I'm surprised there hasn't been any chatter on this. I was recently warned of the new guidelines by a coworker who barely squeaked by at his last medical. I hadn't been paying much attention I thought the issue had gone away but apparently it's back and worse than before. Here is the "new" criteria that they are using:
https://www.faa.gov/about/office_org...stionnaire.pdf
Check 3 boxes on that form and you're paying for a sleep study. Over 50 and male? You've already got two strikes against you. And instead of BMI over 40 (which is pretty huge) and neck size greater than 17" they've lowered it to BMI >35 and neck circumference greater than 40 cm -that's 15.7" for the metric challenged. It seems they didn't loosen the rules at all, they tightened the net! I just want to warn people in case they were as clueless as I was. Hopefully this doesn't get moved to the medical forum since this could catch a lot of unsuspecting pilots off guard at their next medical. I am starting this thread as a public service *please do not turn it into another fat pilot bashing thread!*