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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.

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Last updated: Friday, January 17, 2020