”                       “ATRI’s research clearly shows
              Highway Police had violations severe   David O’Neal, director of safety   what my fellow drivers and I have been
              enough for authorities to pull them   services at the Arkansas Trucking   experiencing. The costs associated with
              off the road pending repairs during   Association, said that although one   sleep apnea screening and treatment are
              International Roadcheck 2016, 72   violation is too many, the top-line num-  not inconsequential for drivers, and the
              hours dedicated to roadside inspections   bers don’t account for the violations’   flexibility to utilize lower cost options
              for commercial vehicles, according to   severity.                     for both screening and treatment will
              the state Highway and Transportation   Over the past generation, the   be critical if FMCSA moves forward
              Department.                        trucking industry has undergone a “sea   with a formal rulemaking,” said Barbara
                 Police across the state randomly   change” in safety standards, he said.   Beal, an owner-operator and member of
              inspected 637 trucks between Tuesday   Between 2002 and 2012, the number   OOIDA.
              and Friday morning, and they took 149   of trucks involved in fatal accidents   Find the full findings and a copy of
              vehicles out of service. The most com-  dropped by 17 percent, according   the white paper at www.atri-online.org.
                                                 to the Federal Motor Carrier Safety
                                                 Administration.                    TELEMEDICINE APPROVED FOR
                                                                                    ARKANSAS
                                                 ATRI RELEASES SLEEP APNEA             Under proposed regulations
                                                 RESEARCH DATA                      approved by the Arkansas State Medical
                                                    The American Transportation     Board, doctors would be allowed to use
                                                 Research Institute released the results   video and audio technology to remotely
                                                 of its sleep apnea survey, which high-  treat patients they have never examined
                                                 lights a number of issues related to   in person.
                                                 truck driver screening and treatment of   The regulations would allow doc-
                                                 Obstructive Sleep Apnea (OSA). With   tors to establish “a proper physician/
                                                 data from over 800 commercial driv-  patient relationship” through an exami-
                                                 ers, ATRI’s report is the first to quantify   nation using “real time audio and visual
                                                 the costs and other impacts that truck   telemedicine technology” as long as
                                                 drivers are experiencing as they address   the technology “provides information
              mon reason police pulled trucks off the   diagnosis and potential treatment regi-  at least equal to such information as
              road was brake problems, department   men for OSA.                    would have been obtained by an in-
              spokesman Danny Straessle said.       The study found that among drivers   person examination.”
                 Officers also pulled 67 drivers out   who had been referred to a sleep study,   The changes came in response to
              of service, including one who was cited   53 percent paid some or all of the test   Act 887 of 2015, which allows doctors
              on suspicion of drinking and driving.   costs, with an average of $1,220 in out-  to treat only patients they have exam-
              Others were cited for not updating their   of-pocket expenses, representing just   ined at some point in person, have an
              logbooks or for driving too long.  over 1.5 weeks of median driver pay at   ongoing professional or personal rela-
                 The rate of vehicle violations is   $805 per week.                 tionship with or have been referred by
              similar to last year’s inspection results,   Even some drivers with health   another doctor or when they are filling
              when officers pulled 168 trucks out of   insurance (32%) incurred out-of-pocket   in for the patient’s regular doctor.
              service from the 619 they inspected. But   costs exceeding $1000, while 61 percent   The law also allows the State
              the number of drivers taken out of ser-  of drivers with no health insurance met   Medical Board to specify other ways the
              vice increased by more than 50 percent   more than $1000 in sleep study bills.   physician-patient relationship can be
              from the 43 drivers taken out of service   None of these costs include pay lost for   established.
              last year.                         time away from work. Forty-one percent   Representatives of 15 groups,
                 Straessle said most Arkansas car-  of participants spent 1–30 days away   including the Arkansas State Chamber
              riers have good safety records because   from work for sleep apnea screening.  of Commerce, the Arkansas Trucking
              problems can lead to fewer trucks on    The study also found the number   Association and America’s Car Mart,
              the road and cut into profits.     of drivers who report not adhering to a   wrote a letter to the board stating the
                 “But there’s always the out-of-state   prescribed OSA treatment, most com-
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        16                                                                           Issue 3 2016  |  ARKANSAS TRUCKING REPORT
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