2026-11093: Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
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OSHA is providing an additional comment period to allow interested persons to comment on OSHA's proposal to remove some medical evaluation requirements from the Respiratory Protection Rule, 29 CFR 1910.134, for certain types of respirators. This proposed change would only impact filtering facepiece respirators and loose-fitting powered air-purifying respirators. Following consideration of the rulemaking by OSHA's Advisory Committee on Construction Safety and Health (ACCSH), OSHA is re-opening the record for this rulemaking to provide an additional 30 days for public comment.
The agency’s own summary, as published.
The rule, in full
1,077 words as published, June 03, 2026. View the original →
Federal Register, Volume 91 Issue 106 (Wednesday, June 3, 2026) [Federal Register Volume 91, Number 106 (Wednesday, June 3, 2026)] [Proposed Rules] [Pages 33130-33131] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2026-11093] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF LABOR Occupational Safety and Health Administration 29 CFR Part 1910 [Docket No. OSHA-2025-0006] RIN 1218-AD48 Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
Agency
Occupational Safety and Health Administration (OSHA), Labor.
Action
Proposed rule; notice of reopening of the rulemaking record. -----------------------------------------------------------------------
Summary
OSHA is providing an additional comment period to allow interested persons to comment on OSHA's proposal to remove some medical evaluation requirements from the Respiratory Protection Rule, 29 CFR 1910.134, for certain types of respirators. This proposed change would only impact filtering facepiece respirators and loose-fitting powered air-purifying respirators. Following consideration of the rulemaking by OSHA's Advisory Committee on Construction Safety and Health (ACCSH), OSHA is re-opening the record for this rulemaking to provide an additional 30 days for public comment.
Dates
The comment period for the proposed rule published July 1, 2025 at 90 FR 28463 is reopened. Written comments must be submitted on or before July 6, 2026.
Addresses
Written comments: You may submit comments and attachments, identified by Docket No. OSHA-2025-0006, electronically at www.regulations.gov, which is the Federal e-Rulemaking Portal. Follow the instructions online for making electronic submissions. Instructions: All submissions must include the agency's name and the docket number for this rulemaking (Docket No. OSHA-2025-0006). When uploading multiple attachments to www.regulations.gov, please number all of your attachments because www.regulations.gov will not automatically number the attachments. This will be very useful in identifying all attachments. For example, Attachment 1_title of your document, Attachment 2_title of your document, Attachment 3_title of your document. For assistance with commenting and uploading documents, please see the Frequently Asked Questions on www.regulations.gov. All comments, including any personal information you provide, are placed in the public docket without change and may be made available online at www.regulations.gov. Therefore, OSHA cautions commenters about submitting information they do not want made available to the public, or submitting materials that contain personal information (either about themselves or others), such as Social Security Numbers and birthdates. Docket: The docket for this rulemaking (Docket No. OSHA-2025-0006) is available at www.regulations.gov, the Federal eRulemaking Portal. Additional materials and information related to OSHA's consultation with the Advisory Committee on Construction Safety and Health (ACCSH) will be available at https://www.osha.gov/advisorycommittee/accsh/minutes. All comments and submissions are listed in the www.regulations.gov index; however, some information (e.g., copyrighted material) may not be publicly available to read or download through that website. All documents submitted to www.regulations.gov, including copyrighted material, are available for inspection through the OSHA Docket Office. Contact the OSHA Docket Office at (202) 693-2350 (TTY number: (877) 889-5627) for assistance in locating docket submissions. Copies of this Federal Register Notice: Electronic copies of this Federal Register document are available at http://www.regulations.gov. This Federal Register notice, as well as news releases and other relevant information, is available at OSHA's web page at http://www.osha.gov.
For Further Information Contact
For press inquiries: Contact Frank Meilinger, Director, OSHA Office of Communications, U.S. Department of Labor; telephone: (202) 693-1999; email: [email protected]. For general information and technical inquiries: Contact Andrew Levinson, Director, Directorate of Standards and Guidance, Occupational Safety and Health Administration, U.S. Department of Labor; telephone: (202) 693-1950; email: [email protected].
Supplementary Information
On July 1, 2025, OSHA published a proposal to update the Respiratory Protection Standard, 29 CFR 1910.134, by amending the medical evaluation requirements specified in the medical evaluation paragraph (e) where an employee is required to wear either a filtering facepiece respirator (FFR) or loose-fitting powered air- purifying respirator (PAPR). The proposal and a full explanation of the proposed change are provided in the Notice of Proposed Rulemaking, 90 FR 28463. Using a respirator may place a physiological burden on employees that varies with the job and workplace conditions in which the respirator is used and the medical status of the employee. OSHA has preliminarily determined this burden differs based on the type of respirator worn and therefore proposes an amendment to the medical evaluation requirements of the standard for FFRs and loose-fitting PAPRs (90 FR 28463). The comment period was scheduled to end on September 2, 2025, but was subsequently extended an additional 60 days to November 1, 2025, in response to requests from the public (90 FR 40541, 08/20/2025). At the time of publication of the proposal, OSHA was in the process of appointing members to the Advisory Committee on Construction Safety and Health (ACCSH). OSHA stated in the proposal that it would present this proposed rule to ACCSH once that process was complete and would place the Committee's recommendations on the OSHA website and in the docket for this proposed rule to allow the public to provide comments on those recommendations. On March 31, 2026, OSHA consulted with ACCSH on this proposed rule. On March 31 and April 1, 2026 the Committee members discussed differing views of the proposal, and on April 1 the Committee approved the following recommendation by a vote of five to four: ``ACCSH recommends that OSHA not proceed with the proposal to remove the medical evaluation requirements and continue to look for best practices and provide those to employers.'' OSHA [[Page 33131]] is now reopening the rulemaking record to allow for public comment for an additional 30 days. To read or download the ACCSH recommendations, comments, and other materials submitted in the docket, go to Docket No. OSHA-2025-0006 at www.regulations.gov. Additional materials and information related to OSHA's consultation with ACCSH will be available at https://www.osha.gov/advisorycommittee/accsh/minutes. Authority and Signature This document was prepared under the direction of David Keeling, Assistant Secretary of Labor for Occupational Safety and Health. It is issued under the authority of sections 4 and 6 of the Occupational Safety and Health Act of 1970 (29 U.S.C. 653 and 655), section 41 of the Longshore and Harbor Worker's Compensation Act (section 107 of the Contract Work Hours and Safety Standards Act (the Construction Safety Act); section 41 of the Longshore and Harbor Worker's Compensation Act (40 U.S.C. 3704); section 41 of the Longshore and Harbor Worker's Compensation Act (3 U.S.C. 941), 29 CFR part 1911, and Secretary of Labor's Order No. 07-2025 (90 FR 27878). Dated: May 21, 2026. David Keeling, Assistant Secretary of Labor for Occupational Safety and Health [FR Doc. 2026-11093 Filed 6-2-26; 8:45 am] BILLING CODE 4510-26-P
What this changes
Amends 1 part of the Code of Federal Regulations — the standing rules this notice rewrites.
Rulemaking docket
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Other June 06, 2025Memorandum Announcing OSHA's Proposed Changes to the Medical Evaluation Requirements in the Respiratory Protection Rule (29 CFR 1910.134)
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Supporting & Related Material June 09, 2025McLellan, Robert K. "Medical qualification for respirator use: An essential component of respiratory protection." American Journal of Industrial Medicine 63.10 (2020): 949-950. DOI: 10.1002/ajim.23162
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Supporting & Related Material June 09, 2025Brosseau, Lisa M., et al. "Evaluation of Minnesota and Illinois hospital respiratory protection programs and health care worker respirator use." Journal of occupational and environmental hygiene 12.1 (2015): 1-15. DOI: ...
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Supporting & Related Material June 09, 2025Brent C. Doney, Dennis W. Groce, Donald L. Campbell, Mark F. Greskevitch, William A. Hoffman, Paul J. Middendorf, Girija Syamlal & Ki Moon Bang (2005) A Survey of Private Sector Respirator Use in the United States: An Ov...
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Supporting & Related Material June 09, 2025Gibbs, Jenna L., et al. "Self‐reported respiratory health symptoms and respiratory protection behaviors of young adult hog producers in the United States." American journal of industrial medicine 66.9 (2023): 794-804. do...
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Supporting & Related Material June 09, 2025Pappas, George P., et al. "Respiratory protective devices: rates of medical clearance and causes for work restrictions." American journal of industrial medicine 35.4 (1999): 390-394.
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Supporting & Related Material June 09, 2025Harber, Philip, and William S. Beckett. "Health effects of filtering facepiece respirators: Research and clinical implications of comfort, thermal, skin, psychologic, and workplace effects." American Journal of Industria...
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Supporting & Related Material June 09, 2025Harber, Philip, et al. "Respirator Medical Examinations: Current Practices and Future Needs." Journal of Occupational and Environmental Medicine (2023): 10-1097. DOI: 10.1097/JOM.0000000000003436
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Supporting & Related Material June 09, 2025Epstein, Danny, et al. "Return to training in the COVID‐19 era: the physiological effects of face masks during exercise." Scandinavian journal of medicine & science in sports 31.1 (2021): 70-75.
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Supporting & Related Material June 09, 2025Anil, Abhijith K., et al. "Comparative study of the effect of N95 facemask and Powered Air-purifying Respirator (2 fans, N95 filter) on cardiovascular parameters of healthy individuals during exercise." Industrial health...
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Supporting & Related Material June 09, 2025Desai, Ushang, et al. "Evaluation of Spirometry for Medical Clearance in Occupations Requiring Respirator Usage." Occupational Diseases and Environmental Medicine 5.3 (2017): 67-77.
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Supporting & Related Material June 24, 2025Rothstein, Alexander, et al. "A Randomized Control Trial Comparing the Effects of N-95 Respirator vs Surgical Mask Use on Resting Metabolic and Respiratory Changes." Journal of Occupational and Environmental Medicine (20...
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Proposed Rule July 01, 2025Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
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Supporting & Related Material August 06, 2025Harber, Philip, et al. "Respirator Medical Examinations; Current Practices and Future Needs." American College of Occupational and Environmental Medicine (2025): 621-627
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Proposed Rule August 20, 2025Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
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Proposed Rule June 03, 2026Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
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Proposed Rule June 03, 2026Notice of Informal Hearing: Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
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Supporting & Related Material August 18, 2026Hearing Exhibit 1 - Harber, Philip, and William S. Beckett. "Medical Evaluation for Respirator Use—Updated Approaches." Journal of Occupational and Environmental Medicine 66.10 (2024): 848-856.
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Supporting & Related Material August 18, 2026Hearing Exhibit 2 - Harber, Philip, et al. "Critical Assessment of the Occupational Safety and Health Administration (OSHA) Respirator Questionnaire." Journal of Occupational and Environmental Medicine 67.8 (2025): 616-...
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Supporting & Related Material August 18, 2026Hearing Exhibit 4 - Harber, Philip, et al. "Respirator Medical Examinations: Current Practices and Future Needs." Journal of Occupational and Environmental Medicine 67.8 (2025): 621-627.
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Supporting & Related Material August 18, 2026Hearing Exhibit 11 - Yu, MD Jiade, et al. "Occupational dermatitis to facial personal protective equipment in health care workers: a systematic review." Journal of the American Academy of Dermatology 84.2 (2021): 486-494.
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Supporting & Related Material August 18, 2026Hearing Exhibit 12 - Radha, K., et al. "Prevalence of physical and psychological impacts of wearing personal protective equipment on health care workers during COVID-19: a systematic review and meta-analysis." Indian Jou...
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Supporting & Related Material August 18, 2026Hearing Exhibit 9 - Shaw, Clarissa A., et al. "Best practices for communication while wearing facemasks: A scoping review." Journal of Nursing Scholarship 56.2 (2024): 227-238.
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Supporting & Related Material August 18, 2026Hearing Exhibit 10 - Hua, Wei, et al. "Short‐term skin reactions following use of N95 respirators and medical masks." Contact dermatitis 83.2 (2020): 115-121.
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Supporting & Related Material August 18, 2026Hearing Exhibit 8 - Harber, Philip, et al. "Subjective response to respirator type: effect of disease status and gender." Journal of occupational and environmental medicine 52.2 (2010): 150-154.
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Supporting & Related Material August 18, 2026Hearing Exhibit 5 - Fiske, Gavriel. Only 60 percent have gas masks. The Times of Israel (2013).
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Supporting & Related Material August 18, 2026Hearing Exhibit 6 - Kirschenbaum, Alan. "Mass terrorism and the distribution of gas masks in Israel: a longitudinal cohort analysis." International Journal of Mass Emergencies & Disasters 19.3 (2001): 1-15.
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Supporting & Related Material August 18, 2026Hearing Exhibit 3 - McLellan RK, Harber P. Guide to the Medical Evaluation for Respirator Use, 2nd Edition. Beverly, MA: OEM Press; 2026. [Book]
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Supporting & Related Material August 18, 2026Hearing Testimony from the American College of Occupational and Environmental Medicine (ACOEM)
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Supporting & Related Material August 18, 2026Hearing Exhibit 7 - Radonovich, Lewis J., et al. "Respirator tolerance in health care workers." Jama 301.1 (2009): 36-38.
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Other August 24, 2026Memorandum Reopening the Respirators Medical Clearance Docket (OSHA-2025-0006) for the Submission of Post-Hearing Documents and Comments
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Supporting & Related Material September 02, 2026Exhibits from OSHA’s Informal Rulemaking Hearing on OSHA’s Proposed Rule Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
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Supporting & Related Material September 21, 2026Order Denying Request to Extend the Post-Hearing Comment Period on the Proposed Rule to Amend the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators
Public comments
What people are saying
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American Federation of Labor and Congress of Industrial Organizations (AFL-CIO) 2026-10-06
“Please see the attached file for the AFL-CIO's final written brief on OSHA’s proposed standard on Amending the Medical Evaluation Requirements in the Respiratory Protection Standard for Certain Types of Respirators.”
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Anonymous Anonymous 2026-10-05
“See attached file(s)”
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North America's Building Trades Unions (NABTU) 2026-10-05
“Please see the attached post-hearing brief on behalf of North America's Building Trades Unions (NABTU).”
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Society of Chemical Manufacturers & Affiliates (SOCMA) 2026-10-02
“The Society of Chemical Manufacturers & Affiliates (SOCMA) respectfully submits the attached post-hearing information in response to questions raised by OSHA during SOCMA’s August 20, 2026 testimony regarding proposed amendments to the Respiratory Protection Standard. The submission provides supplemental member data requested by OSHA during the hearing.”
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Association of Occcupational Health Professionals in Healthcare (AOHP) 2026-09-24
“See attached file(s)”
Read all comments on Regulations.gov →
Comment volume from Regulations.gov; the comment-submission API was retired in 2025, so comments are filed on Regulations.gov directly.
Documents
- Full text (Federal Register) · June 03, 2026
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