The DOT Daily: FMCSA Proposal to Affect Diabetics

FMCSA Proposes Revision to Diabetes Standards for Interstate Commercial Drivers.  The Federal Motor Carrier Safety Administration (FMCSA) today announced a proposal to permit individuals with stable, well-controlled insulin-treated diabetes mellitus (ITDM) to be qualified to operate trucks and buses in interstate commerce.  Under the Notice of Proposed Rulemaking, a driver’s treating clinician would be required to provide documentation annually to a health professional listed on the National Registry of Certified Medical Examiners who is performing the USDOT medical qualification examination affirming that the driver’s ITDM is stable and well-controlled.  The increased medical review will strengthen both the health monitoring of the driver and the safety of the motoring public by ensuring that physically qualified individuals are operating commercial trucks and buses on the nation’s highways and roads.  A copy of the Notice of Proposed Rulemaking is available at  Comments and evidentiary materials may be submitted to the docket through July 6, 2015.  Contact:  Kurt Larson:  (202) 366-9999

New Ruling on CMV Driver Medical Certification Required Compliancy by May 2014


Recent changes in the certification of Commercial Motor Carrier (CMV) drivers have taken effect last year and are required to be compliant by May 21, 2014, including the establishment of a National Registry for Medical Examiners.

What is the National Registry Program? 

The National Registry of Certified Medical Examiners (National Registry) program was developed by the Federal Motor Carrier Safety Administration (FMCSA) to improve highway safety and driver health. It requires all medical examiners who wish to perform physical examinations for interstate commercial motor vehicle (CMV) drivers to be trained and certified in FMCSA physical qualification standards. After May 21, 2014, you must have your medical examination performed by a certified medical examiner listed on the National Registry

Why is the National Registry program necessary? 

The National Registry program is necessary to ensure that medical examiners can effectively determine if your physical qualification meets FMCSA’s standards. The National Registry program will help reduce the occurrence of crashes, injuries, and fatalities involving large trucks and buses by making sure you are physically and mentally able to perform your job safely.

How will the National Registry program impact current CMV driver’s? If you are an interstate CMV driver, you already need to have a valid medical certificate signed by a medical examiner. The only change is that after May 21, 2014, you will need to go to a certified medical examiner for your medical certificate. indicate a possible problem with circulation, nerves, metabolism, hormones, medications, and/or nutrition.

How often do I have to obtain a medical certificate? 

All interstate CMV drivers must have a physical examination at least every 2 years; however, the medical examiner may determine that you need more frequent examinations (for example, annually or every 6 months). The National Registry program does not change how often you need to obtain a medical examination; it only requires that you go to a certified medical examiner. 

How do i find a certified medical examiner? 

Currently Chambers Chiropractic & Acupuncture is a federally certified Medical Examiner listed on the National Registry (# 7434475156; Certification Date: 4/16/2013). Please visit our website for more information on our testing and examination services. 

If you are out of the area and need assistance in locating a Medical Examiner:

  1. Go to the National Registry website at
  2. Click on the US. map to bring up a list of certified medical examiners in your area. You can search by ZIP Code, State, or examiner name.
  3. Choose a certified medical examiner from the list and call to make an appointment.

When does this change take effect?

The National Registry Final Rule was published on April 20, 2012. The program became effective May 21, 2012. After May 21, 2014, all interstate CMV drivers must have their medical examination performed by a certified medical examiner listed on the National Registry.