80_FR_35696 80 FR 35577 - Medical Examiner's Certification Integration; Correction

80 FR 35577 - Medical Examiner's Certification Integration; Correction

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 80, Issue 119 (June 22, 2015)

Page Range35577-35596
FR Document2015-15161

FMCSA makes corrections to a rule that appeared in the Federal Register on April 23, 2015 (80 FR 22790). In that rule, FMCSA amended the Federal Motor Carrier Safety Regulations (FMCSRs) to require certified medical examiners (MEs) performing physical examinations of commercial motor vehicle (CMV) drivers to use a newly developed Medical Examination Report (MER) Form, MCSA-5875, in place of the current MER Form and to use Form MCSA-5876 for the Medical Examiner's Certificate (MEC); and report results of all CMV drivers' physical examinations performed (including the results of examinations where the driver was found not to be qualified) to FMCSA by midnight (local time) of the next calendar day following the examination. That final rule was a follow-on rule to the Medical Certification Requirements as Part of the CDL rule final rule, published on December 1, 2008, and the National Registry of Certified Medical Examiners final rule, published on April 20, 2012.

Federal Register, Volume 80 Issue 119 (Monday, June 22, 2015) 
[Federal Register Volume 80, Number 119 (Monday, June 22, 2015)]
[Rules and Regulations]
[Pages 35577-35596]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-15161]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

49 CFR Parts 383, 384 and 391

[Docket No. FMCSA-2012-0178]
RIN 2126-AB40


Medical Examiner's Certification Integration; Correction

AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT.

ACTION: Final rule; correction.

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SUMMARY: FMCSA makes corrections to a rule that appeared in the Federal 
Register on April 23, 2015 (80 FR 22790). In that rule, FMCSA amended 
the Federal Motor Carrier Safety Regulations (FMCSRs) to require 
certified medical examiners (MEs) performing physical examinations of 
commercial motor vehicle (CMV) drivers to use a newly developed Medical 
Examination Report (MER) Form, MCSA-5875, in place of the current MER 
Form and to use Form MCSA-5876 for the Medical Examiner's Certificate 
(MEC); and report results of all CMV drivers' physical examinations 
performed (including the results of examinations where the driver was 
found not to be qualified) to FMCSA by midnight (local time) of the 
next calendar day following the examination. That final rule was a 
follow-on rule to the Medical Certification Requirements as Part of the 
CDL rule final rule, published on December 1, 2008, and the National 
Registry of Certified Medical Examiners final rule, published on April 
20, 2012.

DATES: Effective June 22, 2015.

FOR FURTHER INFORMATION CONTACT: Charles A. Horan, III, Director, 
Carrier, Driver, & Vehicle Safety Standards, Federal Motor Carrier 
Safety Administration, 1200 New Jersey Avenue SE., Washington, DC 
20590-0001, by telephone at (202) 366-4001 or via email at 
[email protected].

SUPPLEMENTARY INFORMATION: In FR Doc. 2015-09053, published on 
Thursday, April 23, 2015 80 FR (22790) the following corrections are 
made.

Corrections to the Preamble

    1. On page 22798, in the third column, in FMCSA's response to 
comment number 8. Voiding the MEC, the first sentence under the heading 
``FMCSA Response'' is corrected to read as follows:

    As explained in both the National Registry final rule (77 FR at 
24108) and in the NPRM in this rulemaking (78 FR at 27348), under 
the authority granted by 49 U.S.C. 31149(c)(2), FMCSA may void an 
MEC issued to a CMV driver if it finds either that a Medical 
Examiner has issued a certificate to a driver ``who fails to meet 
the applicable standards at the time of the examination'' or ``that 
a Medical Examiner has falsely claimed to have completed training in 
physical and medical examination standards.''

    2. Beginning on page 22810, in the third column, and continuing on 
page 22811, in the first column, in Sec.  383.73, paragraphs 
(a)(2)(vii), (b)(5), (o)(1)(i)(A), and (o)(1)(ii)(A) are corrected to 
read as follows:

Sec.  383.73 State procedures

    (a) * * *
    (2) * * *
    (vii)(A) Before June 22, 2018, for drivers who certified their type 
of driving according to Sec.  383.71(b)(1)(i) (non-excepted interstate) 
and, if the CLP applicant submits a current medical examiner's 
certificate, date-stamp the medical examiner's certificate, and post 
all required information from the medical examiner's certificate to the 
CDLIS driver record in accordance with paragraph (o) of this section.
    (B) On or after June 22, 2018, for drivers who certified their type 
of driving according to Sec.  383.71(b)(1)(i) (non-excepted interstate) 
and, if FMCSA provides current medical examiner's

[[Page 35578]]

certificate information electronically, post all required information 
matching the medical examiner's certificate to the CDLIS driver record 
in accordance with paragraph (o) of this section.
    (b) * * *
    (5)(i) Before June 22, 2018, for drivers who certified their type 
of driving according to Sec.  383.71(b)(1)(i) (non-excepted interstate) 
and, if the CDL holder submits a current medical examiner's 
certificate, date-stamp the medical examiner's certificate and post all 
required information from the medical examiner's certificate to the 
CDLIS driver record in accordance with paragraph (o) of this section.
    (ii) On or after June 22, 2018, for drivers who certified their 
type of driving according to Sec.  383.71(b)(1)(i) (non-excepted 
interstate) and, if FMCSA provides current medical examiner's 
certificate information electronically, post all required information 
matching the medical examiner's certificate to the CDLIS driver record 
in accordance with paragraph (o) of this section.
* * * * *
    (o) * * *
    (1) * * *
    (i) * * *
    (A) Post the driver's self-certification of type of driving under 
Sec.  383.71(b)(1) to the CDLIS driver record;
* * * * *
    (ii) * * *
    (A) Post the driver's self-certification of type of driving under 
Sec.  383.71(b)(1) to the CDLIS driver record;
* * * * *

Part 391 Authority [Corrected]

    3. On page 22812, in the first column, the authority citation for 
part 391 is corrected to read as follows:

    Authority: 49 U.S.C. 504, 508, 31133, 31136, 31149 and 31502; 
sec. 4007(b), Pub. L. 102-240, 105 Stat, 1914, 2152; sec. 114, Pub. 
L. 103-311, 108 Stat. 1673, 1677; sec. 215, Pub. L. 106-159, 113 
Stat. 1748, 1767; and 49 CFR 1.87.

    4. On page 22812, beginning at the top of the second column and 
continuing at the top of the third column, in Sec.  391.23, paragraphs 
(m)(2)(i) and (m)(3) are corrected to read as follows:

Sec.  391.23 Investigation and inquiries.

* * * * *
    (m) * * *
    (2) Exception. For drivers required to have a commercial driver's 
license under part 383 of this chapter:
    (i) Beginning January 30, 2015, using the CDLIS motor vehicle 
record obtained from the current licensing State, the motor carrier 
must verify and document in the driver qualification file the following 
information before allowing the driver to operate a CMV:
    (A) The type of operation the driver self-certified that he or she 
will perform in accordance with Sec.  383.71(b)(1) of this chapter.
    (B)(1) Beginning on May 21, 2014, and ending on June 22, 2018, that 
the driver was certified by a medical examiner listed on the National 
Registry of Certified Medical Examiners as of the date of medical 
examiner's certificate issuance.
    (2) If the driver has certified under paragraph (m)(2)(i)(A) of 
this section that he or she expects to operate in interstate commerce, 
that the driver has a valid medical examiner's certificate and any 
required medical variances.
    (C) Exception. Beginning on January 30, 2015 and until June 22, 
2018, if the driver provided the motor carrier with a copy of the 
current medical examiner's certificate that was submitted to the State 
in accordance with Sec.  383.73(b)(5) of this chapter, the motor 
carrier may use a copy of that medical examiner's certificate as proof 
of the driver's medical certification for up to 15 days after the date 
it was issued.
* * * * *
    (3) Exception. For drivers required to have a commercial learner's 
permit under part 383 of this chapter:
    (i) Beginning July 8, 2015, using the CDLIS motor vehicle record 
obtained from the current licensing State, the motor carrier must 
verify and document in the driver qualification file the following 
information before allowing the driver to operate a CMV:
    (A) The type of operation the driver self-certified that he or she 
will perform in accordance with Sec.  383.71(b)(1) and (g) of this 
chapter.
    (B)(1) Until June 22, 2018, that the driver was certified by a 
medical examiner listed on the National Registry of Certified Medical 
Examiners as of the date of medical examiner's certificate issuance.
    (2) If the driver has a commercial learner's permit and has 
certified under paragraph (m)(3)(i)(A) of this section that he or she 
expects to operate in interstate commerce, that the driver has a valid 
medical examiner's certificate and any required medical variances.
    (C) Until June 22, 2018, if the driver provided the motor carrier 
with a copy of the current medical examiner's certificate that was 
submitted to the State in accordance with Sec.  383.73(a)(5) of this 
chapter, the motor carrier may use a copy of that medical examiner's 
certificate as proof of the driver's medical certification for up to 15 
days after the date it was issued.
    (ii) Until July 8, 2015, if a driver operating in non-excepted, 
interstate commerce has no medical certification status information on 
the CDLIS MVR obtained from the current State driver licensing agency, 
the employing motor carrier may accept a medical examiner's certificate 
issued to that driver, and place a copy of it in the driver 
qualification file before allowing the driver to operate a CMV in 
interstate commerce.
    5. Beginning on page 22812, in the third column, and continuing to 
page 22821, in the third column, in Sec.  391.43, paragraphs (f), 
(g)(5)(ii), and (h) are corrected to read as follows:

Sec.  391.43 Medical examination; certificate of physical examination.

* * * * *
    (f)(1) Until December 22, 2015, the medical examination shall be 
performed, and its results shall be recorded, substantially in 
accordance with the following instructions and examination form.

Instructions for Performing and Recording Physical Examinations

    The medical examiner must be familiar with 49 CFR 391.41, Physical 
qualifications for drivers, and should review these instructions before 
performing the physical examination. Answer each question ``yes'' or 
``no'' and record numerical readings where indicated on the physical 
examination form.
    The medical examiner must be aware of the rigorous physical, 
mental, and emotional demands placed on the driver of a commercial 
motor vehicle. In the interest of public safety, the medical examiner 
is required to certify that the driver does not have any physical, 
mental, or organic condition that might affect the driver's ability to 
operate a commercial motor vehicle safely.
    General information. The purpose of this history and physical 
examination is to detect the presence of physical, mental, or organic 
conditions of such a character and extent as to affect the driver's 
ability to operate a commercial motor vehicle safely. The examination 
should be conducted carefully and should at least include all of the 
information requested in the following form. History of certain 
conditions may be cause for rejection. Indicate the need for further 
testing and/or require evaluation by a specialist. Conditions may be 
recorded which do not, because of their character or degree, indicate 
that certification of physical fitness should be denied. However, these 
conditions should be discussed with the driver and he/she should be 
advised to take the

[[Page 35579]]

necessary steps to insure correction, particularly of those conditions 
which, if neglected, might affect the driver's ability to drive safely.
    General appearance and development. Note marked overweight. Note 
any postural defect, perceptible limp, tremor, or other conditions that 
might be caused by alcoholism, thyroid intoxication or other illnesses.
    Head-eyes. When other than the Snellen chart is used, the results 
of such test must be expressed in values comparable to the standard 
Snellen test. If the driver wears corrective lenses for driving, these 
should be worn while driver's visual acuity is being tested. If contact 
lenses are worn, there should be sufficient evidence of good tolerance 
of and adaptation to their use. Indicate the driver's need to wear 
corrective lenses to meet the vision standard on the Medical Examiner's 
Certificate by checking the box, ``Qualified only when wearing 
corrective lenses.'' In recording distance vision use 20 feet as 
normal. Report all vision as a fraction with 20 as the numerator and 
the smallest type read at 20 feet as the denominator. Monocular drivers 
are not qualified to operate commercial motor vehicles in interstate 
commerce.
    Ears. Note evidence of any ear disease, symptoms of aural vertigo, 
or Meniere's Syndrome. When recording hearing, record distance from 
patient at which a forced whispered voice can first be heard. For the 
whispered voice test, the individual should be stationed at least 5 
feet from the examiner with the ear being tested turned toward the 
examiner. The other ear is covered. Using the breath which remains 
after a normal expiration, the examiner whispers words or random 
numbers such as 66, 18, 23, etc. The examiner should not use only 
sibilants (s-sounding test materials). The opposite ear should be 
tested in the same manner. If the individual fails the whispered voice 
test, the audiometric test should be administered. For the audiometric 
test, record decibel loss at 500 Hz, 1,000 Hz, and 2,000 Hz. Average 
the decibel loss at 500 Hz, 1,000 Hz and 2,000 Hz and record as 
described on the form. If the individual fails the audiometric test and 
the whispered voice test has not been administered, the whispered voice 
test should be performed to determine if the standard applicable to 
that test can be met.
    Throat. Note any irremediable deformities likely to interfere with 
breathing or swallowing.
    Heart. Note murmurs and arrhythmias, and any history of an enlarged 
heart, congestive heart failure, or cardiovascular disease that is 
accompanied by syncope, dyspnea, or collapse. Indicate onset date, 
diagnosis, medication, and any current limitation. An electrocardiogram 
is required when findings so indicate.
    Blood pressure (BP). If a driver has hypertension and/or is being 
medicated for hypertension, he or she should be recertified more 
frequently. An individual diagnosed with Stage 1 hypertension (BP is 
140/90-159/99) may be certified for one year. At recertification, an 
individual with a BP equal to or less than 140/90 may be certified for 
one year; however, if his or her BP is greater than 140/90 but less 
than 160/100, a one-time certificate for 3 months can be issued. An 
individual diagnosed with Stage 2 (BP is 160/100-179/109) should be 
treated and a one-time certificate for 3-month certification can be 
issued. Once the driver has reduced his or her BP to equal to or less 
than 140/90, he or she may be recertified annually thereafter. An 
individual diagnosed with Stage 3 hypertension (BP equal to or greater 
than 180/110) should not be certified until his or her BP is reduced to 
140/90 or less, and may be recertified every 6 months.
    Lungs. Note abnormal chest wall expansion, respiratory rate, breath 
sounds including wheezes or alveolar rales, impaired respiratory 
function, dyspnea, or cyanosis. Abnormal finds on physical exam may 
require further testing such as pulmonary tests and/or x-ray of chest.
    Abdomen and Viscera. Note enlarged liver, enlarged spleen, abnormal 
masses, bruits, hernia, and significant abdominal wall muscle weakness 
and tenderness. If the diagnosis suggests that the condition might 
interfere with the control and safe operation of a commercial motor 
vehicle, further testing and evaluation is required.
    Genital-urinary and rectal examination. A urinalysis is required. 
Protein, blood or sugar in the urine may be an indication for further 
testing to rule out any underlying medical problems. Note hernias. A 
condition causing discomfort should be evaluated to determine the 
extent to which the condition might interfere with the control and safe 
operation of a commercial motor vehicle.
    Neurological. Note impaired equilibrium, coordination, or speech 
pattern; paresthesia; asymmetric deep tendon reflexes; sensory or 
positional abnormalities; abnormal patellar and Babinski's reflexes; 
ataxia. Abnormal neurological responses may be an indication for 
further testing to rule out an underlying medical condition. Any 
neurological condition should be evaluated for the nature and severity 
of the condition, the degree of limitation present, the likelihood of 
progressive limitation, and the potential for sudden incapacitation. In 
instances where the medical examiner has determined that more frequent 
monitoring of a condition is appropriate, a certificate for a shorter 
period should be issued.
    Spine, musculoskeletal. Previous surgery, deformities, limitation 
of motion, and tenderness should be noted. Findings may indicate 
additional testing and evaluation should be conducted.
    Extremities. Carefully examine upper and lower extremities and note 
any loss or impairment of leg, foot, toe, arm, hand, or finger. Note 
any deformities, atrophy, paralysis, partial paralysis, clubbing, 
edema, or hypotonia. If a hand or finger deformity exists, determine 
whether prehension and power grasp are sufficient to enable the driver 
to maintain steering wheel grip and to control other vehicle equipment 
during routine and emergency driving operations. If a foot or leg 
deformity exists, determine whether sufficient mobility and strength 
exist to enable the driver to operate pedals properly. In the case of 
any loss or impairment to an extremity which may interfere with the 
driver's ability to operate a commercial motor vehicle safely, the 
medical examiner should state on the medical certificate ``medically 
unqualified unless accompanied by a Skill Performance Evaluation 
Certificate.'' The driver must then apply to the Field Service Center 
of the FMCSA, for the State in which the driver has legal residence, 
for a Skill Performance Evaluation Certificate under Sec.  391.49.
    Laboratory and other testing. Other test(s) may be indicated based 
upon the medical history or findings of the physical examination.
    Diabetes. If insulin is necessary to control a diabetic driver's 
condition, the driver is not qualified to operate a commercial motor 
vehicle in interstate commerce. If mild diabetes is present and it is 
controlled by use of an oral hypoglycemic drug and/or diet and 
exercise, it should not be considered disqualifying. However, the 
driver must remain under adequate medical supervision.
    Upon completion of the examination, the medical examiner must date 
and sign the form, provide his/her full name, office address and 
telephone number. The completed medical examination form shall be 
retained on file at the office of the medical examiner.
BILLING CODE 4910-EX-C

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    (2) On and after December 22, 2015, the medical examination shall 
be performed, and its results shall be recorded on the Medical 
Examination Report Form, MCSA-5875, set out below:

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    (g) * * *
    (4) Beginning December 22, 2015, if the medical examiner finds that 
the determination of whether the person examined is physically 
qualified to operate a commercial motor vehicle in accordance with 
Sec.  391.41(b) should be delayed pending the receipt of additional 
information or the conduct of further examination in order for the 
medical examiner to make such determination, he or she must inform the 
person examined that the additional information must be provided or the 
further examination completed within 45 days, and that the pending 
status of the examination will be reported to FMCSA.
    (5) * * *
    (ii) Beginning on June 22, 2015, if the medical examiner does not 
perform a medical examination of any driver who is required to be 
examined by a medical examiner listed on the National Registry of 
Certified Medical Examiners during any calendar month, the medical 
examiner must report that fact to FMCSA, via a secure FMCSA-designated 
Web site, by the close of business on the last day of such month.
    (h)(1) Until December 22, 2015, the medical examiner's certificate 
shall be substantially in accordance with the following form.
[GRAPHIC] [TIFF OMITTED] TR22JN15.016


[[Page 35596]]


    (2) On and after December 22, 2015, the medical examiner's 
certificate shall be completed in accordance with the following Form 
MCSA-5876, Medical Examiner's Certificate.
[GRAPHIC] [TIFF OMITTED] TR22JN15.017

* * * * *

    Issued under the authority delegated in 49 CFR 1.87 on: June 12, 
2015.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2015-15161 Filed 6-19-15; 8:45 am]
 BILLING CODE 4910-EX-P

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35577 this Order shall be effective July 22, with 30 days of the carrier providing found not to be qualified) to FMCSA by 2015, except to the extent expressly such notice, the eligible midnight (local time) of the next addressed below. telecommunications carrier shall not calendar day following the examination. 11. It is further ordered that the terminate the subscriber’s Lifeline That final rule was a follow-on rule to relevant rules are amended as set forth service. Eligible telecommunications the Medical Certification Requirements below. Those rules contain modified carriers shall report to the Commission as Part of the CDL rule final rule, information collection requirements that annually the number of subscribers de- published on December 1, 2008, and the are subject to the PRA and shall become enrolled for non-usage under this National Registry of Certified Medical effective July 22, 2015. paragraph. This de-enrollment Examiners final rule, published on April 12. It is further ordered that the information must reported by month 20, 2012. Commission shall send a copy of this and must be submitted to the DATES: Effective June 22, 2015. Order in a report to be sent to Congress Commission at the time an eligible FOR FURTHER INFORMATION CONTACT: and the Government Accountability telecommunications carrier submits its Charles A. Horan, III, Director, Carrier, Office pursuant to the Congressional annual certification report pursuant to Driver, & Vehicle Safety Standards, Review Act. § 54.416. Federal Motor Carrier Safety 13. It is further ordered that the * * * * * Administration, 1200 New Jersey Commission’s Consumer and ■ 3. Amend § 54.407 by revising the Avenue SE., Washington, DC 20590– Governmental Affairs Bureau, Reference paragraph (c) introductory text to read 0001, by telephone at (202) 366–4001 or Information Center, shall send a copy of as follows: via email at fmcsamedical@dot.gov. this Order, including the Final SUPPLEMENTARY INFORMATION: In FR Doc. Regulatory Flexibility Certification, to § 54.407 Reimbursement for offering the Chief Counsel for Advocacy of the 2015–09053, published on Thursday, Lifeline. Small Business Administration. April 23, 2015 80 FR (22790) the * * * * * following corrections are made. List of Subjects in 47 CFR Part 54 (c) An eligible telecommunications carrier offering a Lifeline service that Corrections to the Preamble Communications common carriers, does not require the eligible Reporting and recordkeeping 1. On page 22798, in the third telecommunications carrier to assess column, in FMCSA’s response to requirements, Telecommunications, and collect a monthly fee from its Telephone. comment number 8. Voiding the MEC, subscribers: the first sentence under the heading Federal Communications Commission. * * * * * ‘‘FMCSA Response’’ is corrected to read Ryan B. Palmer, [FR Doc. 2015–15295 Filed 6–19–15; 8:45 am] as follows: Chief, Telecommunication Access Policy BILLING CODE 6712–01–P As explained in both the National Registry Division, Wireline Competition Bureau. final rule (77 FR at 24108) and in the NPRM For the reasons discussed in the in this rulemaking (78 FR at 27348), under preamble, the Federal Communications DEPARTMENT OF TRANSPORTATION the authority granted by 49 U.S.C. Commission amends 47 CFR part 54 to 31149(c)(2), FMCSA may void an MEC issued Federal Motor Carrier Safety to a CMV driver if it finds either that a read as follows: Medical Examiner has issued a certificate to Administration a driver ‘‘who fails to meet the applicable PART 54—UNIVERSAL SERVICE standards at the time of the examination’’ or 49 CFR Parts 383, 384 and 391 ‘‘that a Medical Examiner has falsely claimed ■ 1. The authority citation for part 54 [Docket No. FMCSA–2012–0178] to have completed training in physical and continues to read as follows: medical examination standards.’’ Authority: 47 U.S.C. 151, 154(i), 155, 201, RIN 2126–AB40 2. Beginning on page 22810, in the 205, 214, 219, 220, 254, 303(r), 403, and 1302 unless otherwise noted. Medical Examiner’s Certification third column, and continuing on page Integration; Correction 22811, in the first column, in § 383.73, ■ 2. Amend § 54.405 by revising paragraphs (a)(2)(vii), (b)(5), (o)(1)(i)(A), paragraph (e)(3) to read as follows: AGENCY: Federal Motor Carrier Safety and (o)(1)(ii)(A) are corrected to read as Administration (FMCSA), DOT. follows: § 54.405 Carrier obligation to offer Lifeline. ACTION: Final rule; correction. * * * * * § 383.73 State procedures (e) * * * SUMMARY: FMCSA makes corrections to (a) * * * (3) De-enrollment for non-usage. a rule that appeared in the Federal (2) * * * Notwithstanding paragraph (e)(1) of this Register on April 23, 2015 (80 FR (vii)(A) Before June 22, 2018, for section, if a Lifeline subscriber fails to 22790). In that rule, FMCSA amended drivers who certified their type of use, as ‘‘usage’’ is defined in the Federal Motor Carrier Safety driving according to § 383.71(b)(1)(i) § 54.407(c)(2), for 60 consecutive days a Regulations (FMCSRs) to require (non-excepted interstate) and, if the CLP Lifeline service that does not require the certified medical examiners (MEs) applicant submits a current medical eligible telecommunications carrier to performing physical examinations of examiner’s certificate, date-stamp the assess and collect a monthly fee from its commercial motor vehicle (CMV) medical examiner’s certificate, and post subscribers, an eligible drivers to use a newly developed all required information from the telecommunications carrier must Medical Examination Report (MER) medical examiner’s certificate to the provide the subscriber 30 days’ notice, Form, MCSA–5875, in place of the CDLIS driver record in accordance with tkelley on DSK3SPTVN1PROD with RULES using clear, easily understood language, current MER Form and to use Form paragraph (o) of this section. that the subscriber’s failure to use the MCSA–5876 for the Medical Examiner’s (B) On or after June 22, 2018, for Lifeline service within the 30-day notice Certificate (MEC); and report results of drivers who certified their type of period will result in service termination all CMV drivers’ physical examinations driving according to § 383.71(b)(1)(i) for non-usage under this paragraph. If performed (including the results of (non-excepted interstate) and, if FMCSA the subscriber uses the Lifeline service examinations where the driver was provides current medical examiner’s VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00013 Fmt 4700 Sfmt 4700 E:\FR\FM\22JNR1.SGM 22JNR1

35578 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations certificate information electronically, the following information before (ii) Until July 8, 2015, if a driver post all required information matching allowing the driver to operate a CMV: operating in non-excepted, interstate the medical examiner’s certificate to the (A) The type of operation the driver commerce has no medical certification CDLIS driver record in accordance with self-certified that he or she will perform status information on the CDLIS MVR paragraph (o) of this section. in accordance with § 383.71(b)(1) of this obtained from the current State driver (b) * * * chapter. licensing agency, the employing motor (5)(i) Before June 22, 2018, for drivers (B)(1) Beginning on May 21, 2014, and carrier may accept a medical examiner’s who certified their type of driving ending on June 22, 2018, that the driver certificate issued to that driver, and according to § 383.71(b)(1)(i) (non- was certified by a medical examiner place a copy of it in the driver excepted interstate) and, if the CDL listed on the National Registry of qualification file before allowing the holder submits a current medical Certified Medical Examiners as of the driver to operate a CMV in interstate examiner’s certificate, date-stamp the date of medical examiner’s certificate commerce. medical examiner’s certificate and post issuance. 5. Beginning on page 22812, in the all required information from the (2) If the driver has certified under third column, and continuing to page medical examiner’s certificate to the paragraph (m)(2)(i)(A) of this section 22821, in the third column, in § 391.43, CDLIS driver record in accordance with that he or she expects to operate in paragraphs (f), (g)(5)(ii), and (h) are paragraph (o) of this section. interstate commerce, that the driver has corrected to read as follows: (ii) On or after June 22, 2018, for a valid medical examiner’s certificate and any required medical variances. § 391.43 Medical examination; drivers who certified their type of certificate of physical examination. driving according to § 383.71(b)(1)(i) (C) Exception. Beginning on January (non-excepted interstate) and, if FMCSA 30, 2015 and until June 22, 2018, if the * * * * * provides current medical examiner’s driver provided the motor carrier with (f)(1) Until December 22, 2015, the certificate information electronically, a copy of the current medical medical examination shall be post all required information matching examiner’s certificate that was performed, and its results shall be the medical examiner’s certificate to the submitted to the State in accordance recorded, substantially in accordance CDLIS driver record in accordance with with § 383.73(b)(5) of this chapter, the with the following instructions and paragraph (o) of this section. motor carrier may use a copy of that examination form. medical examiner’s certificate as proof * * * * * Instructions for Performing and of the driver’s medical certification for (o) * * * Recording Physical Examinations up to 15 days after the date it was (1) * * * issued. The medical examiner must be (i) * * * familiar with 49 CFR 391.41, Physical (A) Post the driver’s self-certification * * * * * (3) Exception. For drivers required to qualifications for drivers, and should of type of driving under § 383.71(b)(1) to review these instructions before have a commercial learner’s permit the CDLIS driver record; performing the physical examination. under part 383 of this chapter: * * * * * (i) Beginning July 8, 2015, using the Answer each question ‘‘yes’’ or ‘‘no’’ (ii) * * * CDLIS motor vehicle record obtained and record numerical readings where (A) Post the driver’s self-certification from the current licensing State, the indicated on the physical examination of type of driving under § 383.71(b)(1) to motor carrier must verify and document form. the CDLIS driver record; in the driver qualification file the The medical examiner must be aware * * * * * following information before allowing of the rigorous physical, mental, and the driver to operate a CMV: emotional demands placed on the driver Part 391 Authority [Corrected] of a commercial motor vehicle. In the (A) The type of operation the driver 3. On page 22812, in the first column, self-certified that he or she will perform interest of public safety, the medical the authority citation for part 391 is in accordance with § 383.71(b)(1) and examiner is required to certify that the corrected to read as follows: (g) of this chapter. driver does not have any physical, Authority: 49 U.S.C. 504, 508, 31133, (B)(1) Until June 22, 2018, that the mental, or organic condition that might 31136, 31149 and 31502; sec. 4007(b), Pub. driver was certified by a medical affect the driver’s ability to operate a L. 102–240, 105 Stat, 1914, 2152; sec. 114, examiner listed on the National Registry commercial motor vehicle safely. Pub. L. 103–311, 108 Stat. 1673, 1677; sec. of Certified Medical Examiners as of the General information. The purpose of 215, Pub. L. 106–159, 113 Stat. 1748, 1767; date of medical examiner’s certificate this history and physical examination is and 49 CFR 1.87. issuance. to detect the presence of physical, 4. On page 22812, beginning at the top (2) If the driver has a commercial mental, or organic conditions of such a of the second column and continuing at learner’s permit and has certified under character and extent as to affect the the top of the third column, in § 391.23, paragraph (m)(3)(i)(A) of this section driver’s ability to operate a commercial paragraphs (m)(2)(i) and (m)(3) are that he or she expects to operate in motor vehicle safely. The examination corrected to read as follows: interstate commerce, that the driver has should be conducted carefully and a valid medical examiner’s certificate should at least include all of the § 391.23 Investigation and inquiries. and any required medical variances. information requested in the following * * * * * (C) Until June 22, 2018, if the driver form. History of certain conditions may (m) * * * provided the motor carrier with a copy be cause for rejection. Indicate the need (2) Exception. For drivers required to of the current medical examiner’s for further testing and/or require have a commercial driver’s license certificate that was submitted to the evaluation by a specialist. Conditions tkelley on DSK3SPTVN1PROD with RULES under part 383 of this chapter: State in accordance with § 383.73(a)(5) may be recorded which do not, because (i) Beginning January 30, 2015, using of this chapter, the motor carrier may of their character or degree, indicate that the CDLIS motor vehicle record use a copy of that medical examiner’s certification of physical fitness should obtained from the current licensing certificate as proof of the driver’s be denied. However, these conditions State, the motor carrier must verify and medical certification for up to 15 days should be discussed with the driver and document in the driver qualification file after the date it was issued. he/she should be advised to take the VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00014 Fmt 4700 Sfmt 4700 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35579 necessary steps to insure correction, or cardiovascular disease that is neurological condition should be particularly of those conditions which, accompanied by syncope, dyspnea, or evaluated for the nature and severity of if neglected, might affect the driver’s collapse. Indicate onset date, diagnosis, the condition, the degree of limitation ability to drive safely. medication, and any current limitation. present, the likelihood of progressive General appearance and An electrocardiogram is required when limitation, and the potential for sudden development. Note marked overweight. findings so indicate. incapacitation. In instances where the Note any postural defect, perceptible Blood pressure (BP). If a driver has medical examiner has determined that limp, tremor, or other conditions that hypertension and/or is being medicated more frequent monitoring of a condition might be caused by alcoholism, thyroid for hypertension, he or she should be is appropriate, a certificate for a shorter intoxication or other illnesses. recertified more frequently. An period should be issued. Head-eyes. When other than the individual diagnosed with Stage 1 Spine, musculoskeletal. Previous Snellen chart is used, the results of such hypertension (BP is 140/90–159/99) surgery, deformities, limitation of test must be expressed in values may be certified for one year. At motion, and tenderness should be comparable to the standard Snellen test. recertification, an individual with a BP noted. Findings may indicate additional If the driver wears corrective lenses for equal to or less than 140/90 may be testing and evaluation should be driving, these should be worn while certified for one year; however, if his or conducted. driver’s visual acuity is being tested. If her BP is greater than 140/90 but less Extremities. Carefully examine upper contact lenses are worn, there should be than 160/100, a one-time certificate for and lower extremities and note any loss sufficient evidence of good tolerance of 3 months can be issued. An individual or impairment of leg, foot, toe, arm, and adaptation to their use. Indicate the diagnosed with Stage 2 (BP is 160/100– hand, or finger. Note any deformities, driver’s need to wear corrective lenses 179/109) should be treated and a one- atrophy, paralysis, partial paralysis, to meet the vision standard on the time certificate for 3-month certification clubbing, edema, or hypotonia. If a hand Medical Examiner’s Certificate by can be issued. Once the driver has or finger deformity exists, determine checking the box, ‘‘Qualified only when reduced his or her BP to equal to or less whether prehension and power grasp wearing corrective lenses.’’ In recording than 140/90, he or she may be are sufficient to enable the driver to distance vision use 20 feet as normal. recertified annually thereafter. An maintain steering wheel grip and to Report all vision as a fraction with 20 individual diagnosed with Stage 3 control other vehicle equipment during as the numerator and the smallest type hypertension (BP equal to or greater routine and emergency driving read at 20 feet as the denominator. than 180/110) should not be certified operations. If a foot or leg deformity Monocular drivers are not qualified to until his or her BP is reduced to 140/ exists, determine whether sufficient operate commercial motor vehicles in 90 or less, and may be recertified every mobility and strength exist to enable the interstate commerce. 6 months. driver to operate pedals properly. In the Ears. Note evidence of any ear Lungs. Note abnormal chest wall case of any loss or impairment to an disease, symptoms of aural vertigo, or expansion, respiratory rate, breath extremity which may interfere with the Meniere’s Syndrome. When recording sounds including wheezes or alveolar driver’s ability to operate a commercial hearing, record distance from patient at rales, impaired respiratory function, motor vehicle safely, the medical which a forced whispered voice can first dyspnea, or cyanosis. Abnormal finds examiner should state on the medical be heard. For the whispered voice test, on physical exam may require further certificate ‘‘medically unqualified the individual should be stationed at testing such as pulmonary tests and/or unless accompanied by a Skill least 5 feet from the examiner with the x-ray of chest. Performance Evaluation Certificate.’’ ear being tested turned toward the Abdomen and Viscera. Note enlarged The driver must then apply to the Field examiner. The other ear is covered. liver, enlarged spleen, abnormal masses, Service Center of the FMCSA, for the Using the breath which remains after a bruits, hernia, and significant State in which the driver has legal normal expiration, the examiner abdominal wall muscle weakness and residence, for a Skill Performance whispers words or random numbers tenderness. If the diagnosis suggests that Evaluation Certificate under § 391.49. such as 66, 18, 23, etc. The examiner the condition might interfere with the should not use only sibilants (s- control and safe operation of a Laboratory and other testing. Other sounding test materials). The opposite commercial motor vehicle, further test(s) may be indicated based upon the ear should be tested in the same testing and evaluation is required. medical history or findings of the manner. If the individual fails the Genital-urinary and rectal physical examination. whispered voice test, the audiometric examination. A urinalysis is required. Diabetes. If insulin is necessary to test should be administered. For the Protein, blood or sugar in the urine may control a diabetic driver’s condition, the audiometric test, record decibel loss at be an indication for further testing to driver is not qualified to operate a 500 Hz, 1,000 Hz, and 2,000 Hz. rule out any underlying medical commercial motor vehicle in interstate Average the decibel loss at 500 Hz, problems. Note hernias. A condition commerce. If mild diabetes is present 1,000 Hz and 2,000 Hz and record as causing discomfort should be evaluated and it is controlled by use of an oral described on the form. If the individual to determine the extent to which the hypoglycemic drug and/or diet and fails the audiometric test and the condition might interfere with the exercise, it should not be considered whispered voice test has not been control and safe operation of a disqualifying. However, the driver must administered, the whispered voice test commercial motor vehicle. remain under adequate medical should be performed to determine if the Neurological. Note impaired supervision. standard applicable to that test can be equilibrium, coordination, or speech Upon completion of the examination, tkelley on DSK3SPTVN1PROD with RULES met. pattern; paresthesia; asymmetric deep the medical examiner must date and Throat. Note any irremediable tendon reflexes; sensory or positional sign the form, provide his/her full name, deformities likely to interfere with abnormalities; abnormal patellar and office address and telephone number. breathing or swallowing. Babinski’s reflexes; ataxia. Abnormal The completed medical examination Heart. Note murmurs and neurological responses may be an form shall be retained on file at the arrhythmias, and any history of an indication for further testing to rule out office of the medical examiner. enlarged heart, congestive heart failure, an underlying medical condition. Any BILLING CODE 4910–EX–C VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00015 Fmt 4700 Sfmt 4700 E:\FR\FM\22JNR1.SGM 22JNR1

35580 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations tkelley on DSK3SPTVN1PROD with RULES ER22JN15.000</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00016 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

tkelley on DSK3SPTVN1PROD with RULES VerDate Sep<11>2014 jfEstiNG(M8dieafEX&min&rcompiet8Ssection3ihrou9t.7)N;,;;u;;- ------- First. Midclle. ----------- ---1 17:04 Jun 19, 2015 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations ~~~~~·:or, Standard: Ill. !Nat :ztUO u:ully (Snellen) In HCh • with orwllhoul:cal'l'lldlm.IU.INat 70 degrees pertphMalln horlzontiiiiWIIdlan meeeurediafi8CI'I._ The u•of~lenMeti'IOUidbe,..,...on the.._...~~- IHSTRUCTIONS: When alher lhlln lhe Snellen d'llllt II UIOd, give lellt leii!AIIn Sneleu·CG1111)erlllle Vll!M. In I'OCOidlng ...._ 'l'tllba, ue 20 feet MI'IOI"mooll. RepCil!t \1111111 iiGUi«y at a rdo Mth20 liB runeratmsnd lha ElrnaiiHII:typa nHidat20fEietaad!loomhl6ar. llhtnllllilcant- ~ ~~~~ lheuahaull:lbe worn lilliE! vlllllllla!dyla being 11!1Bisd. lflha !Mvar habitually 'M!!ars contild 1iii'IIM, or irlbtnda to do ao while dtllring. llllfliCilnl evtelenCfl Of goad tallilrai'ICfl arid adap1Biian m Mr 11M ll'lllst be O!Mous.. ~fli1VInlllnl not~ Jkt 235001 Numii'IGal....angs muldt. DI"0\-1ded. ~ntGII'I ~ wdl.angullll~mr~~n~~lfldi'Cc;onll'd ...,...., end devleellllhowtng Alndard red, greeo, lillld. ~ ~ ? DYes ACUITY UNCORRECTED CORRECTED ltDI'IIZONTAL FIELD Of' VBKJN ONe PO 00000 Right Eye 2.01 201 RlgtltE~ 0 Applicant meets Yiiwll aeuily reql.lifement (If! I)! Wlhen we&lfing; u OCaii'8Cltiva Lllnus LeftE,e 2W ZOI l..dEye Bolt! E)'$$ 2W ZOf MooooularVIIIIon: O Yes O Nc Frm 00017 Complele next lirle 011ly if 'lli8ioo teet:ing i8 done by an opthalmologiet « optomebiat Date of liuminalian Name of Ophtlaii'J'IIllogiat ar Clplametrist (print) Ter.l"40. Llca1se Nc.l Slate of lli&Ue Sijjillifure Fmt 4700 II >-. StlndM'd: a) Muld ffnt pwciiYtl forced whlsplnld voice ill ft., with ar without hNIIng aid, ar b) ll'll8rq8 hiNII'Inglon In bdlr Arl40 dB 0 Chl!dc.lrhMirhgakl usett ftlri!IS&. D Chad! If haarlng l!!lld raqulred10 PI'IM'Istandard_ INSTRUCTIONS: ro CIIIMII1eudlorne!W; l8lt ntiNitl from ISO 1!::1 ANSI, ~1<11 «< hm ISO for SOI.II-4, ·10dB b' 1,.000 Hz, -as d.8 2000 Hz. ro ~ * l'fledlngEI for 3o add._, Sfmt 4725 frequenelaa lsBisd am ciiWde bit 3. Nulneficalre.clincle...-be ~. Fllglll E8f Ulft Eillr ~Ill If IIIIIIIIHMter Ia Ulolltli'ICCI!d '-rtnQ blain Iiiii HI: 110CD HI! 120110 HI! liOO ~tt 110011 Hl!Tmua E:\FR\FM\22JNR1.SGM dadi:Jell. {&IX:. 1!)/ltjBI Z2Ci-11ili11} ~ ~ Ell I• I. I I I I'Unerkfll.-.cl~llll.&St IMo niiCOI'ded. lledicel Eu&Miere~M)uld ••at .._two .-..dinge. to COI'IfinnBP. l=~&lQ IsystcJIIc I DtUtollc I .BIIsiDa 14CJ..15119Q.19 ~DI Slag81 lilalrlliGD nat. t yNr R.aru!IIIIIIWdiml 1 year lf_s.14tl/90. (lol'le41meee1111ieate tor 3 rntlltt'l$1f DriWir ql.lllllled "_s.14Cit9Q. 141·159191-99. IPulle Ral:e; D Regular D lm~gulllr ] 18B-17tl.l1 00-:'1(]9 1 year from data of aiU!III l.:s.!4ru90 22JNR1 Slag82 Oml-llme catlllicate far S II'I!OIIttls.. Record Pulse Rill&;._ _ __ ;oo...19Q1110 SlagaS e monlhs frDm daiB of aam I <14CJ90 6 mondls If< 140190 IURINE SPECIMEN ISfl. c3R.I P'R01'ar.I,I31.00DjISUGAR · , · 'I• I· I ,1 It I I·· Numerklalretldhpmu.tbe ~ I,Mnetjaill h ~- Prcl4eln, blood rule orut mt unde!tylng mtdlcal prol!lem. (If..., In lhe ll'lne IIIII)' be '" lndk:alon for furl:hl!f ~ 1!::1 011111 Tl!d'l9 (rlfllal:le and recard) 35581 ER22JN15.001</GPH>

35582 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations tkelley on DSK3SPTVN1PROD with RULES ER22JN15.002</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00018 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35583 tkelley on DSK3SPTVN1PROD with RULES ER22JN15.003</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00019 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

35584 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations tkelley on DSK3SPTVN1PROD with RULES ER22JN15.004</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00020 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

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35586 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations tkelley on DSK3SPTVN1PROD with RULES ER22JN15.006</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00022 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35587 (2) On and after December 22, 2015, performed, and its results shall be Report Form, MCSA–5875, set out the medical examination shall be recorded on the Medical Examination below: tkelley on DSK3SPTVN1PROD with RULES ER22JN15.007</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00023 Fmt 4700 Sfmt 4700 E:\FR\FM\22JNR1.SGM 22JNR1

35588 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations I'IHACYAC1'SD.~Jttll--lil~--toiiNI'WwloyMofl!J74.1!JICI.U2«. AI.I1HCIIIl1Yi11d&49,UIIIIHStmoQxi&(IISC),ft!!$C31l:Uia!!ll..,.m149(c!lQID MEDICAL RECORD I PUIIPOSII To recard r..Uts</ • d--.phy.lcal.....,inatian. to deltmllne qualift<atlon to_..., a comm..:ial mota'whide«:M\Il. and lO~<IriYel' htallll in inltniiiUOI'III'II--dint l01hll'tqllil-lflfift<llii91A].4!!.PIO>Idlno llllffnfOimalionlf-QIOJy. llllllslnlormati<ln Is not pr<Mded. !he medial examiner wll not be able todelemlinequllll<atlon tooperateaCMVIn ln-canmerce (orsttcktr) 1K<01dln9 tolherequ~f>in!?m 39161-t!!. Tor...,..! ....ats<l adrMon""""al ....,lnallonand tode-nequollllr;ou..,to-ate aCMVIn lnlrl!taii!C1l11111liratwhtn lhedrlwrlsroqund 1¥ aS-Ioboi!Xlll11ined 1¥ a medk:aii!UIIllne'llsled on lhi!Nallonalllegllllly ofCorlllled Medlcalfxamlnorsln aaxmance 'Mih lha pr<Mstons of 411 ga H1.4!=41!and ..,vart....,.lrcm lhaphyJical"""''lkatl"" stancln........,.. bjl such state. Modlcalllllllmi"""'orerequndtommplelelheMedlcal£..,inadonR.-tFarmlilrewrydllwrphyJicalex:amlnationp&"lilrmedlniK<Oidanawllh41!!DWAI Eadoorlglnal (paper or ~<»mppetedMedlcale.....inadGRRepCI'tF"""-beretalned an ftlo otlheolllc:o</lhamodlcalllllllminerlilratloest 3,..nlrcm lhedoted-allon. Th<t medical examiner must"""'-allreconffand lnfcrmadon flllh<tso lies •allabletoan aulhoclled~ofFMCSAor an aulhoclledfedlt._ Stolle. or local enforcement agency .._talMo wllhln411 holnofter lherequestlsmadelftqB l!I1A1QR ROUTINEUSU.Thelnfcrmadonlsusod lilrlhe.,.._,..rr.rlhaboveandmoybeforw.vdedtoFederai.State.orlocal'-efiloramenf-deslorlllelrUM.ModlcaiEomlnallon Rl!porl flll'ms mllectedby FMC5oli will bestorad In FMCSA'oMIIomated Nadanal ReglllllyofCiriiOed Medical ElclmlnerJs,.lom andwll be used to monitor thap&"fcrmanaofmodl· calexnnerslisled on lheNauonal Registry. lnaddllcntolh-dlodouupermlttodlnlor5!!$C55hR!loflhal'llvaqrA<tof!974,addltlonlldlsdGOIIfeSmaybemadein~wllhlhaUS.DeparlmontofTr.......,.ta­ ti<ln!llOTJ¥'maiO!y SUtementof General RoudneUses P'lblllhed In lhefedetal Regtsw on December2!1l 21110~under"''HHIIIorySIIIternentofGelllll'ol Roullne Uset"(MIIallleathm!!f!www.doMown"'ll"'~· CIIIN Driwr Signature: SECTION 1. Drinrlnhrmllllon (to/:>efil/edoutbythedrM!I} LutName: - - - - - - - - - - - - Flm Name: _ _ _ _ _ _ _ _ Mlddlelnltlilt DlteofBirth: _ _ __ Age_ Mdms:: - - - - - - - - - - - - - - - - City: _ _ _ _ _ _ _ _ Stllte./Pnwlncc _ _ ZlpCodc _ _ _ _ 1 Drivw'slianseNumbw: - - - - - - - - - - - - - - lssuingStatall'ravince: _ _ Phona: _ _ _ _ _ _ Gender: OM OF E-mail(cptlooaf): - - - - - - - - - - - CLP/CDL Appliclnt/Holdar"? 0 Ye 0 No Drtv.riDv.rlfied By"": - - - - - - - I Has your USDOT/FMCSA medical c.rtiftcate- ban deni«< or issued for 1- than 2 yean;? 0 Yes 0 No 0 Not Sure tJRIVcR Hio,ill H HI> lORY Have you eYer had surgery?lf"ye," please list and explain below. OY• ONo ONotsw. Alll you cummtlytaking medications (pre;aiption, over-the-lD!lnter, hetbai~Mledit!s, dietsupplemet~ts}? OYw ONo 0Not5ure If "ye,• please deKribe below. (Atwch odditionolsheets ifneceswly} Pagel tkelley on DSK3SPTVN1PROD with RULES ER22JN15.008</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00024 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35589 ILast Name: FimNameo Middle lnitia~ 008: EumO.te: DI~IVLI~ IILALIIIIIIS TOllY Hoc Hoc Do you h-ar haveyour-hlldl Y• No Sure Y• No Sure 1. Head/brain injuries or illneues (e.g. CCtr~Cussion} 000 16. Olzzlnes~~. headaches, numbne511. tlnellnlfo or memory 0 0 0 loss 2. S.lzuru. ·~ 000 3. Eye problemslexceptglass.esorwntacts) 4. ear and/or hearing f)I'Oblems 0 0 0 n. Unaplalnadweight 1ou 000 18. Strolae, minktrolce (nA), paralysis, or -lcn- 1!1. Mining or llmit41d I.Hof IIIII\ hand, flnge~ leg, foot. toe 000 000 000 S. Haalt dlsDH. hurt attack. bypass, or oth•r hurt 000 problems 20. Nckor back probiMns 000 6. Paamakar, stants.lmplantabllt deviclls, or dhAir heart 0 0 0 21. Bon~~~c muscle, joint, or n4lnlll probl~~ms 000 pnx:eclures 22. Blood clots orbleedlniJ problems 0 0 0 7.Highbloodpressure 0 0 0 2S.Cancer 000 8. High cholesterol 0 0 0 24. Ch1t111lc Oong-term) lnl'ectlon or other chronic di5Rses 000 9. Chronic Oong-term)cou;h, shortness of breath. or other 0 0 0 25. Sleep dlsorder5o pauses In breathing while asleep. 000 breathing f)I'Oblems day~:lme sklllpln-.loud snorln9 10. Lung diSHH (&g., asthma) 000 26. Hnwyou- had a slaptn: {ey.slaepapned)l 000 11. Kidn.y problems, lciclnay stonas, or palnfproblams with 000 27. Hawtyou- spent a night In the hospital? 000 urlnllllon 12. Stomach, IIW!f, or dl~ problems 000 28. H-you- had a broklln bone? 000 1S. Oiabmls or blood sugar problems 000 29. Ha•you- used or do you now USI!tobacco? 000 11'15111lnused 000 30. Do you currenlly drink alcohol? 000 14. Anxiety, depression, nervousnes$. other mental health 000 31. Hawtyou used an lllegalsubstam:ewlthinthe past two 000 yurs? probll!ms 1s. Fainting or paning out 0 0 0 32. HH!'you ever failed a drug test or been dependent on 000 an 111-eal substance? Othar health condltlonls) not dHCribed allow: 0V.. 0No 0Not5ure Old you amwer 'y..t' to any of questions 1-32? If so, pt.a comm.nt furtt.ron thaw h•llh conditions l*ow. UVlV DRIVeR SIGNAl UKc Icertify that the above Information is accurllle and compl«e.l understand that Inaccurate, false or missin; im..m..tlon may invalidlllethe .,..mination and my Medical Eumlner's Certtlcate. that submission offllludulent or Intentionally false information Is a violation d 49CFR39Q.35. andtbat submission offllludulent or !nttntlonallyfalslllnfonnatlon may subject metocllill orcrlmlnalptnaltii!Sundar49 CFB m.~7and ~AppendlciiS Aand l flRIVfR I If AI TIIIIISTORY RfVIf\'1 Rl!lliewand disc.uss petirumtdriver answers Md anyavtJiklbkmedica/ I'I!COfds. Cmtmenton thedriverk rt!SJXNI5l!S to the •rn..flh hislor)l'questions thatmoyalkd the dliver:S safe QP!!fatioo ofa comlllllfCiaimatorvehide (CM\1}. Page2 tkelley on DSK3SPTVN1PROD with RULES ER22JN15.009</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00025 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

35590 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations ILast Name: First Name< Middle lnitia~ 008: EumO.te: I LSI lNG Pulni rat« _ _ _ Pulu rhythm r.gular: 0 Yes 0 No H.!ght_fat _ indre5 w.lghl: _pwnds llaodPnuu ... Systolic Diastolic Udn..,. Sp.Gr. l'lalein Blood Sugar Slttlft(l Urlnal)"iltlt Nqulnld. s.cctlcl reading Numwlcalracllngs (opt leNI) must be NCD!dec:t. Other testl!!i If Indicated Plotein, /:lloo4 or Ngar in the llline maybe em indmlion for further resting to mfe cut Myl.llldettying rttediazlproblem. I I YWon tt..lng Standard is at least 2()J40acuity {Sne/len) in each eye with or wilhcut correction, At Standard:Mustlitst petr:eive whispered voice atnot less than 5 fat OR awrage least 7U' lleldofvislon ill horirorltol meridian measured ill each eye. Theuuofcor- hearing !Md/ess than orequolto40d8 in better ear(willl or willlcut hearing aid). ret:tivelenfe&shouldbenoted<mtheMedlmiExamirter'sCertifll:aM. Horizontal field afVision Ch«k If h•rlng aiel uJICI fortttt: 0 Right Ear Ol.tft Ear 0 Neither Acuity RlghtEy* Uncorrected 201_ Correded 20/_ Right Eye: _clegl'efi ww.,...,.,....... Right Ear Left Ear Recon:l dlsl:ance(m fat} from drlwrat which a~ Left Eye: 201_ 20/_ Left Eye: _degl'efi whispered voiceean first be hHrd \'W No OR ------ BothEyts: ~01_ ~Of_ Applicant can r.cogniH and distinguish among traffic control 00 Audlamlllllcl'MI Ruults signals and davlces showing Nd, gran, and arnbar colors Righi Ear l.tft Ear Monocular vision 00 SOOH:t lOOOHz 2000Hz 500Hz 1000Hz 2000Hz REferred to ophthalmologist or optometrist? 00 lie«!Ned documentation froM ophthalMOlogist or optometrist? 0 0 Avaraga{rig;;--- Avaraga(laft): PII)SKAL LXAri.INAIION Tha pruance oh cartain condition may not nacessarily disqualify a driver; particularly If thacondition Is controllad aclaqultely, is not likaly toworsan, or is r.adlly alniNbte totJUtment. Ewn if a condition doe: not disqualify a drift~ the Medical EumiMr May consldlr deferring thedrl-ttmporarlly. Also, the driver should be advised to take the necessary steps to correct the condition as soon as possible, particularly If neglecting the condition could muk in a More HllousiiiMB that Might affKt driving. .....,,_,. Check the body systeMs for abnonnalltles. l.General Normal Abnormal 0 0 ....,s,.- 8.AbdOMen Normal Abnorm•l 0 0 .2. Skin 0 0 9. Genito-urinary syan lndudlng harnlas 0 0 3. Eyes 0 0 10. Back/Spine 0 0 4. Ears 0 0 n. Extremillesl)oints 0 0 5. Mouth/throat 0 0 12. Nw10loglcal systam including naf1- 0 0 6. C.rdioYascular 0 0 13.Gait 0 0 7. Lllngslchast 0 0 14.Vascular~ 0 0 Disalss ooyaboormaiOIJ/i"""" in detail in thespaci!below and indimll!wtrelher it would alk;t thedritrer'sobility k>Ofl"l''ll!oCMV: Enter applicable item number be!On? each comment Page3 tkelley on DSK3SPTVN1PROD with RULES ER22JN15.010</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00026 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35591 ILast Name: FimNameo Middle lnitia~ 008: EumO.te: fV,EDil Al EXAft1lr~FR DETERMINATION r [,doL r<~l UN thll !«ttM lbrtmmll'latloll$ ptrfomttd iiiii«<rdallct with tht FtdtMI Motoi'Can'/fi'Stlftly Rlgu/lltloM l49CFR391.4l..J91.49k 0 Does net meet standards (specify uoson}: 0 M..u standan:ls In 49Cf83!!1A1: quallll•for 2-yar mtmcat. 0 MEets standan:ls, but periodic monitoring required (spe~;ify 1110sonJ: Oliver qualified fer. 0 3 months 0 6months 0 1 year Qother: 0 WUrlng coJTKtlve 1811s- 0 WUring hearing aid 0 Accompanilld by a waivw/11X11mplion (spedfjf !ypo?}: 0 Accompanied by aSlclll Performance Evaluation (SPE) eertlllme 0 Qualified by operation of 49 CFR 391.64 0 Drlvln£1wlthln an .umpt Intracity ZOM (see49Cfll39! 6ZI 0 o.t.rmination pandlng (sptt;if! reason): 0 R«urn to medical e~~am office for foil-up on (fii!J$t be 45 daysor/e$$}: 0 Medical Euminatlon Report amended (spedfy reason): (ifamended) Medical Examiner Signature: Date: 0 lncomplauaminatlon (spex;ifjllm500): llflht•lhv•lllslht_......._.ln!!IIIIWdlrthln........ aiWailb.lnlr'sCirtlllale•slltllllnBIIIIW,a~&•.............. l I haw ~rfcrnwd thinvalullion fer c.rtlflcatlon. I hav. ~ally revl.-:1 1111 awiiablei'KOn:lsand recon:led lnformlllon ~rtalning to thlnvaluatlon, and 11test that to the best of my knowledge, I believe It to be true and correct. Medical Eumlner Sl9nature: Medical Examiner Name< AddTUS: City: Stat - - Zip Code: Phone: Date Examlnef's State LietnM. Certlfklte. or Registration Number: l!iSUing Stat« _ _ 0MD 000 0 Phys!dan Assistant 0 Chilopractor 0 Advanced Pradice Nuru 0 Other Praditionlll' National llegiltJY Numb.: IMedical Eumln•r's c.rtllicate Eicpirlll:ion Date I f~1 .FDIC iH FXr'U,•11NFR DFTFRr~llNATION rst,!t+> US<t this S«ttonforf!!I«Nnlnations pfflorrrr«/ln accordana with tht F«ktul Moloi'ConterStlfl'ly Rogulatlons l§CFR391.4l-391.49Jwithanyapp/lmbifl St<Jk variatlces lWhidl will 011lybevalld for /ntfQSftlte opemtbns): 0 Does not meet standan:ls In 49 CFR 391.41 with any applicable State wriances (speciljl Ja1SOO): 0 Meets standan:ls In 49CfB 391.41 with any applicable State wrlances 0 Meets standan:ls, but P«lodlc monitoring requlnad (specify reason}: Driwrqualifiedfcr. 0 3 months 0 6months 0 !year Qother: 0 Wearing corrective lenses 0 Wearing hearing aid 0 Accompanied by a wa~/uemption (spedfjf !ypo?}: 0 Accompanied by a Skill Performance Ewluation ISPEl c:ertlflc:ate 0 Grandfathered from StaterequiR!ments llflht411nrmt1blhtlliiiMIInlsHIII_.tnea:R.Jt1Al,wltii.....,..SiateWIIfancll.thln-plaaMidlall&.lniBCirtlllraa.•appnpdall.l I havv pttrfcrmed thli ev11lu<~~lon for certification. I h11w pmonally reviewed all avallablerecon:lund recorded Information pertaining tothluvaluation, and llltt!t that to the best of my knowledge, Ibelieve it to be true and coned. Medical Examiner Signature: Medical EnminerNam« Mdi'8SS:: City: Stat« _ _ ZipCodr. Phonr. Date: EllilmiMt'sSftte LkinR. ~or Registration Numbir. IRUingSt- 0 -- OMD Ooo 0 Physician Assistant 0 Chiropractor 0 Advanced Practice Nu~W Other Practitioner Natlonalllegiltl)' Number: IMedical Euminer's CertifiCate Eicpirlll:ion Date: I Page4 tkelley on DSK3SPTVN1PROD with RULES ER22JN15.011</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00027 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

35592 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations Instructions for Completing the Medical Examination Report Form (MCSA-5875) L Step-By-Step Instruetlons Driver. Privacy Aet Statement - Please read, sign and date the Statement aclatowledginu; that you understand the provisions of the Privacy Act of 1974 as written. Sedlon 1: Driver lnfonnatlon • Pel'80J181 Infonnatlon: Please complete this section usinu; your name as written on your driver's license, your current address and phone number, your date ofbirfh, age, gender, driver's license number and issu- ing state. o CDUCLP Applicant/Holder: Check "yes" ifyou are a commercial driver's license or commercial learner's pennit holde~:, oc are applying foc a CDL oc CLP. Commercial driver's license (CDL) means a license issued by a State or the District of Columbia which authorizes the individual to operate a class of a commercial motor vehicle (CMV). A CMV that requires a CDL is one that: (1) has a gross combination weight rating oc gross combination weight of26.00 1 pounds or moce inclusive of a towed unit with a gross vehicle weight rating (GVWR) oc gross vehicle weight (GVW) of more than 10,000 pounds; oc (2) has a GVWR oc GVW of 26,001 pounds or more; oc (3) is designed to trans- port 16 or more passengers. including the driver; or (4) is used to transport either hazardous materi- als requiring hazardous materials placards on the vehicle oc any quantity of a select agent oc toxin. o Driver ID Verllled By: The Medical Examiner/staff completes this item and notes the type of photo ID used to verifY the driver's identity suclt as, commercial driver's license, driver's license, or passport, etc. o Question: Bas your USDOTIFMCSA medieal eeJdftcate ever lteen denied or issued tor less than two years? Please clteck the correct box "yes" or "no" and if you aren't sure check the 'bot sure" box. • Driver Health History: o Have you ever had surgery: Plll'ase clteck "yes" if you have ever had Surgll!ly and providll' a written explanation ofthll' details (type of surgery, date of surgery. etc.) o Are you eu.rrently taldn~: medications (prescription, over-tJte..eounte herbal remedies, diet supplements): Plll'ase check ..yes" if you are taking any diet supplll'ments. herbal remedies, oc pre- scription or over the counter medications. In the box below the question, indicate the name oftbe medication and tbe dosage. o #1-31: Please complete this section by checking the "yes" box to indicate that you have, or have ever had. tbe health condition listed or tbe "No" box if you have not. Check tbe 'bot sure" box if you are unsure. o other Health Conditions not described above: If you have, or have had, any other health condi- tions not listed in the section above, check "Yes'' and in the box provided and list those condition(s). o Any yes 8118Wers to questions #1-31 above: If you have answered ''yes" to any ofthe questions in the Driver Health History section above, please explain your answers further in the box below the question. For example. if you answered "yes" to question #S regarding heart disease, heart attack, bypass, or other heart problem,. indicate whiclt type of heart condition. If you checked "yes" toques· tion #23 regarding cancer, indicate tbe type of cancer. Please add any information that will be helpful to the Medical Examiner. • CMV Driver Stpature and Date: Please read the certification statement. sign and date it, indicating that the infonnation you provided in Section 1 is !Wcurate and complete. PageS tkelley on DSK3SPTVN1PROD with RULES ER22JN15.012</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00028 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35593 Medleal Examiner: Seetlolll: Examiaafion Report • Driver Health History Review: Review answers provided by the driver in the driver health history sec- tion and discuss any "yes" and "not sure" responses. In addition, be sure to compare the medication list to the health history responses ensuring that the medication list matches the medical conditions noted. Explore with the driver any answers that seem unclear. Record any information that the driver omitted. As the Medical Examiner conducting the driver's physical examination you are required to complete the entire medical examination even if you detect a medical condition that you consider disqualifYing. such as deafuess. Medical Examiners are expected to detennine the driver's physical qualification for operat• ing a commercial vehicle safely. Thus. if you find a disqualifying condition for which a driver may receive a Federal Motor Carrier Safety Administration medical exemption, please record that on the driver's Medical Examiner's Certificate. Fonn MCSA-5876, as well as on the Medical Examination Report Form. MCSA-5875. • TestiJll: o Pulse rate and mythm. height, and weipt: record these as indicated on the form. o Blood PJ.'e8811ft: record the blood pressure (systolic and diastolic) ofthe driver being examined. A second reading is optional and should be recorded if found to be necessary. o Urinalysis: record the numerical readings for the specific gravity. protein. blood and sugar. o VIsion: The current vision standard is provided on the fonn. When other than the Snellen chart is used, give test results in Snellen-comparable values. When recording distance vision, use 20 feet as nonnal. Record the vision acuity results and indicate ifthe driver can recognize and distinguish among traffic control signals and devices showing red. green. and amber colors; has monocular vision; has been referred to an ophthalmologist or optometrist; and if documentation has been received from an ophthalmologist or optometrist. o Hearing: The current hearing standard is provided on the form. Hearing can be tested using either a wbigper test or audiometric test. Record the test results in the corresponding section for the test used. • Physical Examination: Check the body systems for abnonnalities and indicate normal or abnormal for each body system listed. Discuss any abnormal answers in detail in the space provided and indicate whether it would affect the driver's ability to safely operate a commercial motor vehicle. In this next secti.on, youMVI be~ eilhR the Federal or State tlstenninlllion, t111t both. • Medlcal Examiner Determination (Fede~: Use this section for examinations performed in accordance with the FMCSRs (49 CfR 391.41-391.49). Complete the medical examiner determination section completely. When determining a driver's physical qualification, please note that English language proficiency (49 CFR part 391.11. General qualifications of drivers) is not factored into that detennination. o Does not meet standarcls: Select this option when a driver is determined to be not qualified and pro- vide an explanation of why the driver does not meet the standards in 49 CFR 391.41. o Meets sfandanls ln. 49 CFR 391.41; quallftes for 2-year eertHkaUon: Select this option when a driver is detennined to be qualified and will be issued a 2-yesr Medical Examiner's Certificate. Page6 tkelley on DSK3SPTVN1PROD with RULES ER22JN15.013</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00029 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

35594 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations o Meets standards. but pericJdle mcmitoriag is requJrecl: Select this option when a driver is deter- mined to be qualified but needs periodic monitoring and provide an explanation of why periodic monitoring is requited. Select the coms:ponding time ftame that the driver is qualified and if select- ing other, specifY the time ftame. • Detennillatlon that driver meets standards: Select all categories that apply to the driver's certification (e.g., wearing corrective lenses, accompanied by a waiver/exemption. driving within an exempt intracity zone, etc.). o Detennlnatlon pendlnc: Select this option when more information is needed to make a qualification decision and specifY a date, on or before the 45 day expiration date, for the driver to return to the medi· cal exam office for follow-up. This will allow for a de~ of the qualification decision for as many as 45 days. Ifthe disposition ofthe pending examination is not updated via the National Registry on or before the 45 day expiration date, FMCSA will notifY the examining medical examiner and the driver in writing that the examination is no longer valid and that the driver is required to be re-examined. • MER amended: A Medical Examination Report Form (MER). MCSA-5875, may only be amended while in determination pending status for situations where new information (e.g., test results. etc.) has been received or there bas been a change in the drivet's medical status since the initial examina,. tion, but prior to a final qualifreation detennination. Select this option when a Medical Examination Report Fonn, MCSA-5875, is being amended; provide the reason for the amendment, sign and date. In addition, initial and date any changes made on the Medical Examination Report Form, MCSA-5875. A Medical Examination Report Fonn, MCSA-5875, cannot be amended after an examination bas been in detennination pending status for more than 45 days or after a final qualifi· cation detennination has been made. The driver is required to obtain a new physical examination and a .new Medical Examination Report Fonn, MCSA-5875, should be completed. o Incomplete examination: Select this when the physical examination is not completed for any reason (e.g., driver decides they do not want to continue with the examination and leaves) other than situations outlined under determination pending. o Medlc:al Examiner lnfonnafton. stpture arul date: Provide your name, address, phone number, occupation, license, certificate, or registration number and issning state, national registry number, Medical Examiner's Certificate expiration date, signature and date. • Medkal Examiner Determtnatlon (State): Use this section for examinations performed in accordance with the FMCSRs (49 CFR 391 41-391 42) with any applicable State variances (which will only be valid for intrastate operations). Complete the medical examiner determination section completely. o Does not meet standards tn 49 CFR 391.41 w:lt1t any applieahle State variances: Select this option when a driver is determined to be not qualified and provide an explanation ofwhy the driver does not meet the standards in 49 CFR 391.41 with any applicable State variances. o Meets standards Jn 49 CFR 391.41 with any applic:ahle State varlanc:es: Select this option when a driver is determined to be qualified and will be issued a 2-year Medical Examiner's Certificate. o Meets standards, but perlOOlc: monttorinlll requJrecl: Select this option when a driver is deter· mined to be qualified but needs periodic monitoring and provide an explanation of why periodic monitoring is requited. Select the coms:pooding time ftame that the driver is qualified and if select- ing other, specifY the time frame. • Determination that driver meets staadanls: Select all categories that apply to the driver's certification (e.g., wearing corrective lenses, accompanied by a waiver/exemption, etc.). Page7 o Mediad Examiner infonnation, signature and date: Provide your name, address, phone nwnber, occupation. license. oertificate, or registration nwnber and issuing state. national registry nwnber. Medical Examiner's Certificate expiration date. signature and date. II. Ifopdatln& an e:Dstlnc exam, you nmst remlnnit the new exam resoits. via the Medkal Examination tkelley on DSK3SPTVN1PROD with RULES Results Form, MCSA-5850, to the National Registry, and the most recent dated exam will take ER22JN15.015</GPH> precedence. TIL To o•tain additional infonnatlon ft!lanlinl this form 10 to the Medical Procnnn's pqe on the Federal Motor Carder Safety Aclminfstration•s website at htqp:llwww.ftnesa.dot.I.OY/regulatlonslmedical. ER22JN15.014</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00030 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations 35595 (g) * * * determination, he or she must inform examiner listed on the National Registry (4) Beginning December 22, 2015, if the person examined that the additional of Certified Medical Examiners during the medical examiner finds that the information must be provided or the any calendar month, the medical determination of whether the person further examination completed within examiner must report that fact to 45 days, and that the pending status of FMCSA, via a secure FMCSA- examined is physically qualified to the examination will be reported to designated Web site, by the close of operate a commercial motor vehicle in FMCSA. business on the last day of such month. accordance with § 391.41(b) should be (5) * * * delayed pending the receipt of (ii) Beginning on June 22, 2015, if the (h)(1) Until December 22, 2015, the additional information or the conduct of medical examiner does not perform a medical examiner’s certificate shall be further examination in order for the medical examination of any driver who substantially in accordance with the medical examiner to make such is required to be examined by a medical following form. tkelley on DSK3SPTVN1PROD with RULES ER22JN15.016</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00031 Fmt 4700 Sfmt 4725 E:\FR\FM\22JNR1.SGM 22JNR1

35596 Federal Register / Vol. 80, No. 119 / Monday, June 22, 2015 / Rules and Regulations (2) On and after December 22, 2015, following Form MCSA–5876, Medical the medical examiner’s certificate shall Examiner’s Certificate. be completed in accordance with the * * * * * Issued under the authority delegated in 49 CFR 1.87 on: June 12, 2015. Larry W. Minor, Associate Administrator for Policy. [FR Doc. 2015–15161 Filed 6–19–15; 8:45 am] BILLING CODE 4910–EX–P tkelley on DSK3SPTVN1PROD with RULES ER22JN15.017</GPH> VerDate Sep<11>2014 17:04 Jun 19, 2015 Jkt 235001 PO 00000 Frm 00032 Fmt 4700 Sfmt 9990 E:\FR\FM\22JNR1.SGM 22JNR1


Document Created: 2018-02-22 11:13:42
Document Modified: 2018-02-22 11:13:42
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule; correction.
DatesEffective June 22, 2015.
ContactCharles A. Horan, III, Director, Carrier, Driver, & Vehicle Safety Standards, Federal Motor Carrier Safety Administration, 1200 New Jersey Avenue SE., Washington, DC 20590-0001, by telephone at (202) 366-4001 or via email at [email protected]
FR Citation80 FR 35577 
RIN Number2126-AB40
CFR Citation49 CFR 383
49 CFR 384
49 CFR 391
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