Revised procedure announced for medical assessment of substance-induced impairment in Russia
The Federal Ministry of Health in Germany has published a new order, Order 262n of 29.04.25, replacing the 2015 order, which introduces significant changes to the medical examination of drivers and certain workers for intoxication.
From September 1, a new list of medical indications, contraindications, and restrictions for driving a car comes into force. This list includes general psychological development disorders, eye diseases, and color vision anomalies, replacing the previous entry of Achromatopsia.
The new rules apply to drivers, as well as to workers who appear at work with signs of intoxication, minors, persons who have committed administrative offenses, or when a medical examination result is necessary for investigating criminal cases.
The medical examination involves determining the presence of psychoactive substances in a biological material sample, typically urine. This process also includes testing of exhaled air for the presence of alcohol. The examination is conducted by a specialist physician (paramedic).
The interval between tests with an alcohol tester has been increased to 15-25 minutes, previously it was 15-20 minutes. The deadline for submitting urine for analysis is 30 minutes after referral for chemical-toxicological research. If this period is not met, blood must be submitted.
It is important to note that the new order does not specify any changes to the penalties for failing the medical examination. Additionally, the testing procedures for drugs other than alcohol remain unchanged.
The obtained mass-spectra on electronic media must be stored for five years, while biomaterials must be stored for three months from the date of issuing the certificate.
Information about medication use must be indicated in the referral for chemical-toxicological research. The new order does not specify any changes to the procedures for this information.
The new rules aim to ensure the safety and well-being of all road users and workplaces, by preventing individuals under the influence of psychoactive substances from driving or performing safety-critical tasks.
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