USA Banner

Official US Government Icon

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure Site Icon

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Site Notification

Site Notification

U.S. Department of Transportation U.S. Department of Transportation Icon United States Department of Transportation United States Department of Transportation

Removal of Operating Prohibition for Commercial Drivers with Insulin Treated Diabetes Mellitus - United States

This letter represents an amendment to the 1998 U.S.-Canada Medical Reciprocity Agreement and formalizes the removal of the prohibition for cross-border transportation by commercial drivers with Insulin Treated Diabetes Mellitus effective Sept. 24, 2019.

DOT is committed to ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. If you require an alternative version of files provided on this page, please contact
Last updated: Friday, January 17, 2020