Certified CDL Medical Exam
DOT Exam -Ask The Doctor
Why do Occupational
medical service coffee in their waiting
Yet when it comes to
coffee, the worst thing you can do
is to offer a cup to a
truck driver. Especially if they are there for a DOT exam:
Studies – such as the
one by the FMCSA - have prove
without a doubt that High
Blood pressure is one of the most common
problem that Commercial
drivers have. They have caused many injuries and deaths to innocent motorists and passengers do to strokes.
Medical Examiners have
an obligation to not only help the patient,
but to also protect public safety.
Should a commercial
driver with undiagnosed – and more importantly
untreated – High Blood pressure do to drinking a cup of coffee, it could mask the underlying effects of the disease.
As the blood levels of
caffeine and its metabolites increase, the
driver may feel more alert. And the symptoms of High pressure –
such as increase of rate rate – can emerge. Caffeine also gives a “kick” to our
blood pressure, and is actually a well-documented pressor (substance that
elevates blood pressure). Increases tend to be mild, in the range of 5 to 10
mmHg. That’s regardless of how often you drink coffee or your caffeine
tolerance, although there are always rare exceptions.
Role of Medical Examiners’ Clinical Judgment in the Medical
Certification Process of Sleep Apnea
“The current regulations and advisory criteria do not include
guidelines concerning OSA screening, diagnosis, and treatment,” the bulletin
states. “Medical examiners should rely upon their medical training and
expertise in determining whether a driver exhibits symptoms and/or multiple
risk factors for OSA, and they should explain to the driver the basis for their
decision if the examiner decides to issue a medical certificate for a period of
less than two years to allow for further evaluation, or to deny a driver the
The Federal Motor Carrier Administration (FMCSA) is establishing the Commercial Driver’s License (CDL) Drug and Alcohol Clearinghouse (Clearinghouse). This new database will contain information pertaining to violations of the U.S. Department of Transportation (DOT) controlled substances (drug) and alcohol testing program for holders of CDLs.
The Clearinghouse rule requires FMCSA-regulated employers, Medical Review Officers (MROs), Substance Abuse Professionals (SAPs), consortia/third party administrators (C/TPAs), and other service agents to report to the Clearinghouse information related to violations of the drug and alcohol regulations in 49 Code of Federal Regulations, parts 40 and 382 by current and prospective employees.
The Clearinghouse will also require the following:
- Employers will be required to query the Clearinghouse for current and prospective employees' drug and alcohol violations before permitting those employees to operate a commercial motor vehicle (CMV) on public roads.
- Employers will be required to annually query the Clearinghouse for each driver they currently employ.
- State Driver Licensing Agencies will be required to query the Clearinghouse whenever a CDL is issued, renewed, transferred, or upgraded.
The U.S. Department of Transportation’s Federal Motor Carrier Safety Administration (FMCSA) issued a final rule amending its commercial driver’s license (CDL) regulations to ease the transition of military personnel into civilian careers driving commercial motor vehicles (CMVs) by simplifying the process of obtaining a commercial learner’s permit (CLP) or CDL.
This final rule extends the period of time for applying for a skills test waiver from 90 days to one year after leaving a military position requiring the operation of a CMV.
This final rule also allows a state to accept applications from active duty military personnel who are stationed in that state and to administer the written and skills tests for a CLP or CDL.
States that choose to accept such applications must use forms and procedures acceptable to the state of domicile of the military personnel (their state of permanent residence or “home” state), and must transmit the test results electronically to the state of domicile.
The state of domicile may issue the CLP or CDL on the basis of those
"The ODAPC is currently investigating the process to determine the gender of the collector for direct observation collections of transgender donors. At this time, the observer should be the same gender as the gender that the donor identifies themselves to be. Example: If a driver identifies themselves as female, then the observer would be female."
This rule only applies to the observer of a direct observation collection. A collector does not need to be the same gender as the donor, unless the collection is performing a direct observation collection. For other types of collections, the gender of the observer/collector is not an issue.
The primary safety goal regarding OSA is to identify drivers
with moderate-to severe
OSA to ensure these drivers are managing their condition to
reduce to the
greatest extent practical the risk of drowsy driving.
Moderate-to-severe OSA is
defined by an apnea-hypopnea index (AHI)1 of greater than or
equal to 15.
• The Agency does not require that these drivers be
considered unfit to continue them
driving careers; only that the medical examiner makes a
determination whether they
need to be evaluated and, if warranted, demonstrate they are
managing their OSA to
reduce the risk of drowsy driving.
• Screening: With regard to identifying drivers with
undiagnosed OSA, FMCSA’s
regulations and advisory criteria do not include screening
examiners should consider common OSA symptoms such as loud
apneas, or sleepiness during the major wake periods, as well
as risk factors, and
consider multiple risk factors such as body mass index
(BMI), neck size,
involvement in a single-vehicle crash, etc.
• Diagnosis: Methods of diagnosis include in-laboratory
polysomnography, or other limited channel ambulatory testing
ensure chain of custody.
• Treatment: OSA is a treatable condition, and drivers with
can manage the condition effectively to reduce the risk of
Treatment options range from weight loss to dental
appliances to Continuous
Positive Airway Pressure (CPAP) therapy, and combinations of
The Agency’s regulations and advisory criteria do not
include recommendations for
treatments for OSA and FMCSA believes the issue of treatment
is best left to the
treating healthcare professional and the driver.
The Federal Motor Carrier Safety Administration (FMCSA) reminds Medical Examiners (MEs) and commercial motor vehicle (CMV) drivers that, as of April 20, 2016, certified MEs performing physical examinations of CMV drivers must use the revised versions of the Medical Examination Report (MER) Form (MCSA–5875) and the Medical Examiner’s Certificate (MEC) Form (MCSA–5876).
The Federal Motor Carrier Safety Administration
(FMCSA), along with the Department of Transportation (DOT), requires that persons subject to the commercial driver’s license (CDL) requirements and their employers follow alcohol and drug testing rules. These rules include procedures for testing, frequency of tests, and substances tested for.
- Anyone employing CDL drivers to operate commercial motor vehicles (CMVs) on public roads
- CDL drivers who operate CMVs on public roads
- Interstate motor carriers
- Intrastate motor carriers
- Federal, State, and local governments
- Civic organizations (disabled veteran transport, boy/girl scouts, etc.)
- Faith-based organizations
Las Vegas NV 702.266.6802 TA Truck Stop
Dear Truck Diver,
Hypertension can almost always be prevented, so these steps are very important even if you do not have high blood pressure. • Maintain a healthy weight. • Be physically active. • Follow a healthy eating plan. • Eat foods with less sodium (salt). • Drink alcohol only in moderation. • Take prescribed drugs as directed
For an overall eating plan, consider DASH, which stands for “Dietary Approaches to Stop Hypertension.” You can reduce your blood pressure by eating foods that are low in saturated fat, total fat, and cholesterol, and high in fruits, vegetables, and low fat dairy foods. The DASH eating plan includes whole grains, poultry, fish, and nuts, and has low amounts of fats, red meats, sweets, and sugared beverages. It is also high in potassium, calcium, and magnesium, as well as protein and fiber. Eating foods lower in salt and sodium also can reduce blood pressure
Dear Transportation Company,
The Medical Examiner's Certification Integration final rule requires certified MEs to continue using the current driver examination forms found on the FMCSA website until December 22, 2015 and to use the newly revised driver examination forms discussed in the final rule beginning December 22, 2015. However, as a result of the unexpected delays in posting the final versions of the newly revised driver examination forms and recognizing that MEs need to have access to the forms prior to the effective date for a number of reasons, FMCSA published a Federal Register notice on December 21, 2015 allowing MEs to use both the current and newly revised versions of the MER Form, MCSA-5875 and MEC, Form MCSA-5876 from December 22, 2015 until April 20, 2016 (80 FR 79273).
The FMCSA announces a 120-day grace period during which Medical Examiners may use either the current or the newly revised versions of the Medical Examination Report (MER) Form and Medical Examiner’s Certificate (MEC). This period is from December 22, 2015, until April 20, 2016. This action is being taken to ensure that Medical Examiners have sufficient time to become familiar with the new forms and to program electronic medical records systems.
almost always be
prevented, so these
steps are very important
even if you do not have
high blood pressure.
• Maintain a healthy
• Be physically
• Follow a healthy
• Eat foods with
less sodium (salt).
• Drink alcohol only
• Take prescribed
drugs as directed
For an overall eating plan, consider DASH, which stands for “Dietary Approaches to
Stop Hypertension.” You can reduce your blood pressure by eating foods that are low in
saturated fat, total fat, and cholesterol, and high in fruits, vegetables, and lowfat dairy
foods. The DASH eating plan includes whole grains, poultry, fish, and nuts, and has low
amounts of fats, red meats, sweets, and sugared beverages. It is also high in potassium,
calcium, and magnesium, as well as protein and fiber. Eating foods lower in salt and
sodium also can reduce blood pressure
Just a reminder from Trucker Exam Inc that after April 16, 2016, the new Medical Exam form 5875 and Medical Certificate 5876 will be mandatory. They may be used after December 22, 2015, for all DOT CDL Physicals and replaces the old forms
Please visit the link below for free printing and downloading, PDF format. Includes Instructions to Physicians, Minimum Requirements, Physical Qualifications and CDL Medical Certificate for Commercial Drivers.
FMCSA has confirmed that sometime after Monday, December 21st, they will inform CMEs and interested parties regarding the deadline delay. The new deadline is April 20, 2016 (note: I was 2 days off in my last newsletter).
Scheduled to be published on 12/21 in the Federal Register is the announcement that the FMCSA will provide a 120-day grace period during which Medical Examiners may use either the current or the newly revised versions of the Medical Examination Report Form and Medical Examiner’s Certificate, beginning December 22, 2015, and until April 20, 2016. On April 20, 2016 use of the new forms will be required.
The Pre-Employment Screening Program (PSP) allows carriers, individual drivers, and industry service providers access to commercial drivers' safety records from the Federal Motor Carrier Safety Administration's (FMCSA) Motor Carrier Management Information System (MCMIS). Records are available 24 hours a day via the PSP web site.
The Federal Motor Carrier Safety Administration
(FMCSA) established the Pre-Employment Screening
Program (PSP) to comply with Federal legislation
requiring the Agency to provide information on driver
safety performance to persons conducting preemployment
screening for the motor carrier industry.
The PSP was launched on May 11, 2010, and is a
voluntary program. Motor carriers can use the
information provided through the PSP—comprised of
5 years of crash data and 3 years of inspection data on
the driver—to assist in determining if a driver
applicant should be hired. FMCSA embarked on this
analysis to determine if using the PSP has a positive
impact on CMV safety.
FYI: FCMSA has posted PDF samples of the new driver examination forms on the National Registry website which can be accessed by clicking the links below. Please note that these forms are samples only and are prohibited from being used prior to the December 22, 2015 compliance date.
FMCSA to Delay Dec 22nd Deadline
FMCSA has decided to delay the Dec 22nd deadline. However, the date of the new deadline has not be determined, and all other details are not available at this time. FMCSA should make an announcement soon, and we will sent all available information when we receive it.
A Department of Transportation (DOT) physical examination must be conducted by a licensed "medical examiner" listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry. The term includes, but is not limited to, doctors of medicine (MD), doctors of osteopathy (DO), physician assistants (PA), advanced practice nurses (APN), and doctors of chiropractic (DC).
A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner's certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.
Look for the new DOT Exam Form in December 2015.
ODAPC Revises “What Employers Need to Know about DOT Drug and Alcohol Testing” Handbook
The U.S. Department of Transportation’s Office of Drug and Alcohol Policy and Compliance (ODAPC) has updated the “What Employers Need to Know About DOT Drug and Alcohol Testing” guidelines, also known as the “Employer Handbook.” Last revised in October 2010, this new version can be viewed at http://www.dot.gov/odapc/employer_handbook. A summary of changes made to the “Employer Handbook” can be found on the last page of the booklet
Trucker Exam Inc. works with companies to design execute and
manage your drug testing program. We offer complete and professional drug and
alcohol screening services including:
- Drug Testing (i.e. Pre-employment, Random, Post Accident,
Reasonable Suspicion, etc.) by Hair, Urine, or Saliva with results for DOT in
less than 24 hours and administrative in less than 15 minutes
- Private on line storage of: Chain of custody forms, Results,
Quarterly Random selections and results, Annual MIS forms, Consortia contract,
D/A Policy and Reasonable suspicion certificates for each company
- Free Drug and Alcohol Policy Development for US DOT and
- Free employee awareness training and supervisor training
- US DOT Consortia random selection services
Access to a total of 2,500 collection sites across the
United States .
- On line assistance in identifying a Substance Abuse
- On-site drug and alcohol screening services
- After-hour drug and alcohol screening services
- On line US DOT drug and alcohol compliance forms
- Results can be reported on line, fax, or e-mail
- Non-DOT Pre-employment Instant Drug Test exams are reported
within 25 minutes or less
Drug Testing US DOT and NON -DOT, Alcohol Testing US DOT
(BAT, STT) and Corporate, Hair Drug Testing.
Trucker Exam Inc. Promises Drivers No Wait Time
Fresno, CA—sitting at a truck stop waiting for a license or DOT- medical exam might just be one of life’s top-ranked
annoyances, right up there with sitting in traffic and sitting at warehouse all
That’s why Truck Exam Inc., a provider of workplace DOT medical
testing, opened the first transportation clinic in 1993 at the E-Z TRIP TRUCK
STOP in Fresno California, exclusively for drivers. Trucker Exam
Inc. promises no wait time for DOT and Non DOT- medical exams and drug testing.
“This mobile office was designed specifically for truck
drivers at the truck stop drivers are able to park their truck, there no waiting,
in out less than 30 minutes.
The driver can get their DOT physical exam completed, use the
Internet to, or get their truck fill up
with diesel says Dr. Lon Edwards , the company’s CEO.
Dr Edwards is an is a DOT doctor who helped develop four DOT
clinics in California and Nevada, three of them in are in the Central Valley of California
and one in Las Vegas Nevada, but never before one to give quick and easy access
to driver medical exams in Fresno Ca.
“The clinic is
staffed by Doctor’s and RN’s who understand that drivers work very hard, that
their time is valuable, and time is money,” Dr Edwards says. “Our exams are administered by DOT doctors
who specialize in DOT Exam’s, who are familiar with provincial driver’s certified
licensing exams, and who know the requirements. Plus, truck drivers don’t have
to wait several hours to see their DOT doctor.”
The Trucker Exam Inc. mobile clinic, which also offers other
DOT services like DOT EXAM, AND DRUG TESTING is located at
6522 N GOLD STATE
FRESNO CA. 93722 559 431-2648
The Federal Motor Carrier Safety Administration announced Friday that 8,000 more health professionals have been added to the National Registry of Certified Medical Examiners since the new system for U.S. DOT medical examinations launched last month with 22,000 providers.
Another 22,500 medical professionals have also initiated the process for gaining their certification, according to the agency.
All interstate commercial truck and bus drivers must pass a U.S. DOT medical examination at least once every two years in order to obtain a valid medical certificate and maintain their commercial driver’s license.
As required by federal regulation, effective May 21, 2014, all new USDOT medical examinations for interstate truck and bus drivers, both CDL and non-CDL drivers, are required to be performed by a medical examiner who has completed the required training and passed a certification test.
Some trucking groups called for a delay in the start of the medical registry requirement claiming there would be a shortage of certified medical examiners.
The U.S.DOT medical examination looks at a range of conditions to assess a driver’s ability to safely operate a commercial vehicle, including cardiovascular disease, respiratory and muscular functions, vision, and hearing.
Most drivers will not need a new physical exam right away. Certificates are valid until the expiration date on a driver's medical card.
To meet the needs of professional drivers throughout the country, FMCSA said there are certified examiners in every state, and dozens or hundreds in most cities.
A listing of medical providers in the registry is available on the FMCSA website
Medical Examiner Registry
Rule Goes into Effect on May 21
Starting on May 21, drivers will only be allowed to get DOT physicals from medical examiners that have been listed on an FMCSA database.Medical examiners must pass an exam before they can be placed on the national registry.
Effective May 21, interstate Commercial Motor Vehicle (CMV)drivers will no longer be able to get a valid medical certificate from any healthcare provider. Drivers will have to go instead to a medical examiner that has been listed on the Federal Motor Carrier Safety Administration’s national registry.
In order to get on the National Registry, a medical examiner must have passed an exam certifying that they have sufficient knowledge of adriver’s job to safely determine if the individual is medically qualified to perform it.
At Trucker Exam Inc. you will find certified medical examiner serving California and Nevada
At www.dotmedical exam.com you will be able to find a link to the Team CME for divers who are out of the services area of Trucker Exam Inc. Once inside, you can use the available widget to map out the medical examiners in your local area.
In a lot of rural areas, drivers may have to drive in to find an examiner.
The Bottom Line
We advise giving you plenty of time to find a certified examiner and to get an appointment. call 559-431-2648
Sleep Apnea Guideline Delayed Indefinitely US Congress Passes Public Law 113-45
To ensure that any new or revised requirement providing forthe screening, testing,
Or treatment of individuals operating commercial motorvehicles for sleep disorders
Is adopted pursuant to a rulemaking proceeding, and forother purposes.
Those opposed to new guidelines being developed for FMCSAlobbied for passage of Public Law 113-45 which requires the DOT to use the"Rule Making" process before making any change to the current sleepapnea guidelines. The rule makingprocess was the process used to create the National Registry and it is a longan arduous process. You should notexpect any new sleep guidelines for quite some time.
So what is the guideline that is in place?
Definition of Sleep Apnea: 30 hypopnea events per hour
NeckCircumference: 17" males, 16" female
The one monthrequirement to be on CPAP and the direction that CPAP or surgery is the onlyaccepted treatment for sleep apnea is now in question. The requirement for yearly objective testingmay also be in question.
I have spent quite some time thinking what to tellDrivers. There is still a very greatconcern with drivers and motor carriers out there. But here is what I believe is an ethical andfair solution. Of course, none of thisis binding on Trucker Exam Inc. and should not be consider as medical advice.
First let’s talk about who I think should be referred for asleep test:
1) I believe that a driver who discloses thatsomeone has told him that he pauses in breathing and when asleep should have asleep test.
2) A driver with a BMI over 35 with a history ofhypertension, diabetes, MI or stroke should be tested for sleep apnea.
3) If driver snoring loud, I will decide to givehim a current Epworth in my office.
4) I do not believe that drivers who simply have a17" or 16" neck should be tested on that basis alone.
In regard to yearly objective testing, in my own practice Iam asking for a current compliant report bases on Medicare guidelines conductedby the sleep specialist and yearly clearance. The driver will receive a one yearmedical cert.
FYI: From FMCSA 04/22/14
By now, you’ve heard about the National Registry law that goes into effect May 21, 2014. After that date, all interstate commercial motor vehicle (CMV) drivers must get their medical certificates from a certified medical examiner
listed on the Federal Motor Carrier Safety Administration’s National Registry of Certified Medical Examiners
Find a certified medical examiner in your area—or anywhere in the country—by following these three simple steps.
- Visit the National Registry Web site and search by Zip Code, State, or examiner name.
- Choose a certified medical examiner from the list and call to make an appointment.
- If your preferred health care professional isn’t on the list, simply refer him or her to the Certified Medical Examiners page to learn more about getting certified.
If you’ve already had an exam and have a current certificate that certificate will be valid until its regular expiration date.
Thank you for your commitment to safer roadways!
Trucker Exam Inc., the nation's Truck stop DOT MEDICAL exam and Drug testing r Offices Company, announced today that all of their medical providers are credentialed with the National Registry of Certified medical examiners (NRCME) for the Federal Motor Carrier Safety Administration's (FMCSA)physical qualifications standards and guidelines to perform Department of Transportation(DOT) physicals.
Trucker Exam Inc. ensures each of its health care professionals complete the necessary training and testing to meet the certification requirements for the evaluation of CMV drivers. Utilizing the FMCSA guidelines and standards all divers is able to get test results after the completion of their exam.
For more information about the NRCME or to find Trucker Exam Inc.' credentials, visit: https://www.dotmedicalexam.com
About Trucker Exam Inc.
As the largest Truck Stop DOT Medical Exam provider on the West coasts,Trucker Exam Inc. is a full service for transportation companies and truck drivers conduct sleep apnea testing, pre-employment services and Drug testing , and offers log book audits and safety audit consulting.
Trucker Exam Inc. is base in Las Vegas Nevada and has expanded it’s to California .
This page created March 7, 2014
The Board will consider amendments to the Truck and Bus Regulation at its April 24-25, 2014 meeting. The staff proposal is intended to help ensure that the air quality benefits originally envisioned by the regulation will be achieved, by providing some additional compliance flexibility to vehicle owners. The proposed amendments are subject to change at the Board hearing and are currently not in effect.
- Regulation Update and Benefits
- Description of Proposed Amendments
- More time for rural areas with cleaner air (area map)
- Additional time for 2nd and 3rd truck in small fleets
- Additional time for owners that cannot finance compliance
- Adjusted compliance timelines for low-use or vocational trucks
- Work truck extension (up to 20,000 total miles/year)
- Low-use vehicle exemption (up to 5,000 total miles/year)
- Low mileage agricultural vehicles
- Heavy cranes
- Recognizing early actions already taken by fleets to comply
- Extending use of existing PM filter retrofits
- Extending use of phase-in option credits
You can get more information, including the Staff Report, at the Rulemaking Document
page. You can make a comment
on the proposed changes if interested. Additional supporting documentation and analyses for the proposed amendments are available at the AB1085
Motor Carriers would need to run a new MVR within 15 days ofa driver
getting a new DOT physical and certifying their card with their SDLA. 49 CFR 391.51. This rule will discuss the MVRand the 15 day requirement.
§ 391.51 General requirements for driver
The medicalexaminer’s certificate as required by § 391.43(g) or
a legible copy of the certificate.
· (ii) Exception. For CDL drivers
beginning January 30,2012, if the CDLIS motor vehicle record contains medical certification status information, the motor carrier employer must meet this
requirement by obtaining the CDLIS motor vehicle record defined at
§ 384.105 of this chapter. That record must be obtained from the current
licensing State and placed in the driver qualification file. After January 30,
2014, a non-excepted,interstate CDL driver without medical certification
status information Anthe CDLIS motor vehicle record is designated ‘‘not certified’’
to operate a CMV in interstate commerce. For up to 15 days from the
date stamped on the receipt of the medical examiner’s certificate, provided
to the driver by testate driver licensing agency, a motor carrier may use that receipt as proof of the driver’s medical certification.
Trucker Exam Inc. (TEI) on-site services recently added
certified medical examiners to their Fresno, Ca. Madera Ca. and Las Vegas NV.
Offices, to accommodate the increase of DOT exams and drug tests by local
employers. With seven examiners, TEI maintains the largest network of certified
medical examiners on the FMCSA National Registry in California and Nevada. TEI
DOT examiners are also available for on-site and remote examinations and drug testing
TEI works to meet a FMCSA deadline of 5/21/14 when all DOT
exams must be performed by a certified medical examiner. Previously, any
private doctor was able to perform the exam without any prior specific training
or certification. As part of this new regulation, a National Registry will
maintain a database of all certified medical examiners.
To set appointment you can:
Go to the TEI portal also allows for scheduling appointments
and retrieving results all through one website. www.dotmedicalexam.com
U.S. Department of Transportation
Office of Public Affairs
1200 New Jersey Ave., S.E.
Washington, DC 20590
Wednesday, February 12, 2014
Contact: Marissa Padilla
Tel.: (202) 366-9999
FMCSA Proposes National Drug and Alcohol Testing Clearinghouse for Commercial Truck and Bus Drivers
Employers would be required to check clearinghouse before hiring and annually
WASHINGTON - The U.S. Department of Transportation's Federal Motor Carrier Safety Administration (FMCSA) today announced a proposed rule to establish a drug and alcohol clearinghouse for all national commercial driver's license (CDL) holders. The clearinghouse would help improve roadway safety by making it easier to determine whether a truck or bus driver is prohibited from operating a commercial motor vehicle for failing to comply with federal drug and alcohol regulations, including mandatory testing.
"Safety is our highest priority, and we will continue to embrace new tools and opportunities that protect the travelers on our nation's roads," said U.S. Transportation Secretary Anthony Foxx. "Today's proposal will help ensure dangerous drivers stay off the road, while encouraging the employment of the many safe drivers who follow our drug and alcohol requirements."
Current federal regulations require employers to conduct mandatory pre-employment screening of a CDL driver's qualifications based upon his or her driving record. However, there has not been a single federal repository recording positive drug and alcohol tests by CDL holders that employers would be able to search to ensure that the driver is able to perform safety-sensitive duties.
The proposed rule announced today would create such a repository and require employers to conduct pre-employment searches for all new CDL drivers and annual searches on current drivers.
"We are leveraging technology to create a one-stop verification point to help companies hire drug and alcohol-free drivers," said FMCSA Administrator Anne S. Ferro. "This proposal moves us further down the road toward improving safety for truck and bus companies, commercial drivers and the motoring public everywhere."
Under the proposed rule announced today, FMCSA-regulated truck and bus companies, Medical Review Officers, Substance Abuse Professionals, and private, third party USDOT drug and alcohol testing laboratories would be required to record information about a driver who:
- Fails a drug and/or alcohol test;
- Refuses to submit to a drug and/or alcohol test; and
- Successfully completes a substance abuse program and is legally qualified to return to duty.
Private, third-party USDOT drug and alcohol testing laboratories also would be required to report summary information annually. This information would be used to help identify companies that do not have a testing program.
To ensure the privacy of drivers involved, each CDL holder would need to provide his or her consent, before an employer could access the clearinghouse.
Drivers who refuse to provide this information could still be employed by the truck or bus company; however, they could not occupy safety-sensitive positions, such as operating a commercial motor vehicle.
It is a violation of federal regulations to drive a truck or bus under the influence of controlled substances or alcohol. Federal safety regulations require that truck and bus companies that employ CDL drivers conduct random drug and alcohol testing programs. Carriers must randomly test 10 percent of their CDL drivers for alcohol and 50 percent of their CDL drivers for drugs each year.
For each of the past three years, federal and state safety inspectors have conducted approximately 3.5 million random roadside inspections of commercial vehicles and of their drivers.
In 2013, on 2,095 occasions, or in 0.23 percent of the unannounced inspections, a CDL holder was immediately placed out-of-service and cited for violating federal regulations governing alcohol consumption. In 2012, FMCSA records show that there were 2,494 violations of this regulation.
In 2013, on 1,240 occasions, or in 0.13 percent of the unannounced inspections, a CDL holder was placed immediately out-of-service and cited for violating federal regulations governing controlled substances. In 2012, FMCSA records show that there were 1,139 violations of this regulation.
In addition to random testing, truck and bus companies are further required to perform drug and alcohol testing on new hires, drivers involved in significant crashes, and whenever a supervisor suspects a driver of using drugs or alcohol while at work.
The proposed rule announced today was directed by Congress in the most recent transportation bill, the Moving Ahead for Progress in the 21st Century Act.
To maintain high standards of safety and professionalism,commercial drivers are subject to federal regulations outlined by the FederalMotor Carrier Safety Administration (FMCSA), which is a part of the U.S. Departmentof Transportation (DOT).
One component of maintaining your Commercial Driver’sLicense (CDL), is complying with the FMCSA’s drug testing regulations via yourcarrier or employer. Below is an overview of how and why carriers in thetrucking industry may use drug and alcohol screening to ensure safety.
When Are Drivers Tested need for a truck accident?
The federal government requires a driver test negative fordrugs prior to employment. If a driver is involved in a certain type ofaccident, the carrier must screen the driver for drugs and alcohol. FMCSArequires random testing throughout the year and when a carrier has a reasonablesuspicion that driver is using drugs or alcohol. If a driver tests positive orrefuses testing, there are federal requirements for follow-up or return-to-dutytests.
Do the circumstances warrant DOT post-accident tests?
Suppose your CDL driver calls in saying there's been anaccident. Everyone's adrenaline isrunning, and you may have to pry the details out of him or her to determine ifDOT post-accident drug and alcohol testing is required. The following checklist will aid in decidingyour course of action:
If the driver is in a CMV and if the received a ticket or ifsomeone dies do to the accident you must do a Drug test and Alcohol tests
You cannot test "just in case" circumstanceschange. This is a misrepresentation of thetest and a violation.
If you conduct testing in "all post-accidentcircumstances" as a matter of company policy, it must be done using anon-DOT form and represented as a non-DOT test to the driver. The collector must also be aware that it isnot a regulated test. The drug testresults must be linked to a separate non-DOT lab account for reportingpurposes. The results of these non-DOTtests hold no DOT consequences. Inaddition, if circumstances change and a DOT post-accident test is required, thesenon-DOT tests cannot be substituted to satisfy the DOT requirements. The driver must be sent again for anotherround of tests.
Dear Motor Carrier,
Next week, FMCSA will publish a final rule extending the requirement for interstate commercial drivers to have paper copies of their medical examiner’s certifications with them when operating a commercial motor vehicle. An advance copy of the rule has been posted to FMCSA’s website. This requirement will stay in effect until January 30, 2015. This requirement applies to any drivers with either a commercial driver’s license (CDL) or the commercial learner’s permit (CLP) who must be medically certified under 49 CFR part 391. Please note that drivers are still required to certify their status (e.g., interstate or intrastate, exempt or non-exempt) with the State Driver License Agency (SDLA) agency before January 30, 2014 and to provide the SDLA a copy of any new medical certificate received after January 30, 2012.
FMCSA also extended the requirement for interstate motor carriers to retain copies of their drivers’ medical certificates in their driver qualification files. This extension of the requirement to carry a medical certificate card was needed to ensure that all SDLAs are prepared to accept and transmit the medical qualification of CDL and CLP holders on the Commercial Driver’s License Information System (CDLIS) driver record.
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The best gift you can give your transportation company is to have your drivers complete you’rea Certify medical examiner. Doing so will ensure that your drivers will be ableto drive after the May 21, 2014 compliance date. After this date, drivers can only see a certified medical examiner that is listed on the National Registryfor their DOT exam. Make sure that your all driver in 2014 are medically certified
Part 382 D & A = 10% random alcohol/50% drug + pre-employment drug test before the driver drives + post accident drug & alcohol tests when required
Part 383 CDL = Make sure drivers have a current CDL
Part 387 = Have a copy of MCS Form 90 on site and ensure the MCS Form 90 reflects the level of insurance required. It annoys me the insurance industry will only issue a MCS Form 90 for what a carrier list on their application for authority; if a carrier has $1,000,000 policy and their authority indicates the carrier is a non-HM requiring $750,000 that's what the MCS 90 will reflect. If a carrier transports ANY amount of HM they must have $1,000,000 insurance. It's a violation of Part 387 to not have:
1. Inadequate levels of insurance
2. Insufficent insurance on file for the commodity transported, i.e. HM
3. No MCS Form 90
4. MCS Form 90 doesn't reflect the level of insurance required
Part 390 General Record Keeping = Records available when asked for; many carriers are under the assumption they have 48 hours to produce the records... The 48 hour rule applies to carriers with multiple terminals that allows the terminals to store records at the terminal.
Part 391 DQ = See Part 391.51 for a list of all files REQUIRED in the DQ file. Make sure your company has a tracking tool to keep track of DOT medical renewals; Outlook or other calendar programs work wonders in providing pops ups to remind the user tasks are due. Pick one month a year and pull all of your drivers' MVR; if you use June then do ALL drivers in June including those hired in the 11 months preceeding the annual pull. Make sure you do the employment inquires required.
Part 392 Driving a CMV = Thou shall not speed Part 392.2; if a driver logs a trip at 70 mph in a state with a 65 mph speed limit your company can be cited and prosecuted for Part 392.2.
Part 395 HOS = Driver's record of duty status (RODS)... No flase RODS; no missing RODS; RODS turned in on time; RODS complete with all required information
Part 396 Maintenance = Annual inspections, DVIRs, scheduled maintenance program with a record maintenance is being performed on time and road side inspections, proof repairs were completed
FMCSA - MRB/MCSA Joint Committee Recommendations
Full language of the recommendations as I best followed their drafting/revision follows. (Note: there may be further revision as yet before they are sent formally to FMCSA, though their intention as outlined here should largely remain. Italics represent committee annotations about intentions.)
Recommendation 1 — General
- Obstructive sleep apnea (OSA) diagnosis precludes unconditional certification.
- A driver with OSA diagnosis can be certified if:
- The driver has untreated OSA with apnea-hypopnea index (AHI) < 20 (i.e., mild-to-moderate OSA) AND
- The driver does not admit to experiencing sleepiness during the major wake period OR
- OSA is being effectively treated.
A driver with an OSA diagnosis may be recertified annually, based on demonstrating compliance with therapy.
- Minimally acceptable compliance with PAP means at least 4 hours/day of use 70 percent of days.
- § Drivers should be encouraged that more hours of PAP use is preferable.
- § Optimal treatment efficacy occurs with 7 hours or more of daily use during sleep.
- The intent behind the AHI threshold is to prioritize those drivers with OSA that need immediate treatment.
- Drivers with mild OSA (AHI levels as low as 5) may benefit from OSA treatment, and should be encouraged to explore treatment options.
- Drivers with an AHI between 5 and 20 should be encouraged to seek treatment, if they have a history involving a fatigue-related crash or a DOT-defined single vehicle crash [footnote reference: crash involving a CMV that results in a fatality or injury treatable away from the scene or disabling damage requiring tow away], or if they report sleepiness while operating a motor vehicle.
- Why set the AHI threshold at 20?
- Crash risk in the moderate-to-severe OSA range is statistically higher than for drivers with mild OSA.
From a practical perspective, setting the AHI limit at 15 or above makes it more difficult to get a patient under treatment to that AHI level. Although AHI of 15 is likely a safer threshold, there is not data to show this.
RECOMMENDATION 2 — Drivers with any of the following should be disqualified immediately or denied certification:
- Report excessive sleepiness during the major wake period while driving, OR
- Experienced a crash associated with falling asleep, OR
- Have been found non-compliant in treatment per Recommendation 1.
RECOMMENDATION 3 — Drivers with any of the following may be granted conditional certification per Recommendation 4:
- Have AHI > 20 until compliant with PAP, OR
- Have undergone surgery and are pending post-op findings per Recommendations 10-12, OR
- Have a BMI > or equal to 35 kg/m (pending sleep study).
- BMI cutoff of 33 is supported by studies (MRB).
- BMI cutoff should be objectively related to crash risk (Conway).
RECOMMENDATION 4 — Conditional certification
- Driver with BMI > or equal to 35 kg/m may be certified for 60 days pending sleep study and treatment (if diagnosed with OSA).
- Within 60 days, if a driver being treated with OSA is compliant with treatment (per Recommendations 8-12), the driver may receive additional 90 day conditional certification.
- After 90 days, if the driver is still compliant with treatment, the driver may be certified for no more than 1 year. Future certification dependent on continued compliance.
Refer to Recommendation 1 for definition of minimal compliance. [Insert clinical evaluation educational footnote]
[CLINICAL EVALUATION EDUCATION FOOTNOTE]
- Medical examiners should screen all drivers for OSA.
- The driver is judged at-risk for OSA based on:
- The driver’s answers to a validated questionnaire (e.g., Berlin), OR *Some other validated screening tool.
- Symptoms: loud snoring, witnessed apneas, sleepiness during major wake period.
- Risk factors may include the following. A single risk factor alone may not infer risk. Need to look at multiple factors.
- Factors contributing to high risk
- Small or recessed jaw
- Neck size > 17” male, 15.5” female (strongly correlated with obesity, which is associated with sleep apnea)
- Age 42 and aove
- BMI > 28 kg/m
- Small airway (Mallampati Scale score of Class 3 or 4)
- Family history
- Male or post-menopausal female
- Experienced a single-vehicle crash
- Conditions associated with high risk:
- Hypertension (treated or untreated)
- Type 2 diabetes (treated or untreated)
- Hypothyroidism (untreated)
RECOMMENDATION 5 — Method of diagnosis and severity
- Methods of diagnosis include in-laboratory polysomnography, at-home polysomnography OR a FDA-approved limited channel ambulatory testing device which ensures chain of custody.
- In-laboratory polysomnography, which is more comprehensive, should be considered when the clinician suspects a sleep disorder in addition to sleep apnea.
- Note that new technologies will likely emerge that will be able to screen for OSA.
- Driver should be tested while on usual chronic medications.
- Note that the joint medical committee did not consider AHI levels from unattended studies, but only in-lab sleep studies, which detect the arousal component of hypopneas (not just saturation).
- An in-home sleep study may underestimate AHI when compared to an in-lab sleep study.
- An AHI detected on an in-home sleep study may be less than an in-lab study because the in-home study likely does not consider total sleep time.
- Therefore, the medical examiner should use clinical judgment when interpreting results of an unattended sleep study.
- If the clinician believes the level of apnea is greater than the level reported by the in-home study, the clinician should consider recommending an in-laboratory sleep study.
RECOMMENDATION 6 — Treatment, PAP
- All individuals with OSA should be referred to a clinician with relevant expertise.
- PAP is the preferred OSA therapy.
- Adequate PAP pressure should be established through one of the following:
- Titration study with polysomnography
- Auto-titration system
A driver who has been disqualified may be conditionally certified (per Recommendation 4) if successfully treated for 1 week AND
- The driver can demonstrate at least minimal compliance (4 hrs/use 70% of nights) AND
- The driver does not report excessive sleepiness during major wake period.
RECOMMENDATION 7 — Treatment alternatives
There are limited data regarding compliance with and the long-term efficacy of dental appliances cannot be demonstrated currently, so these technologies are unapproved alternatives at this time.
Surgical treatment is acceptable (see Recommendations 10, 11 and 12).
RECOMMENDATION 8 — Bariatric surgery
After bariatric surgery, a driver may be certified if:
- Compliant with PAP, OR 6 months have passed since surgery (for weight loss), AND
- Cleared by treating physician, AND
- No reported excessive sleepiness during major wake period.
- After six months have passed since surgery, a repeat sleep study may be considered to evaluate for the presence of ongoing sleep apnea.
If clinically indicated, repeat sleep study.
RECOMMENDATION 9 — Oropharyngeal surgery, facial bone surgery
After oropharyngeal or facial bone surgery, a driver may be certified if:
- 1 month has passed since surgery, AND
- Cleared by treating physician, AND
- No reported excessive sleepiness during major wake period.
After 1 month has passed since surgery, if the apnea appears to have resolved, a repeat sleep study should be considered to test for the presence of ongoing sleep apnea.
- If clinically indicated, repeat sleep study.
RECOMMENDATION 10 — Tracheostomy
After tracheostomy, a driver may be certified if:
- 1 month has passed since surgery, AND
- Cleared by treating physician, AND
- No reported excessive sleepiness during major wake period.
After 1 month has passed since surgery, if the apnea appears to have resolved, a repeat sleep study should be considered to test for the presence of ongoing sleep apnea.
- If clinically indicated, repeat sleep study.
Trucker Exam Inc. is assisting trucking and transportationclients with achieving their compliance standards for possible Drug testing DOTaudits. As it is the season when the Department of Transportation typicallyaudits start up and establishing trucking companies, Trucker Exam Inc. hasreceived numerous Blogs from transportation companies asking for assistance ingetting them in line with its Drug testing program.
This year we have experienced a greater number of signups inthe trucking and transportation industry, said Ted Lopez, Trucker Exam Inc. Director.Transportation companies have a lot of concern about their random drug program
Lopez explained that in order to be compliant even thesingle trucker must be a member of a random drug management consortium. Alltransportation must be part of a pool so that is part of a larger group wherehalf the drivers in that group are mandated to take random drug tests at leastonce a year.
Call 1-559-431-2648 to sign –up with Trucker Exam Inc.
With this no annual fees on new clients.
Transportation Companies May Be Affected by PPACA-Related
Health Insurance Marketplace Changes
Under the Patient Protection and Affordable Care Act(PPACA), employers covered by the Fair Labor Standards Act (FSLA) must providenotification to their employees about other aspects of the new health insurancemarketplace. This generally includes offices that have at least one employeeand conduct a minimum of $500,000 in annual business. Eligible employers--thismay include chiropractic offices--are required to provide this notice to allcurrent employees by Oct. 1 and to each new employee at the time of hirebeginning Oct. 1.
Your office may fall under the FLSA even if the gross salesor volume of business does not meet the requisite dollar volume of $500,000annually. Employees may still be covered if they individually engage ininterstate commerce, the production of goods for interstate commerce or in anoccupation closely related and directly essential to such production.Interstate commerce includes such activities as transacting business viainterstate telephone calls or the U. S. Mail (such as handling insuranceclaims), ordering or receiving goods from an out-of-state supplier, or handlingthe accounting or bookkeeping for such activities. It would also include thehandling of credit card transactions since that involves the interstate bankingand finance systems.
The U.S. Department of Labor (DOL) has providedemployers with two sample notices they may use to comply with this rule, onefor employers who do NOT offer a health plan and another for employers who DOoffer a health plan for some or all employees. For more information on whetheryour office falls under this requirement, please click here or refer to DOL'sTechnical Guidance or contact your attorney
FMCSA's new hours-of-service final rule:
· Limits themaximum average work week for truck drivers to 70 hours, a decrease from thecurrent maximum of 82 hours;
· Allows truckdrivers who reach the maximum 70 hours of driving within a week to resume ifthey rest for 34 consecutive hours, including at least two nights when theirbody clock demands sleep the most - from 1-5 a.m., and;
· Requirestruck drivers to take a 30-minute break during the first eight hours of ashift.
The final rule retains the current 11-hour daily drivinglimit and 14-hour work day.
Companies and drivers that commit egregious violations ofthe rule could face the maximum penalties for each offense. Trucking companiesand passenger carriers that allow drivers to exceed driving limits by more thanthree hours could be fined $11,000 per offense, and the drivers themselvescould face civil penalties of up to $2,750 for each offense.
Further information, including "Hours-of-ServiceLogbook Examples," is available on FMCSA's web site at www.fmcsa.dot.gov/HOS.
The staff at Trucker Exam Inc. believes that buildingcollaborative relationships with Transportation industry for the lasts nineteenyears. Our Certified DOT Doctor here to help achieve the best outcomes with truckdriver.
One call to our staff at 1.800.542.2225 will tell youeverything you need to know to refer a truck driver to Trucker Exam Inc. and,you can download DOT Medical order form you need right here.
Referral / Consult Form Process
Test and procedure referral forms are required Trucker Exam Inc.to schedule procedures. These forms must be completed and faxed to Trucker ExamInc. at 1.800.542.2225 Scheduling Center as indicated on each form.
All referral / consult forms are provided in .pdf format.
Fresno Ca , Las Vegas NV, Madera Ca
Publication Date:12/27/2011 Effective Date:2/27/2012 Compliance Date: 7/1/2013
Action :Final Rule
FMCSA revises the hours of service (HOS) regulations to limit the use of the 34-hour restart provision to once every 168 hours and to require that anyone using the 34-hour restart provision have as part of the restart two periods that include 1 a.m. to 5 a.m.
It also includes a provision that allows truckers to drive if they have had a break of at least 30 minutes, at a time of their choosing, sometime within the previous 8 hours.
This rule does not include a change to the daily driving limit because the Agency is unable to definitively demonstrate that a 10-hour limit—which it favored in the notice of proposed rulemaking (NPRM)—would have higher net benefits than an 11-hour limit.
The current 11-hour limit is therefore unchanged at this time. The 60- and 70-hour limits are also unchanged.
The purpose of the rule is to limit the ability of drivers to work the maximum number of hours currently allowed, or close to the maximum, on a continuing basis to reduce the possibility of driver fatigue.
Long daily and weekly hours are associated with an increased risk of crashes and with the chronic health conditions associated with lack of sleep. These changes will affect only the small minority of drivers who regularly work the longer hours.
DOT Medical Card Verification
The Federal Motor Carrier Safety Administration announced that during “enforcement activities‿ such as roadside inspections it will start validating drivers’ medical cards by contacting the certifying medical examiner to verify a driver’s name and date of birth and the card’s date of issuance and any restrictions it indicates. The FMCSR requires the th DOT medical card to be kept in the DQ file not the long form at present.
The FMCSR has a requirement for the long form and explains to physicians how it must be completed; however, the FMCSR does not address how the long form will be stored once it's filled We are waiting to see how the National Board of Physicians pans out as I know that doctors spend less than five minutes with a patient that most work is done by staff.
FMCSA Refocusing Their Attention With New Safety Audit Procedures
FRAUD WARNING from FMCSA...
"There has been another round of fraudulent letters issued to U.S. Department of Transportation (DOT) contractors and potential contractors purporting to be issued by DOT. These fraudulent letters request that current or potential contractors register by submitting their company's financial information on a release form entitled, "Authorization to release financial information. Please DO NOT". Please be aware that DOT does not require any financial information to be submitted in order to be eligible for procurement. All letters were signed as the Senior Procurement Officer. Please Do Not complete the release form which is attached to the letter and DO NOT release any information to the facsimile number cited in the letter.
The point of contact concerning these fraudulent letters is the Department of Transportation Office of the Inspector General Hotline at 1-800-424-9071."
Asthma is a common disease. Individuals with asthma generally exhibit reversible airway obstruction that can be treated effectively with pharmaceutical agents such as bronchodilators and corticosteroids; however, asthma ranges in severity from essentially asymptomatic to potentially fatal.
In some drivers, complications of asthma and/or side effects of therapy may interfere with safe driving. You are responsible on a case-by-case basis for ensuring that the driver is medically fit for duty.
No texting while driving
CMV drivers are prohibited from testing while driving. So what qualifies as testing? Texting means manually entering alphanumeric text into, or reading text from, an electronic device. This includes, but is not limited to, short message service, e-mailing, instant messaging, a command or request to access a Web page, or pressing more than a single button to initiator terminate a voice communication using a mobile phone.
Use of mobile phones is restricted for CVM drivers
This ruling restricts a CVM driver from reaching for or holding a mobile phone to conduct a voice communication, as well as dialing by pressing more than a single button. CVM drivers who use a mobile phone while driving can only operate a hands-free phone located in close proximity. Inshore, the rule prohibits unsafely reaching for a device, holding a mobile phone, or pressing multiple buttons.
What happens if a driver is caught using a hand-held phone or texting while driving?
The rules impose sanctions for driver offenses, including civil penalties up to $2,750 and disqualification for multiple offenses. Motor carriers are also prohibited from requiring or allowing their drivers to text or use a hand-held mobile phone while driving and may be subject to civil penalties up to $11,000. Violations will impact ISMS results. Texting and calling on a hand-held phone carry the worst possible violation severity weights against a driver’s results!
The Federal Motor Carrier Safety Administration has granted the first exemption to rules for interstate commercial drivers when it comes to hearing standards.
Forty individuals received permission to operate commercial vehicles in interstate commerce effective last Friday. It’s good for two years and may be renewed.
The request was made of the agency last May, with comments taken until the end of July. FMCSA received 570 responses.
Several of the applicants had previous experience driving interstate and became unable to pass the required hearing test, while others had been involved in intrastate commerce, were bus drivers, had driven smaller commercial vehicles or were looking to become first-time truckers.
In announcing its decisions, the FMCSA said “granting exemptions for these CMV (commercial motor vehicle) drivers will provide a level of safety that is equivalent to or greater than the level of safety maintained without the exemptions.
Current FMCSA standards for hearing were adopted more than 40 years ago.
The applicants received assistance from the National Association of the Deaf. The association cited and FMCSA Medical Review Board study from 2008 that examined the relationship between hearing loss and crash risk exclusively among CMV drivers, as well as evidence from studies of the private bus driver license holder population, saying these studies do not support the contention that individuals with hearing impairment are at an increased risk for crash.
For the rest of the story:cal 800.542.2225
NRCME announces that there is a new Hearing Exemption that has been added to the insulin, vision, and Epilepsy/Seizure exemption programs. Certain drivers that do not meet the hearing standard in either ear may apply for the hearing exemption. The phone number for criteria used for those who may apply to either the hearing or seizure exemptions is thru the Medical Programs phone number at 202-366-4001. The insulin and vision exemption program contact number is still 703-448-3094.
Who can perform FMCSA medical examinations for CMV drivers?
FMCSA's current regulations require that all MEs be licensed, certified, and/or registered in accordance with applicable State laws and regulations to perform physical examinations. This includes but is not limited to doctors of medicine, doctors of osteopathy, physician assistants, advanced practice nurses, and doctors of chiropractic.
MEs must be knowledgeable of the specific physical and mental demands associated with operating a CMV and the requirements of Section 391.43(c), including the medical advisory criteria prepared by the FMCSA as guidelines to aid the medical examiner in making the individual determination whether a driver should be issued a medical certificate, and be proficient in following the medical protocols necessary to adequately perform the medical examination.
Beginning May 21, 2014, all MEs who wish to conduct medical examinations for interstate CMV drivers must complete training about FMCSA's physical qualifications regulations and advisory criteria and pass a certification test to be listed on the National Registry of Certified Medical Examiners. All medical certificates issued on or after this date must be issued by examiners listed on the National Registry of Certified Medical Examiners.
Are there any National Transportation Safety Board (NTSB) recommendations related to the establishment of the National Registry of Certified Medical Examiners?
The National Registry final rule addresses four NTSB recommendations on a comprehensive medical oversight program for interstate drivers that include the following elements:
- Individuals performing medical examinations for drivers are qualified to do so and are educated about occupational issues for drivers (H-01-017);
- A tracking mechanism is established that ensures that every prior application by an individual for medical certification is recorded and reviewed. (H-01-018);
- Medical certification regulations are updated periodically to permit trained examiners to clearly determine whether drivers with common medical conditions should be issued a medical certificate. (H-01-019); and
- Individuals performing examinations have specific guidance and a readily identifiable source of information for questions on such examinations (H-01-020).
FMCSA staff will meet with NTSB staff to provide a briefing on the rule. The Agency will provide any additional technical assistance necessary for the NTSB to determine whether the recommendations have been satisfied through the rulemaking.
Why is the National Registry necessary?
FMCSA developed the National Registry of Certified Medical Examiners final rule as part of the agency's commitment to enhancing the medical oversight of interstate drivers, and preventing commercial vehicle-related crashes, injuries and fatalities. The final rule addresses four NTSB recommendations on a comprehensive medical oversight program for interstate drivers.
Who is impacted by this program?
The program impacts medical examiners who need to obtain certification in order to continue issuing medical certificates for truck and bus drivers, CMV drivers who need to obtain medical certificates from examiners on the National Registry, motor carriers who must ensure their interstate drivers have been medically certified by an examiner on the registry, and training and testing organizations that will deliver these aspects of the program.
What is the National Registry of Certified Medical Examiners?
The National Registry of Certified Medical Examiners (National Registry) is a Federal program that establishes requirements for healthcare professionals that perform physical qualification examinations for truck and bus drivers.
To become a certified medical examiner (ME) and be listed on the National Registry, healthcare professionals must complete training and testing on the Federal Motor Carrier Safety Administration's (FMCSA) physical qualifications standards and guidelines. The National Registry web site is accessible to carriers, drivers, enforcement officials, and the general public.
All healthcare professionals whose scope of practice authorizes them to perform physical examinations, as defined by the state in which they practice, and who intend to perform physical examinations and issue medical certificates for commercial motor vehicle (CMV) drivers to meet the requirements of Section 391.41 of the Federal Motor Carrier Safety Regulations (FMCSRs) must be certified and listed on FMCSA's National Registry by May 21, 2014.