The short version
- Oral fluid is authorized in the DOT framework, but no HHS-certified oral fluid laboratory exists as of June 2026, so no DOT oral fluid test can be performed
- Return-to-duty, follow-up, and other observed collections remain directly observed urine collections under the June 10, 2026 rule
- Oral fluid is available for non-DOT programs under company policy
- PSI advises on where oral fluid fits in your program
