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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....
NOTE: This guidance replaces the guidance published at 80 FR 22790 (Apr. 23, 2015) (FMCSA-FR-80FR22790.2015.04.23) and revised at 83 FR 47486 (Sept. 19, 2018) and at 87 FR 3390 (Jan. 21, 2022) (FMCSA-FR-83FR47486.2018.09.19 and FMCSA-FR-87FR3390(2022-01-21), respectively).
...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....
Driver Physical Qualification Standards
Guidance Q&AQuestion 5: If an interstate driver tests positive for alcohol or controlled substances under part 382, must the driver be medically re-examined and obtain a new medical examiner’s certificate to drive again?
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Question 4: May the medical examiner restrict a driver’s duties?
Guidance: No. The only conditions a medical examiner may impose upon a driver otherwise qualified involve the use of corrective lenses or hearing aids, securement of a waiver or limitation of driving...
Question 1: Who is responsible for ensuring that medical certifications meet the requirements?
Guidance: Medical certification determinations are the responsibility of the medical examiner. The motor carrier has the responsibility to ensure that the...