81_FR_28220 81 FR 28131 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

81 FR 28131 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 81, Issue 89 (May 9, 2016)

Page Range28131-28134
FR Document2016-10795

FMCSA announces receipt of applications from 27 individuals for an exemption from the prohibition against persons with a clinical diagnosis of epilepsy or any other condition that is likely to cause a loss of consciousness or any loss of ability to operate a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these individuals who have had one or more seizures and are taking anti- seizure medication to operate CMVs for up to 2 years in interstate commerce.

Federal Register, Volume 81 Issue 89 (Monday, May 9, 2016)
[Federal Register Volume 81, Number 89 (Monday, May 9, 2016)]
[Notices]
[Pages 28131-28134]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-10795]


-----------------------------------------------------------------------

DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2015-0322]


Qualification of Drivers; Exemption Applications; Epilepsy and 
Seizure Disorders

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

ACTION: Notice of applications for exemptions; request for comments.

-----------------------------------------------------------------------

SUMMARY: FMCSA announces receipt of applications from 27 individuals 
for an exemption from the prohibition against persons with a clinical 
diagnosis of epilepsy or any other condition that is likely to cause a 
loss of consciousness or any loss of ability to operate a commercial 
motor vehicle (CMV) in interstate commerce. If granted, the exemptions 
would enable these

[[Page 28132]]

individuals who have had one or more seizures and are taking anti-
seizure medication to operate CMVs for up to 2 years in interstate 
commerce.

DATES: Comments must be received on or before June 8, 2016.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2015-0322 using any of the 
following methods:
     Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the on-line instructions for submitting 
comments.
     Mail: Docket Management Facility; U.S. Department of 
Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor, 
Room W12-140, Washington, DC 20590-0001.
     Hand Delivery: West Building Ground Floor, Room W12-140, 
1200 New Jersey Avenue SE., Washington, DC, between 9 a.m. and 5 p.m., 
Monday through Friday, except Federal Holidays.
     Fax: 1-202-493-2251.
    Instructions: Each submission must include the Agency name and the 
docket numbers for this notice. Note that all comments received will be 
posted without change to http://www.regulations.gov, including any 
personal information provided. Please see the Privacy Act heading below 
for further information.
    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov at any time or Room W12-140 
on the ground level of the West Building, 1200 New Jersey Avenue SE., 
Washington, DC, between 9 a.m. and 5 p.m., Monday through Friday, 
except Federal holidays. The Federal Docket Management System (FDMS) is 
available 24 hours each day, 365 days each year. If you want 
acknowledgment that we received your comments, please include a self-
addressed, stamped envelope or postcard or print the acknowledgement 
page that appears after submitting comments on-line.
    Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits 
comments from the public to better inform its rulemaking process. DOT 
posts these comments, without edit, including any personal information 
the commenter provides, to http://www.regulations.gov as described in 
the system records notice (DOT/ALL-14 FDMS), which can be reviewed at 
http://www.dot.gov/privacy.

FOR FURTHER INFORMATION CONTACT: Christine A. Hydock, Chief, Medical 
Programs Division, (202) 366-4001, or via email at 
[email protected], or by letter to FMCSA, Room W64-113, Department 
of Transportation, 1200 New Jersey Avenue SE., Washington, DC 20590-
0001. Office hours are from 8:30 a.m. to 5 p.m., Monday through Friday, 
except Federal holidays.

SUPPLEMENTARY INFORMATION: 

I. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
for up to a 2-year period if it finds ``such exemption would likely 
achieve a level of safety that is equivalent to or greater than the 
level that would be achieved absent such exemption.'' The statutes 
allow the Agency to renew exemptions at the end of the 2-year period. 
The 27 individuals listed in this notice have requested an exemption 
from the epilepsy prohibition in 49 CFR 391.41(b)(8), which applies to 
drivers who operate CMVs in interstate commerce. Accordingly, the 
Agency will evaluate the qualifications of each applicant to determine 
whether granting the exemption will achieve the required level of 
safety mandated by statute.
    The physical qualification standard for drivers regarding epilepsy 
found in 49 CFR 391.41(b)(8) states that a person is physically 
qualified to drive a CMV if that person

    Has no established medical history or clinical diagnosis of 
epilepsy or any other condition which is likely to cause the loss of 
consciousness or any loss of ability to control a CMV.

    In addition to the regulations, FMCSA has published advisory 
criteria to assist medical examiners in determining whether drivers 
with certain medical conditions are qualified to operate a CMV in 
interstate commerce. The advisory criteria found in Appendix A to 49 
CFR 391.41, states that

    If an individual has had a sudden episode of a non-epileptic 
seizure or loss of consciousness of unknown cause that did not 
require anti-seizure medication, the decision whether that person's 
condition is likely to cause the loss of consciousness or loss of 
ability to control a CMV should be made on an individual basis by 
the medical examiner in consultation with the treating physician. 
Before certification is considered, it is suggested that a 6-month 
waiting period elapse from the time of the episode. Following the 
waiting period, it is suggested that the individual have a complete 
neurological examination. If the results of the examination are 
negative and anti-seizure medication is not required, then the 
driver may be qualified.
    In those individual cases where a driver had a seizure or an 
episode of loss of consciousness that resulted from a known medical 
condition (e.g., drug reaction, high temperature, acute infectious 
disease, dehydration, or acute metabolic disturbance), certification 
should be deferred until the driver has recovered fully from that 
condition, has no existing residual complications, and is not taking 
anti-seizure medication.
    Drivers who have a history of epilepsy/seizures, off anti-
seizure medication and seizure-free for 10 years, may be qualified 
to operate a CMV in interstate commerce. Interstate drivers with a 
history of a single unprovoked seizure may be qualified to drive a 
CMV in interstate commerce if seizure-free and off anti-seizure 
medication for a 5-year period or more.

    As a result of medical examiners misinterpreting advisory criteria 
as regulation, numerous drivers have been prohibited from operating a 
CMV in interstate commerce based on the fact that they have had one or 
more seizures and are taking anti-seizure medication, rather than an 
individual analysis of their circumstances by a qualified medical 
examiner based on the physical qualification standards and medical best 
practices.

II. Qualifications of Applicants

Hamilton Barnard

    Mr. Barnard is a 38 year-old driver in California. He has a history 
of a seizure disorder and has remained seizure free since 2005. He 
takes anti-seizure medication with the dosage and frequency remaining 
the same since that time. His physician states that he is supportive of 
Mr. Barnard receiving an exemption.

William E. Beaver

    Mr. Beaver is a 50 year-old class A CDL holder in Minnesota. He has 
a history of a single seizure in January 2015, likely secondary to 
cyclosporine use and posterior reversible encephalopathy syndrome. He 
discontinued taking anti-seizure in May 2015. His physician states that 
he is supportive of Mr. Beaver receiving an exemption.

Paul V. Carlson

    Mr. Carlson is a 38 year-old driver in Minnesota. He has a history 
of a single seizure following brain surgery for treatment of an 
obstructive hydrocephalus ventricular colloid cyst in 2015. He takes 
anti-seizure medication with the dosage and frequency remaining the 
same since that time. His physician states that he is supportive of Mr. 
Carlson receiving an exemption.

Edward J. Carder Jr.

    Mr. Carder is a 37 year-old driver in Ohio. He has a history of a 
single seizure in 2010. He takes anti-seizure medication with the 
dosage and

[[Page 28133]]

frequency remaining the same since that time. His physician states that 
he is supportive of Mr. Carder receiving an exemption.

Timothy M. Crampton

    Mr. Crampton is a 24 year-old driver in Connecticut. He has a 
history of epilepsy and has remained seizure free since 2002. He takes 
anti-seizure medication with the dosage and frequency remaining the 
same since that time. His physician states that he is supportive of Mr. 
Crampton receiving an exemption.

Henry Dennis Counts Jr.

    Mr. Counts is a 39 year-old driver in Maryland. He has a history of 
a seizure disorder and has remained seizure free since 2003. He takes 
anti-seizure medication with the dosage and frequency remaining the 
same since 2006. His physician states that he is supportive of Mr. 
Counts receiving an exemption.

Tommy Joe Cox

    Mr. Cox is a 53 year-old class B CDL holder in Kentucky. He has a 
history of epilepsy and has remained seizure free since 2014. He takes 
anti-seizure medication with the dosage and frequency remaining the 
same since that time. His physician states that he is supportive of Mr. 
Cox receiving an exemption.

Michael D. Davis

    Mr. Davis is a 47 year-old class A CDL holder in Maine. He has a 
history of a seizure disorder and has remained seizure free since 1998. 
He takes anti-seizure medication with the dosage and frequency 
remaining the same since 2002. His physician states that he is 
supportive of Mr. Davis receiving an exemption.

William Garvin

    Mr. Garvin is a 38 year-old driver in New Hampshire. He has a 
history of a seizure in 2015. He takes anti-seizure medication with the 
dosage and frequency remaining the same since that time. His physician 
states that she is supportive of Mr. Garvin receiving an exemption.

Charlie E. Getchell

    Mr. Getchell is a 57 year-old class B CDL holder in Wisconsin. He 
has a history of a single seizure and has remained seizure free since 
1986. He takes anti-seizure medication with the dosage and frequency 
remaining the same since that time. His physician states that he is 
supportive of Mr. Getchell receiving an exemption.

Dennis R. Giles

    Mr. Giles is a 56 year-old class B CDL holder in Indiana. He has a 
history of a single seizure in 2010 and has remained seizure free since 
that time. He takes anti-seizure medication with the dosage and 
frequency remaining the same since that time. His physician states that 
he is supportive of Mr. Giles receiving an exemption.

Jeremiah Gonzales

    Mr. Gonzales is a 34 year-old class A CDL holder in Colorado. He 
has a history of a seizure disorder and has remained seizure free since 
2009. He takes anti-seizure medication with the dosage and frequency 
remaining the same since 2013. His physician states that he is 
supportive of Mr. Gonzales receiving an exemption.

Robert W. Goddard

    Mr. Goddard is a 53 year-old class B CDL holder in New Hampshire. 
He has a history of a seizure disorder and has remained seizure free 
since 2006. He takes anti-seizure medication with the dosage and 
frequency remaining the same since 2013. His physician states that he 
is supportive of Mr. Goddard receiving an exemption.

Roderick L. Haslip

    Mr. Haslip is a 54 year-old class A CDL holder in New York. He has 
a history of a seizure disorder and has remained seizure free since 
2010. He takes anti-seizure medication with the dosage and frequency 
remaining the same since that time. His physician states that he is 
supportive of Mr. Haslip receiving an exemption.

Larry G. Hediger

    Mr. Hediger is a 59 year-old class A CDL holder in Illinois. He has 
a history of epilepsy and has remained seizure free since 2004. He 
takes anti-seizure medication with the dosage and frequency remaining 
the same since 2006. His physician states that he is supportive of Mr. 
Hediger receiving an exemption.

Martin Lancaster

    Mr. Lancaster is a 51 year-old driver in Maine. He has a history of 
a seizure disorder and has remained seizure free since 2001. He takes 
anti-seizure medication with the dosage and frequency remaining the 
same since that time. His physician states that he is supportive of Mr. 
Lancaster receiving an exemption.

Philip A. Logan

    Mr. Logan is a 35 year-old driver in South Carolina. He has a 
history of a seizure disorder and has remained seizure free since 1998. 
He takes anti-seizure medication with the dosage and frequency 
remaining the same since that time. His physician states that he is 
supportive of Mr. Logan receiving an exemption.

Eric J. McVetty

    Mr. McVetty is a 29 year-old class B CDL holder in New Hampshire. 
He has a history of a seizure disorder and has remained seizure free 
since 2005. He takes anti-seizure medication with the dosage and 
frequency remaining the same since that time. His physician states that 
he is supportive of Mr. McVetty receiving an exemption.

Doug William Outfleet

    Mr. Outfleet is a 55 year-old driver in California. He has a 
history of a seizure disorder and has remained seizure free since 2010. 
He takes anti-seizure medication with the dosage and frequency 
remaining the same since that time. His physician states that he is 
supportive of Mr. Outfleet receiving an exemption.

David J. Parris

    Mr. Parris is a 22 year-old driver in Illinois. He has a history of 
a seizure disorder and has remained seizure free since 2012. He takes 
anti-seizure medication with the dosage and frequency remaining the 
same since that time. His physician states that he is supportive of Mr. 
Parris receiving an exemption.

Donald John Richmond

    Mr. Richmond is a 63 year-old driver in South Carolina. He has a 
history of a seizure disorder and has remained seizure free since 1980. 
He takes anti-seizure medication with the dosage and frequency 
remaining the same since 2001. His physician states that he is 
supportive of Mr. Richmond receiving an exemption.

Shawn E. Sands

    Mr. Sands is a 32 year-old driver in Illinois. He has a history of 
epilepsy and has remained seizure free since 2009. He takes anti-
seizure medication with the dosage and frequency remaining the same 
since that time. His physician states that he is supportive of Mr. 
Sands receiving an exemption.

Robert B.Skinner

    Mr. Skinner is a 43 year-old driver in Ohio. He has a history of a 
brain tumor and has remained seizure free since 2007. He takes anti-
seizure medication with the dosage and frequency remaining the same 
since that time. His

[[Page 28134]]

physician states that he is supportive of Mr. Skinner receiving an 
exemption.

Shaen Smith

    Mr. Smith is a 47 year-old driver in Minnesota. He has a history of 
epilepsy and has remained seizure free since 1998. He takes anti-
seizure medication with the dosage and frequency remaining the same 
since 2013. His physician states that he is supportive of Mr. Smith 
receiving an exemption.

Kevin Lee Sprinkle

    Mr. Sprinkle is a 35 year-old class A CDL holder in North Carolina. 
He has a history of juvenile epilepsy and has remained seizure free 
since 2005. He takes anti-seizure medication with the dosage and 
frequency remaining the same since that time. His physician states that 
he is supportive of Mr. Sprinkle receiving an exemption.

Patrick Trimbo

    Mr. Trimbo is a 53 year-old class A CDL holder in Minnesota. He has 
a history of a seizure disorder and has remained seizure free since 
1996. He takes anti-seizure medication with the dosage and frequency 
remaining the same since 2008. His physician states that he is 
supportive of Mr. Trimbo receiving an exemption.

Alan Washabaugh

    Mr. Washabaugh is a 57 year-old class A CDL holder in Pennsylvania. 
He has a history of a seizure disorder and has remained seizure free 
since 1996. He takes anti-seizure medication with the dosage and 
frequency remaining the same since that time. His physician states that 
he is supportive of Mr. Washabaugh receiving an exemption.

III. Request for Comments

    In accordance with 49 U.S.C. 31136(e) and 31315, FMCSA requests 
public comment from all interested persons on the exemption petitions 
described in this notice. We will consider all comments received before 
the close of business on the closing date indicated in the date section 
of the notice.

IV. Submitting Comments

    You may submit your comments and material online or by fax, mail, 
or hand delivery, but please use only one of these means. FMCSA 
recommends that you include your name and a mailing address, an email 
address, or a phone number in the body of your document so that FMCSA 
can contact you if there are questions regarding your submission.
    To submit your comment online, go to http://www.regulations.gov and 
in the search box insert the docket number ``FMCSA-2015-0322'' and 
click the search button. When the new screen appears, click on the blue 
``Comment Now!'' button on the right hand side of the page. On the new 
page, enter information required including the specific section of this 
document to which each comment applies, and provide a reason for each 
suggestion or recommendation. If you submit your comments by mail or 
hand delivery, submit them in an unbound format, no larger than 8\1/2\ 
by 11 inches, suitable for copying and electronic filing. If you submit 
comments by mail and would like to know that they reached the facility, 
please enclose a stamped, self-addressed postcard or envelope. We will 
consider all comments and materials received during the comment period. 
FMCSA may issue a final determination any time after the close of the 
comment period.

V. Viewing Comments and Documents

    To view comments, as well as any documents mentioned in this 
preamble, go to http://www.regulations.gov and in the search box insert 
the docket number FMCSA-2015-0322 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: April 29, 2016.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2016-10795 Filed 5-6-16; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                                    28131

                                                  consciousness that resulted from a known                would be achieved without the                         copy of the exemption when driving, for
                                                  medical condition (e.g., drug reaction, high            exemption. The exemption allows the                   presentation to a duly authorized
                                                  temperature, acute infectious disease,                  applicants to operate CMVs in interstate              Federal, State, or local enforcement
                                                  dehydration, or acute metabolic disturbance),           commerce.                                             official.
                                                  certification should be deferred until the                 The Agency’s decision regarding these
                                                  driver has recovered fully from that
                                                                                                          exemption applications is based on an                 VI. Conclusion
                                                  condition, has no existing residual
                                                  complications, and is not taking anti-seizure           individualized assessment of each                        Based upon its evaluation of the nine
                                                  medication.                                             applicant’s medical information,                      exemption applications, FMCSA
                                                    Drivers who have a history of epilepsy/               including the root cause of the                       exempts the following drivers from the
                                                  seizures, off anti-seizure medication and               respective seizure(s) and medical                     epilepsy/seizure standard in 49 CFR
                                                  seizure-free for 10 years, may be qualified to          information about the applicant’s                     391.41(b)(8), subject to the requirements
                                                  operate a CMV in interstate commerce.                   seizure history, the length of time that              cited above: Kenneth Lee Brown (WY),
                                                  Interstate drivers with a history of a single           has elapsed since the individual’s last               Douglas Ray Burkhardt (SD); Curtis
                                                  unprovoked seizure may be qualified to drive            seizure, the stability of each individual’s           Alan Hartman (MD); Wendell Frank
                                                  a CMV in interstate commerce if seizure-free            treatment regimen and the duration of                 Headley, Jr. (MO); Gregory L. Hrutkay
                                                  and off anti-seizure medication for a 5-year                                                                  (PA); Michael William Ketchum, Sr.
                                                  period or more.
                                                                                                          time on or off of anti-seizure
                                                                                                          medication. In addition, the Agency                   (MI); Marion Franklin Legg, Jr. (MD);
                                                     As a result of medical examiners                     reviewed the treating clinician’s                     Alvin Clarence Strite (PA); and Thomas
                                                  misinterpreting advisory criteria as                    medical opinion related to the ability of             B. Vivirito (PA).
                                                  regulation, numerous drivers have been                  the driver to safely operate a CMV with                  In accordance with 49 U.S.C.
                                                  prohibited from operating a CMV in                      a history of seizure and each applicant’s             31315(b)(1), each exemption is valid for
                                                  interstate commerce based on the fact                   driving record found in the Commercial                2 years, unless revoked earlier by
                                                  that they have had one or more seizures                 Driver’s License Information System                   FMCSA. The exemption will be revoked
                                                  and are taking anti-seizure medication,                 (CDLIS) for commercial driver’s license               if the following occurs: (1) The
                                                  rather than an individual analysis of                   (CDL) holders, and interstate and                     individual fails to comply with the
                                                  their circumstances by a qualified                      intrastate inspections recorded in the                terms and conditions of the exemption;
                                                  medical examiner based on the physical                  Motor Carrier Management Information                     (2) the exemption has resulted in a
                                                  qualification standards and medical best                System (MCMIS). For non-CDL holders,                  lower level of safety than was
                                                  practices.                                              the Agency reviewed the driving records               maintained prior to being granted; or (3)
                                                     In reaching the decision to grant these              from the State Driver’s Licensing                     continuation of the exemption would
                                                  exemption requests, the Agency                          Agency (SDLA). The Agency                             not be consistent with the goals and
                                                  considered the 2007 recommendations                     acknowledges the potential                            objectives of 49 U.S.C. 31136 and 31315.
                                                  of the Agency’s Medical Expert Panel                    consequences of a driver experiencing a               If the exemption is still effective at the
                                                  (MEP). The January 15, 2013 (78 FR                      seizure while operating a CMV.                        end of the 2-year period, the individual
                                                  3069) Federal Register notice provides                  However, the Agency believes the                      may apply to FMCSA for a renewal
                                                  the current MEP recommendations                         drivers granted this exemption have                   under procedures in effect at that time.
                                                  which is the criteria the Agency uses to                demonstrated that they are unlikely to                  Issued on: April 29, 2016.
                                                  grant seizure exemptions.                               have a seizure and their medical                      Larry W. Minor,
                                                     These nine applicants have been                      condition does not pose a risk to public              Associate Administrator for Policy.
                                                  seizure-free over a range of 5 to 44 years              safety.
                                                                                                                                                                [FR Doc. 2016–10796 Filed 5–6–16; 8:45 am]
                                                  while taking anti-seizure medication                       Consequently, FMCSA finds that in
                                                                                                                                                                BILLING CODE 4910–EX–P
                                                  and maintained a stable medication                      each case exempting these applicants
                                                  treatment regimen for the last two years.               from the epilepsy/seizure standard in 49
                                                  In each case, the applicant’s treating                  CFR 391.41(b)(8) is likely to achieve a
                                                                                                                                                                DEPARTMENT OF TRANSPORTATION
                                                  physician verified his or her seizure                   level of safety equal to that existing
                                                  history and supports the ability to drive               without the exemption.                                Federal Motor Carrier Safety
                                                  commercially. A summary of each                         V. Conditions and Requirements                        Administration
                                                  applicant’s seizure history was
                                                  discussed in the November 12, 2015                         The terms and conditions of the                    [Docket No. FMCSA–2015–0322]
                                                  Federal Register notice and will not be                 exemption will be provided to the
                                                                                                          applicants in the exemption document                  Qualification of Drivers; Exemption
                                                  repeated in this notice.
                                                                                                          and includes the following: (1) Each                  Applications; Epilepsy and Seizure
                                                  III. Discussion of Comments                             individual must remain seizure-free and               Disorders
                                                    Seven commenters responded to this                    maintain a stable treatment during the                AGENCY: Federal Motor Carrier Safety
                                                  notice, six of whom specifically                        2-year exemption period; (2) each                     Administration (FMCSA), Department
                                                  expressed support for applicant Thomas                  individual must submit annual reports                 of Transportation (DOT).
                                                  Vivirito and one in support of her                      from their treating physicians attesting              ACTION: Notice of applications for
                                                  husband receiving an exemption. The                     to the stability of treatment and that the            exemptions; request for comments.
                                                  Agency has determined that nine                         driver has remained seizure-free; (3)
                                                  applicants should be granted an                         each individual must undergo an annual                SUMMARY:   FMCSA announces receipt of
                                                  exemption.                                              medical examination by a certified                    applications from 27 individuals for an
                                                                                                          Medical Examiner, as defined by 49 CFR                exemption from the prohibition against
mstockstill on DSK3G9T082PROD with NOTICES




                                                  IV. Basis for Exemption Determination                   390.5; and (4) each individual must                   persons with a clinical diagnosis of
                                                    Under 49 U.S.C. 31136(e) and                          provide a copy of the annual medical                  epilepsy or any other condition that is
                                                  31315(b), FMCSA may grant an                            certification to the employer for                     likely to cause a loss of consciousness
                                                  exemption from the epilepsy/seizure                     retention in the driver’s qualification               or any loss of ability to operate a
                                                  standard in 49 CFR 391.41(b)(8) if the                  file, or keep a copy of his/her driver’s              commercial motor vehicle (CMV) in
                                                  exemption is likely to achieve an                       qualification file if he/she is self-                 interstate commerce. If granted, the
                                                  equivalent or greater level of safety than              employed. The driver must also have a                 exemptions would enable these


                                             VerDate Sep<11>2014   17:44 May 06, 2016   Jkt 238001   PO 00000   Frm 00086   Fmt 4703   Sfmt 4703   E:\FR\FM\09MYN1.SGM   09MYN1


                                                  28132                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                  individuals who have had one or more                    via email at fmcsamedical@dot.gov, or                 dehydration, or acute metabolic disturbance),
                                                  seizures and are taking anti-seizure                    by letter to FMCSA, Room W64–113,                     certification should be deferred until the
                                                  medication to operate CMVs for up to 2                  Department of Transportation, 1200                    driver has recovered fully from that
                                                                                                                                                                condition, has no existing residual
                                                  years in interstate commerce.                           New Jersey Avenue SE., Washington,                    complications, and is not taking anti-seizure
                                                  DATES: Comments must be received on                     DC 20590–0001. Office hours are from                  medication.
                                                  or before June 8, 2016.                                 8:30 a.m. to 5 p.m., Monday through                     Drivers who have a history of epilepsy/
                                                  ADDRESSES: You may submit comments                      Friday, except Federal holidays.                      seizures, off anti-seizure medication and
                                                  bearing the Federal Docket Management                   SUPPLEMENTARY INFORMATION:                            seizure-free for 10 years, may be qualified to
                                                                                                                                                                operate a CMV in interstate commerce.
                                                  System (FDMS) Docket No. FMCSA–                         I. Background                                         Interstate drivers with a history of a single
                                                  2015–0322 using any of the following                                                                          unprovoked seizure may be qualified to drive
                                                  methods:                                                   Under 49 U.S.C. 31136(e) and 31315,
                                                                                                                                                                a CMV in interstate commerce if seizure-free
                                                    • Federal eRulemaking Portal: Go to                   FMCSA may grant an exemption for up                   and off anti-seizure medication for a 5-year
                                                  http://www.regulations.gov. Follow the                  to a 2-year period if it finds ‘‘such                 period or more.
                                                  on-line instructions for submitting                     exemption would likely achieve a level
                                                                                                          of safety that is equivalent to or greater              As a result of medical examiners
                                                  comments.                                                                                                     misinterpreting advisory criteria as
                                                    • Mail: Docket Management Facility;                   than the level that would be achieved
                                                                                                                                                                regulation, numerous drivers have been
                                                  U.S. Department of Transportation, 1200                 absent such exemption.’’ The statutes
                                                                                                          allow the Agency to renew exemptions                  prohibited from operating a CMV in
                                                  New Jersey Avenue SE., West Building                                                                          interstate commerce based on the fact
                                                  Ground Floor, Room W12–140,                             at the end of the 2-year period. The 27
                                                                                                          individuals listed in this notice have                that they have had one or more seizures
                                                  Washington, DC 20590–0001.                                                                                    and are taking anti-seizure medication,
                                                    • Hand Delivery: West Building                        requested an exemption from the
                                                                                                                                                                rather than an individual analysis of
                                                  Ground Floor, Room W12–140, 1200                        epilepsy prohibition in 49 CFR
                                                                                                          391.41(b)(8), which applies to drivers                their circumstances by a qualified
                                                  New Jersey Avenue SE., Washington,                                                                            medical examiner based on the physical
                                                  DC, between 9 a.m. and 5 p.m., Monday                   who operate CMVs in interstate
                                                                                                          commerce. Accordingly, the Agency                     qualification standards and medical best
                                                  through Friday, except Federal                                                                                practices.
                                                  Holidays.                                               will evaluate the qualifications of each
                                                    • Fax: 1–202–493–2251.                                applicant to determine whether granting               II. Qualifications of Applicants
                                                     Instructions: Each submission must                   the exemption will achieve the required
                                                                                                                                                                Hamilton Barnard
                                                  include the Agency name and the                         level of safety mandated by statute.
                                                  docket numbers for this notice. Note                       The physical qualification standard                   Mr. Barnard is a 38 year-old driver in
                                                  that all comments received will be                      for drivers regarding epilepsy found in               California. He has a history of a seizure
                                                  posted without change to http://                        49 CFR 391.41(b)(8) states that a person              disorder and has remained seizure free
                                                  www.regulations.gov, including any                      is physically qualified to drive a CMV                since 2005. He takes anti-seizure
                                                  personal information provided. Please                   if that person                                        medication with the dosage and
                                                  see the Privacy Act heading below for                      Has no established medical history or              frequency remaining the same since that
                                                  further information.                                    clinical diagnosis of epilepsy or any other           time. His physician states that he is
                                                     Docket: For access to the docket to                  condition which is likely to cause the loss of        supportive of Mr. Barnard receiving an
                                                  read background documents or                            consciousness or any loss of ability to control       exemption.
                                                  comments, go to http://                                 a CMV.
                                                                                                                                                                William E. Beaver
                                                  www.regulations.gov at any time or                        In addition to the regulations, FMCSA
                                                  Room W12–140 on the ground level of                                                                             Mr. Beaver is a 50 year-old class A
                                                                                                          has published advisory criteria to assist
                                                  the West Building, 1200 New Jersey                                                                            CDL holder in Minnesota. He has a
                                                                                                          medical examiners in determining
                                                  Avenue SE., Washington, DC, between 9                                                                         history of a single seizure in January
                                                                                                          whether drivers with certain medical
                                                  a.m. and 5 p.m., Monday through                                                                               2015, likely secondary to cyclosporine
                                                                                                          conditions are qualified to operate a
                                                  Friday, except Federal holidays. The                                                                          use and posterior reversible
                                                                                                          CMV in interstate commerce. The
                                                  Federal Docket Management System                                                                              encephalopathy syndrome. He
                                                                                                          advisory criteria found in Appendix A
                                                  (FDMS) is available 24 hours each day,                                                                        discontinued taking anti-seizure in May
                                                                                                          to 49 CFR 391.41, states that
                                                  365 days each year. If you want                                                                               2015. His physician states that he is
                                                                                                            If an individual has had a sudden episode           supportive of Mr. Beaver receiving an
                                                  acknowledgment that we received your                    of a non-epileptic seizure or loss of
                                                  comments, please include a self-                                                                              exemption.
                                                                                                          consciousness of unknown cause that did not
                                                  addressed, stamped envelope or                          require anti-seizure medication, the decision         Paul V. Carlson
                                                  postcard or print the acknowledgement                   whether that person’s condition is likely to             Mr. Carlson is a 38 year-old driver in
                                                  page that appears after submitting                      cause the loss of consciousness or loss of
                                                                                                          ability to control a CMV should be made on
                                                                                                                                                                Minnesota. He has a history of a single
                                                  comments on-line.
                                                                                                          an individual basis by the medical examiner           seizure following brain surgery for
                                                     Privacy Act: In accordance with 5
                                                                                                          in consultation with the treating physician.          treatment of an obstructive
                                                  U.S.C. 553(c), DOT solicits comments
                                                                                                          Before certification is considered, it is             hydrocephalus ventricular colloid cyst
                                                  from the public to better inform its
                                                                                                          suggested that a 6-month waiting period               in 2015. He takes anti-seizure
                                                  rulemaking process. DOT posts these                     elapse from the time of the episode.                  medication with the dosage and
                                                  comments, without edit, including any                   Following the waiting period, it is suggested         frequency remaining the same since that
                                                  personal information the commenter                      that the individual have a complete                   time. His physician states that he is
                                                  provides, to http://www.regulations.gov                 neurological examination. If the results of the
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                                                                                supportive of Mr. Carlson receiving an
                                                  as described in the system records                      examination are negative and anti-seizure
                                                                                                                                                                exemption.
                                                  notice (DOT/ALL–14 FDMS), which can                     medication is not required, then the driver
                                                  be reviewed at http://www.dot.gov/                      may be qualified.                                     Edward J. Carder Jr.
                                                  privacy.                                                  In those individual cases where a driver
                                                                                                          had a seizure or an episode of loss of                  Mr. Carder is a 37 year-old driver in
                                                  FOR FURTHER INFORMATION CONTACT:                        consciousness that resulted from a known              Ohio. He has a history of a single
                                                  Christine A. Hydock, Chief, Medical                     medical condition (e.g., drug reaction, high          seizure in 2010. He takes anti-seizure
                                                  Programs Division, (202) 366–4001, or                   temperature, acute infectious disease,                medication with the dosage and


                                             VerDate Sep<11>2014   17:44 May 06, 2016   Jkt 238001   PO 00000   Frm 00087   Fmt 4703   Sfmt 4703   E:\FR\FM\09MYN1.SGM   09MYN1


                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                              28133

                                                  frequency remaining the same since that                 Dennis R. Giles                                       seizure disorder and has remained
                                                  time. His physician states that he is                     Mr. Giles is a 56 year-old class B CDL              seizure free since 1998. He takes anti-
                                                  supportive of Mr. Carder receiving an                   holder in Indiana. He has a history of a              seizure medication with the dosage and
                                                  exemption.                                              single seizure in 2010 and has remained               frequency remaining the same since that
                                                                                                          seizure free since that time. He takes                time. His physician states that he is
                                                  Timothy M. Crampton
                                                                                                          anti-seizure medication with the dosage               supportive of Mr. Logan receiving an
                                                     Mr. Crampton is a 24 year-old driver                                                                       exemption.
                                                                                                          and frequency remaining the same since
                                                  in Connecticut. He has a history of
                                                                                                          that time. His physician states that he is            Eric J. McVetty
                                                  epilepsy and has remained seizure free
                                                                                                          supportive of Mr. Giles receiving an
                                                  since 2002. He takes anti-seizure                                                                               Mr. McVetty is a 29 year-old class B
                                                                                                          exemption.
                                                  medication with the dosage and                                                                                CDL holder in New Hampshire. He has
                                                  frequency remaining the same since that                 Jeremiah Gonzales                                     a history of a seizure disorder and has
                                                  time. His physician states that he is                     Mr. Gonzales is a 34 year-old class A               remained seizure free since 2005. He
                                                  supportive of Mr. Crampton receiving                    CDL holder in Colorado. He has a                      takes anti-seizure medication with the
                                                  an exemption.                                           history of a seizure disorder and has                 dosage and frequency remaining the
                                                                                                          remained seizure free since 2009. He                  same since that time. His physician
                                                  Henry Dennis Counts Jr.
                                                                                                          takes anti-seizure medication with the                states that he is supportive of Mr.
                                                     Mr. Counts is a 39 year-old driver in                dosage and frequency remaining the                    McVetty receiving an exemption.
                                                  Maryland. He has a history of a seizure                 same since 2013. His physician states
                                                  disorder and has remained seizure free                                                                        Doug William Outfleet
                                                                                                          that he is supportive of Mr. Gonzales
                                                  since 2003. He takes anti-seizure                       receiving an exemption.                                  Mr. Outfleet is a 55 year-old driver in
                                                  medication with the dosage and                                                                                California. He has a history of a seizure
                                                  frequency remaining the same since                      Robert W. Goddard                                     disorder and has remained seizure free
                                                  2006. His physician states that he is                     Mr. Goddard is a 53 year-old class B                since 2010. He takes anti-seizure
                                                  supportive of Mr. Counts receiving an                   CDL holder in New Hampshire. He has                   medication with the dosage and
                                                  exemption.                                              a history of a seizure disorder and has               frequency remaining the same since that
                                                                                                          remained seizure free since 2006. He                  time. His physician states that he is
                                                  Tommy Joe Cox
                                                                                                          takes anti-seizure medication with the                supportive of Mr. Outfleet receiving an
                                                     Mr. Cox is a 53 year-old class B CDL                 dosage and frequency remaining the                    exemption.
                                                  holder in Kentucky. He has a history of                 same since 2013. His physician states
                                                  epilepsy and has remained seizure free                                                                        David J. Parris
                                                                                                          that he is supportive of Mr. Goddard
                                                  since 2014. He takes anti-seizure                       receiving an exemption.                                  Mr. Parris is a 22 year-old driver in
                                                  medication with the dosage and                                                                                Illinois. He has a history of a seizure
                                                  frequency remaining the same since that                 Roderick L. Haslip                                    disorder and has remained seizure free
                                                  time. His physician states that he is                     Mr. Haslip is a 54 year-old class A                 since 2012. He takes anti-seizure
                                                  supportive of Mr. Cox receiving an                      CDL holder in New York. He has a                      medication with the dosage and
                                                  exemption.                                              history of a seizure disorder and has                 frequency remaining the same since that
                                                                                                          remained seizure free since 2010. He                  time. His physician states that he is
                                                  Michael D. Davis
                                                                                                          takes anti-seizure medication with the                supportive of Mr. Parris receiving an
                                                     Mr. Davis is a 47 year-old class A CDL               dosage and frequency remaining the                    exemption.
                                                  holder in Maine. He has a history of a                  same since that time. His physician
                                                  seizure disorder and has remained                                                                             Donald John Richmond
                                                                                                          states that he is supportive of Mr. Haslip
                                                  seizure free since 1998. He takes anti-                 receiving an exemption.                                  Mr. Richmond is a 63 year-old driver
                                                  seizure medication with the dosage and                                                                        in South Carolina. He has a history of
                                                  frequency remaining the same since                      Larry G. Hediger                                      a seizure disorder and has remained
                                                  2002. His physician states that he is                      Mr. Hediger is a 59 year-old class A               seizure free since 1980. He takes anti-
                                                  supportive of Mr. Davis receiving an                    CDL holder in Illinois. He has a history              seizure medication with the dosage and
                                                  exemption.                                              of epilepsy and has remained seizure                  frequency remaining the same since
                                                                                                          free since 2004. He takes anti-seizure                2001. His physician states that he is
                                                  William Garvin
                                                                                                          medication with the dosage and                        supportive of Mr. Richmond receiving
                                                     Mr. Garvin is a 38 year-old driver in                frequency remaining the same since                    an exemption.
                                                  New Hampshire. He has a history of a                    2006. His physician states that he is
                                                  seizure in 2015. He takes anti-seizure                                                                        Shawn E. Sands
                                                                                                          supportive of Mr. Hediger receiving an
                                                  medication with the dosage and                          exemption.                                               Mr. Sands is a 32 year-old driver in
                                                  frequency remaining the same since that                                                                       Illinois. He has a history of epilepsy and
                                                  time. His physician states that she is                  Martin Lancaster                                      has remained seizure free since 2009.
                                                  supportive of Mr. Garvin receiving an                      Mr. Lancaster is a 51 year-old driver              He takes anti-seizure medication with
                                                  exemption.                                              in Maine. He has a history of a seizure               the dosage and frequency remaining the
                                                                                                          disorder and has remained seizure free                same since that time. His physician
                                                  Charlie E. Getchell
                                                                                                          since 2001. He takes anti-seizure                     states that he is supportive of Mr. Sands
                                                    Mr. Getchell is a 57 year-old class B                 medication with the dosage and                        receiving an exemption.
                                                  CDL holder in Wisconsin. He has a
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                          frequency remaining the same since that               Robert B.Skinner
                                                  history of a single seizure and has                     time. His physician states that he is
                                                  remained seizure free since 1986. He                    supportive of Mr. Lancaster receiving an                Mr. Skinner is a 43 year-old driver in
                                                  takes anti-seizure medication with the                  exemption.                                            Ohio. He has a history of a brain tumor
                                                  dosage and frequency remaining the                                                                            and has remained seizure free since
                                                  same since that time. His physician                     Philip A. Logan                                       2007. He takes anti-seizure medication
                                                  states that he is supportive of Mr.                       Mr. Logan is a 35 year-old driver in                with the dosage and frequency
                                                  Getchell receiving an exemption.                        South Carolina. He has a history of a                 remaining the same since that time. His


                                             VerDate Sep<11>2014   17:44 May 06, 2016   Jkt 238001   PO 00000   Frm 00088   Fmt 4703   Sfmt 4703   E:\FR\FM\09MYN1.SGM   09MYN1


                                                  28134                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                  physician states that he is supportive of               search box insert the docket number                   DATES:  The exemptions were effective
                                                  Mr. Skinner receiving an exemption.                     ‘‘FMCSA–2015–0322’’ and click the                     on January 21, 2016. The exemptions
                                                                                                          search button. When the new screen                    expire on January 21, 2018.
                                                  Shaen Smith
                                                                                                          appears, click on the blue ‘‘Comment                  FOR FURTHER INFORMATION CONTACT:
                                                    Mr. Smith is a 47 year-old driver in                  Now!’’ button on the right hand side of               Christine A. Hydock, Chief, Medical
                                                  Minnesota. He has a history of epilepsy                 the page. On the new page, enter                      Programs Division, (202) 366–4001,
                                                  and has remained seizure free since                     information required including the                    fmcsamedical@dot.gov, FMCSA,
                                                  1998. He takes anti-seizure medication                  specific section of this document to                  Department of Transportation, 1200
                                                  with the dosage and frequency                           which each comment applies, and                       New Jersey Avenue SE., Room W64–
                                                  remaining the same since 2013. His                      provide a reason for each suggestion or               113, Washington, DC 20590–0001.
                                                  physician states that he is supportive of               recommendation. If you submit your                    Office hours are from 8:30 a.m. to 5 p.m.
                                                  Mr. Smith receiving an exemption.                       comments by mail or hand delivery,                    e.t., Monday through Friday, except
                                                  Kevin Lee Sprinkle                                      submit them in an unbound format, no                  Federal holidays.
                                                                                                          larger than 81⁄2 by 11 inches, suitable for           SUPPLEMENTARY INFORMATION:
                                                    Mr. Sprinkle is a 35 year-old class A                 copying and electronic filing. If you
                                                  CDL holder in North Carolina. He has a                  submit comments by mail and would                     I. Electronic Access
                                                  history of juvenile epilepsy and has                    like to know that they reached the
                                                  remained seizure free since 2005. He                                                                             You may see all the comments online
                                                                                                          facility, please enclose a stamped, self-             through the Federal Document
                                                  takes anti-seizure medication with the                  addressed postcard or envelope. We will
                                                  dosage and frequency remaining the                                                                            Management System (FDMS) at: http://
                                                                                                          consider all comments and materials                   www.regulations.gov.
                                                  same since that time. His physician                     received during the comment period.
                                                  states that he is supportive of Mr.                                                                              Docket: For access to the docket to
                                                                                                          FMCSA may issue a final determination                 read background documents or
                                                  Sprinkle receiving an exemption.                        any time after the close of the comment               comments, go to http://
                                                  Patrick Trimbo                                          period.                                               www.regulations.gov and/or Room
                                                    Mr. Trimbo is a 53 year-old class A                   V. Viewing Comments and Documents                     W12–140 on the ground level of the
                                                  CDL holder in Minnesota. He has a                                                                             West Building, 1200 New Jersey Avenue
                                                                                                            To view comments, as well as any                    SE., Washington, DC, between 9 a.m.
                                                  history of a seizure disorder and has                   documents mentioned in this preamble,
                                                  remained seizure free since 1996. He                                                                          and 5 p.m., Monday through Friday,
                                                                                                          go to http://www.regulations.gov and in               except Federal holidays.
                                                  takes anti-seizure medication with the                  the search box insert the docket number
                                                  dosage and frequency remaining the                                                                               Privacy Act: In accordance with 5
                                                                                                          FMCSA–2015–0322 and click ‘‘Search.’’                 U.S.C. 553(c), DOT solicits comments
                                                  same since 2008. His physician states                   Next, click ‘‘Open Docket Folder’’ and
                                                  that he is supportive of Mr. Trimbo                                                                           from the public to better inform its
                                                                                                          you will find all documents and                       rulemaking process. DOT posts these
                                                  receiving an exemption.                                 comments related to this notice.                      comments, without edit, including any
                                                  Alan Washabaugh                                           Issued on: April 29, 2016.                          personal information the commenter
                                                    Mr. Washabaugh is a 57 year-old class                 Larry W. Minor,                                       provides, to www.regulations.gov, as
                                                  A CDL holder in Pennsylvania. He has                    Associate Administrator for Policy.                   described in the system of records
                                                  a history of a seizure disorder and has                 [FR Doc. 2016–10795 Filed 5–6–16; 8:45 am]            notice (DOT/ALL–14 FDMS), which can
                                                  remained seizure free since 1996. He                    BILLING CODE 4910–EX–P
                                                                                                                                                                be reviewed at www.dot.gov/privacy.
                                                  takes anti-seizure medication with the                                                                        II. Background
                                                  dosage and frequency remaining the
                                                  same since that time. His physician                     DEPARTMENT OF TRANSPORTATION                             On December 21, 2015, FMCSA
                                                  states that he is supportive of Mr.                                                                           published a notice announcing receipt
                                                  Washabaugh receiving an exemption.                      Federal Motor Carrier Safety                          of applications from 17 individuals
                                                                                                          Administration                                        requesting an exemption from the
                                                  III. Request for Comments                                                                                     prohibition against persons with a
                                                    In accordance with 49 U.S.C. 31136(e)                 [FMCSA Docket No. FMCSA–2015–0320]                    clinical diagnosis of epilepsy or any
                                                  and 31315, FMCSA requests public                                                                              other condition that is likely to cause a
                                                  comment from all interested persons on                  Qualification of Drivers; Exemption                   loss of consciousness or any loss of
                                                  the exemption petitions described in                    Applications; Epilepsy and Seizure                    ability to operate a CMV in interstate
                                                  this notice. We will consider all                       Disorders                                             commerce and requested comments
                                                  comments received before the close of                                                                         from the public (80 FR 70065). The
                                                  business on the closing date indicated                  AGENCY: Federal Motor Carrier Safety                  public comment period closed on
                                                  in the date section of the notice.                      Administration (FMCSA), DOT.                          January 20, 2016, and no comments
                                                                                                          ACTION: Notice of final disposition.                  were received.
                                                  IV. Submitting Comments                                                                                          FMCSA has evaluated the eligibility
                                                    You may submit your comments and                      SUMMARY:    FMCSA announces its                       of these applicants and determined that
                                                  material online or by fax, mail, or hand                decision to exempt eight individuals                  granting the exemptions to eight
                                                  delivery, but please use only one of                    from the regulatory requirement that                  individuals would achieve a level of
                                                  these means. FMCSA recommends that                      interstate commercial motor vehicle                   safety equivalent to or greater than the
                                                  you include your name and a mailing                     (CMV) drivers have ‘‘no established                   level that would be achieved by
mstockstill on DSK3G9T082PROD with NOTICES




                                                  address, an email address, or a phone                   medical history or clinical diagnosis of              complying with the current regulation
                                                  number in the body of your document                     epilepsy or any other condition which                 49 CFR 391.41(b)(8).
                                                  so that FMCSA can contact you if there                  is likely to cause loss of consciousness                 The physical qualification standard
                                                  are questions regarding your                            or any loss of ability to control a CMV.’’            for drivers regarding epilepsy found in
                                                  submission.                                             The exemptions enable these                           49 CFR 391.41(b)(8) states that a person
                                                    To submit your comment online, go to                  individuals to operate CMVs in                        is physically qualified to drive a CMV
                                                  http://www.regulations.gov and in the                   interstate commerce.                                  if that person


                                             VerDate Sep<11>2014   17:44 May 06, 2016   Jkt 238001   PO 00000   Frm 00089   Fmt 4703   Sfmt 4703   E:\FR\FM\09MYN1.SGM   09MYN1



Document Created: 2018-02-07 14:50:13
Document Modified: 2018-02-07 14:50:13
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of applications for exemptions; request for comments.
DatesComments must be received on or before June 8, 2016.
ContactChristine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, or via email at [email protected], or by letter to FMCSA, Room W64-113, Department of Transportation, 1200 New Jersey Avenue SE., Washington, DC 20590- 0001. Office hours are from 8:30 a.m. to 5 p.m., Monday through Friday, except Federal holidays.
FR Citation81 FR 28131 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR