Medical Review Board (MRB) Meeting Topics

Meeting Topic

The Medical Review Board (MRB) meets at least three times each fiscal year. Meetings are open to the general public as practicable, except as provided under the Federal Advisory Committee Act. Interested persons are permitted to attend, appear before, or file statements with the MRB.

The MRB considers a variety of topics over the course of a year. Topics include medical conditions that affect a driver's ability to operate a commercial motor vehicle safely, medico-legal aspects of commercial driving, and the impact of new technologies on driver safety.

The following topics have been considered by the MRB or are under consideration to be addressed at upcoming MRB meetings:

Meeting Dates	Topic
July 15-16, 2019	National Training Center (NTC) 1310 N. Courthouse Road Arlington, VA Announcement DRAFT Medical Examiners handbook rev. 7-1-19 Agenda, July 15-16, 2019 Medical Review Board FMCSA Educational Video Series - MEDICATIONS I Joseph Sentef MD, MPH, MBA, MRO Chief Medical Officer FMCSA Educational Video Series - MEDICATIONS II Joseph Sentef MD, MPH, MBA, MRO Chief Medical Officer Medical Examiners Handbook Task Statement 17-1 FINAL Task Statement 15-2 Vision Standards 7-15-15 Comments - Truckers for a Cause on draft-medical-examiners-handbook-rev-7-1-19 Handbook Questionnaire Results
June 25-26, 2018	National Training Center (NTC) 1310 N. Courthouse Road, Suite 600 Arlington, VA Announcement Agenda FMCSA Medical Examiner Handbook MRB Task 17-1 Statement - Medical Examiners Handbook Task 17-1 Draft Discussion Notes: Proposed Changes to the Medical Examiner Handbook Examining the FMCSA Vision Standard and Vision Waiver Program for Commercial Motor Vehicle Drivers (Presentation by Dr. Karlene Ball) Examination of FMCSA Vision Standard for CMV Drivers (by Univ. of Alabama at Birmingham) MRB Task 15-2: Vision Standards FINAL MRB Task 15-02 Report Meeting Minutes June 25-26, 2018
September 26-27, 2017	National Training Center (NTC) 1310 N. Courthouse Road, Suite 600 Arlington, VA Announcement Agenda FMCSA Medical Examiner Handbook Seizure Disorders and CMV Driver Safety Advisory Criteria Executive Summary: Seizure Disorders and CMV Driver Safety Expert Panel Recommendations: Seizure Disorders and CMV Driver Safety Seizure Exemption Application MRB Task 17-1 Statement - Medical Examiners Handbook MRB Task Statement - Seizure History of the FMCSA Seizure Standard Task 17-1 Draft Discussion Notes: Proposed Changes to the Medical Examiner Handbook Task 17-2 Discussion Notes: Seizure Standard for CMV Drivers Meeting Minutes
October 24-25, 2016	MCSAC Meeting - Partly Joint with MRB Day 1: October 24th Announcement Agenda Comments from Truckers for a Cause MCSAC Task 15-3 Subcommittee Discussion Notes Email from OOIDA Meeting the Challenges of Reaching Long-Haul Truck Drivers ATRI-GIG Manual MRB Task 16-1: Obstructive Sleep Apnea (OSA) MRB Task 16-1: OSA Draft Discussion Notes (8/23/2016) MRB Task 16-1: OSA Draft Letter Report (August 2016) MRB Task 16-1: OSA Final Letter Report ATRI White Paper: Driver Perspectives on OSA ATRI Press Release Comments from Truckers for a Cause Obstructive Sleep Apnea Overview of Advance Notice of Proposed Rulemaking Letter from Dr. Al Osbahr Medical and Scientific Stakeholder Comment Matrix Task 11-5 Final Cover Letter and Report Obstructive Sleep Apnea In Rail and Highway Accidents ATRI Presentation: Commercial Driver Perspectives on OSA Sleep Apnea – Economic Crisis Sleep Apnea – Patient Experience Infographic: Undiagnosed Sleep Apnea Mandibular Advancement Device as a Comparable Treatment to Nasal Continuous Positive Airway Pressure for Positional Obstructive Sleep Apnea Review Article on Oral Appliance Treatment for OSA MCSAC and MRB Joint Task Statement 15-3 Day 2: October 25th FDA News Release MRB Task 16-2 Medical Advisory Criteria e-CFR: Appendix to Part 391 – Medical Advisory Criteria MRB Task 13-1 Recommendations MRB Task 16-02 Letter Report MRB Discussion Notes - Recommendations Re. FDA Warnings Meeting Minutes (MRB) Meeting Minutes (MCSAC and MRB)
August 22-23, 2016	Advance Notice of Proposed Rulemaking (ANPRM) on Obstructive Sleep Apnea Announcement Agenda Task Statement 16-1 ATRI White Paper: Driver Perspectives on OSA ATRI Press Release Comments from Truckers for a Cause Obstructive Sleep Apnea Overview of Advance Notice of Proposed Rulemaking Letter from Dr. Al Osbahr Medical and Scientific Stakeholder Comment Matrix Task 11-5 Final Cover Letter and Report Obstructive Sleep Apnea In Rail and Highway Accidents ATRI Presentation: Commercial Driver Perspectives on OSA Sleep Apnea – Economic Crisis Sleep Apnea – Patient Experience Infographic: Undiagnosed Sleep Apnea Mandibular Advancement Device as a Comparable Treatment to Nasal Continuous Positive Airway Pressure for Positional Obstructive Sleep Apnea Draft Task 16-01 Discussion Notes (8/23/2016) Review Article on Oral Appliance Treatment for OSA MRB Task 16-01 Letter Report Meeting Minutes
August 10, 2016	Meeting of the MCSAC-MRB Driver Health and Wellness Working Group For meeting-related documents please visit www.fmcsa.dot.gov/advisory-committees/mcsac/meetings
Sept. 21-22, 2015	Joint Meeting with MCSAC Announcement Agenda MCSAC-MRB Joint Task Statement 15-3: Driver Health and Wellness Patricia Hu Biography National Survey of Long-Haul Truck Driver Health and Injury (by NIOSH) Wellness in Transportation, by Rolling Strong Comments from Truckers for A Cause Presentation: Bus Athlete System National Survey of U.S. Long-Haul Truck Driver Health and Injury Employee Assistance Program Training Catalog Presentation: A Buffet of Wellness Programs OOIDA Wellness Program Presentation: Fitness to Operate Presentation: FMCSA Medical Programs Wellness Initiative MRB Task 15-01 Report MRB Task 15-02 Report 2006 Truck Driver Fatigue Management Survey MCSAC Task 15-3 Discussion Notes MCSAC-MRB Meeting Minutes September 2015 Day 2
July 21-22, 2015	Diabetes Mellitus and Vision Standard Agenda Diabetes Standard Medically Significant Comments FMCSA Vision Exemption Criteria Change Diabetes Standard Notice of Proposed Rulemaking Diabetes Mellitus and Crash Risk Diabetes and Commercial Motor Vehicle Safety Updated Evidence Report Presentation 2010 Update: Diabetes and Commercial Motor Vehicle Driver Safety Evidence Report Cambridge Systemics Medical Exemption Study Report Vision and Commercial Motor Vehicle Driver Safety Vision Exemption Package Visual Disorders and Commercial Drivers Published Diabetes NPRM Vision and Diabetes Exemption Criteria MRB Task 15-1: Type I Diabetes MRB Task 15-2: Vision Standards Combined FACA-Ethics Training for MRB Overview of Public Comments on the Diabetes Standard International Standards Evidence Report FINAL MRB Task 15-01 Report FINAL MRB Task 15-02 Report MRB July 2015 Meeting Minutes
October 27, 2014	Joint Meeting with MCSAC Agenda Meeting Minutes Task 14-3: Schedule II Medications Presentation: Flexible Sleeper Berth Pilot Presentation: Schedule II Opioids and Stimulants & CMV Crash Risk and Driver Performance Presentation: Schedule II Opioids and Stimulants: Opinions of the Medical Expert Panel regarding Commercial Driver Performance and Crash Risk Schedule II Evidence Report Schedule II Medical Expert Panel Report CMV Driver Medication Questionnaire Draft Schedule II MRB Recommendations to the MCSAC MRB Task 13-1: Schedule II Controlled Substances and CMV Drivers Final Recommendations on MRB and MCSAC Joint Task 14-3 Controlled Substances
July 29-30, 2014	Schedule II Controlled Substances Task Statement Agenda Schedule II MRB Presentation Schedule II Evidence MRB Sept. Report ACOEM Practice Guidelines Medication Questionnaire Regulation of Schedule II Medications Meeting Minutes
February 2013	Bus Driver Fatigue
September 9-10, 2013	Joint MCSAC-MRB Meeting - Motorcoach Hours of Service; Schedule II Medications
September 11, 2013	Schedule II Medications

A Federal Register Notice is published 15 days prior to each MRB meeting. This notice will include the topic for the meeting. Please refer to the notice for information on the specific meeting topic.

Last updated: Tuesday, December 31, 2019