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Medical Qualification FAQ – Insulin Treated Diabetes Mellitus

FAQ1: Are U.S. or Canadian licensed CMV drivers permitted to operate cross-border in a CMV if they have been medically qualified with insulin-treated diabetes mellitus?

 A1: Yes.  On September 24, 2019, the medical reciprocity agreement between the U.S. and Canada was amended to remove the prohibition for cross-border operation for CMV drivers with insulin-treated diabetes mellitus, provided a U.S. driver has been physically qualified by a medical examiner based on the updated medical qualification standard.

FMCSA recommends U.S. CMV drivers with ITDM follow the updated procedures to be physically qualified by a medical examiner and then contact their licensing agencies to have the restriction (generally code “V”) removed from their physical license and driver’s record. https://www.fmcsa.dot.gov/international-programs/canada/removal-operating-prohibition-commercial-drivers-insulin-treated

FMCSA recommends Canadian CMV drivers with ITDM contact their licensing agencies to determine the requirements to have the restriction (generally code “W”) removed from their physical license and driver’s record.  https://www.fmcsa.dot.gov/international-programs/canada/removal-operating-prohibition-commercial-drivers-insulin-treated-0

Regulatory Topic: Medical qualifications requirement for foreign-domiciled motor carriers.
Effective Date: Monday, March 5, 2018
Issued Date: Monday, March 5, 2018