The federal regulations contain detailed information regarding the physical qualification of drivers. Some of the standards have very specific criteria, such as vision. For others a measure of latitude is given to the medical examiner. Finally, some conditions aren’t specifically mentioned in the regulations. A good example would be sleep apnea.
Several years ago FMCSA removed the Medical Examiner’s Handbook from its website because medical examiners were utilizing the information contained in the handbook as if it were regulations. This is what has happened with the Medical Review Board’s information regarding sleep apnea. Guidance information became mandated requirements.
Adding to the confusion is the on and off cycle of proposed apnea regulations and the possibility that there will be a rulemaking regarding evaluating diabetic drivers.
FMCSA has decided that the Medical Examiner’s Handbook has value so they’ve begun the process of revising the content. Working on this project is somewhat like a tight rope walk, it’s a balancing act between providing information and at the same time ensuring that it is utilized as “best practices” rather than converted to a regulatory absolute.
Given the normal pace of government projects we shouldn’t hope for an early publication date. However, completion of this project will hopefully clarify the situation and bring uniformity to the standards for driver qualification. In the meantime we’re left with a mixture of absolute regulations, medical examiner interpretations, Medical Review Board guidance documents, and, if nothing else applies, this portion of the regulations:
391.41(b)(5) states, “(b) A person is physically qualified to drive a commercial motor vehicle if that person . . . (5) Has no established medical history or clinical diagnosis of a respiratory dysfunction likely to interfere with his/her ability to control and drive a commercial motor vehicle safely.”
It would certainly be worthwhile to have a conversation with your medical provider about how they apply the regulations and handle certain situations.
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