NOTE: The January 2024 edition of the Medical Examiner’s Handbook replaces all previous handbook editions. Medical examiners should not rely on previously published editions of the handbook, including any drafts available on FMCSA’s Medical Review Board website, as a source of Agency guidance. In addition, section 4.8.3.6 of the handbook relating to obstructive sleep apnea rescinds and replaces the January 2015 FMCSA Bulletin to Medical Examiners and Training Organizations Regarding Obstructive Sleep Apnea (FMCSA-MED-Sleep Apnea-FAQ001).

FMCSA-FR-88FR3892(2024-01-22)

Federal Register Title and Cite

Qualifications of Drivers: Medical Examiner’s Handbook Regulatory Guidance, 88 FR 3892 (January 22, 2024)

The Federal Register text can be found on the Federal Register website. To view the Federal Register text, use the link below.

https://www.federalregister.gov/documents/2024/01/22/2024-01056/qualifications-of-drivers-medical-examiners-handbook-regulatory-guidance

Federal Register Description/Summary

FMCSA announces the availability of the Medical Examiner’s Handbook (MEH), which includes updates to the Medical Advisory Criteria published in Appendix A to 49 CFR part 391. The handbook provides information about regulatory requirements and guidance to medical examiners listed on FMCSA’s National Registry of Certified Medical Examiners who perform physical qualification examinations of interstate commercial motor vehicle drivers.

Contact Info:  FMCSA Medical Programs Division, FMCSAMedical@dot.gov.

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Note: This guidance document does not have the force and effect of law and is not meant to bind the public in any way. It is intended only to provide information and clarity regarding existing requirements under the law or agency policies.