81_FR_62731 81 FR 62556 - Denial of Exemption Applications; Epilepsy and Seizure Disorders

81 FR 62556 - Denial of Exemption Applications; Epilepsy and Seizure Disorders

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 81, Issue 175 (September 9, 2016)

Page Range62556-62557
FR Document2016-21719

FMCSA announces its decision to deny applications from nine individuals who requested an exemption from the Federal Motor Carrier Safety Regulations (FMCSRs) prohibiting 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) from operating CMVs in interstate commerce.

Federal Register, Volume 81 Issue 175 (Friday, September 9, 2016)
[Federal Register Volume 81, Number 175 (Friday, September 9, 2016)]
[Notices]
[Pages 62556-62557]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-21719]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2015-0321]


Denial of Exemption Applications; Epilepsy and Seizure Disorders

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

ACTION: Notice of denial.

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

SUMMARY: FMCSA announces its decision to deny applications from nine 
individuals who requested an exemption from the Federal Motor Carrier 
Safety Regulations (FMCSRs) prohibiting 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) from operating CMVs in interstate commerce.

FOR FURTHER INFORMATION CONTACT: Christine A. Hydock, Chief, Medical 
Programs Division, (202) 366-4001, [email protected], FMCSA, 
Department of Transportation, 1200 New Jersey Avenue SE., Room W64-224, 
Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., e.t., 
Monday through Friday, except Federal holidays. If you have questions 
regarding viewing or submitting material to the docket, contact Docket 
Services, telephone (202) 366-9826.

SUPPLEMENTARY INFORMATION:

I. Electronic Access

    You may see all the comments online through the Federal Document 
Management System (FDMS) at: http://www.regulations.gov.
    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov and/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.
    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 of records notice (DOT/ALL-14 FDMS), which can be reviewed 
at http://www.dot.gov/privacy.

II. Background

    On March 9, 2016, FMCSA published a notice announcing receipt of 
applications from 31 individuals requesting 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 CMV in interstate commerce and 
requested comments from the public (81 FR 12553). The public comment 
period closed on April 8, 2016, and three comments were received, all 
in support of granting seizure exemptions.
    FMCSA has evaluated the eligibility of these applicants and 
concluded that granting nine of the 31 exemptions would not provide a 
level of safety that would be equivalent to or greater than, the level 
of safety that would be obtained by complying with the regulation 49 
CFR 391.41(b)(8). A final notice announcing a decision on the remaining 
22 requests will be published at a later date.

III. Basis for Exemption Determination

    Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant an exemption 
from the Federal epilepsy standard for a renewable two-year period if 
it finds ``such exemption is likely achieve a level of safety that is 
equivalent to or greater than the level that would be achieved absent 
such exemption.''
    The Agency's decision regarding these exemption applications is 
based on an individualized assessment of each applicant's medical 
information, including the root cause of the respective seizure(s) and 
medical information about the applicant's seizure history, the length 
of time that has elapsed since the individual's last seizure, the 
stability of each individual's treatment regimen and the duration of 
time on or off of anti-seizure medication. The Agency considered the 
2007 recommendations of the Agency's Medical Expert Panel (MEP). The 
January 15, 2013 Federal Register notice (78 FR 3069) provides the 
current MEP recommendations which is the criteria the Agency uses to 
make decisions regarding seizure exemptions.

IV. Conclusion

    The Agency has determined that these nine applicants do not satisfy 
the criteria eligibility or meet the terms and conditions for a Federal 
exemption and granting these exemptions would not provide a level of 
safety that would be equivalent to or greater than, the level of safety 
that would be obtained by complying with the regulation 49 CFR 
391.41(b)(8). Therefore, the applicants in this notice have been denied 
an exemption from the physical qualification standards in 49 CFR 
391.41(b)(8).
    Each applicant has, prior to this notice, received a letter of 
final disposition regarding his/her exemption request. Those decision 
letters fully outlined the basis for the denial and constitutes final 
action by the Agency. This notice summarizes the Agency's recent 
denials as required under 49 U.S.C. 31315(b)(4) by periodically 
publishing names and reasons for denial. The following drivers were 
listed previously in Federal Register

[[Page 62557]]

Notice FMCSA-2015-0321 published on March 9, 2016:
    George J. Conte--Mr. Conte has a history of epilepsy. His last 
seizure was in 2014. He takes anti-seizure medication. He does not meet 
the MEP guidelines at this time.
    Dean W. Drury--Mr. Drury has a history of seizure following surgery 
in February 2015. He currently takes anti-seizure medication. He does 
not meet the MEP guidelines at this time.
    Ronald Alan Nagy, Jr--Mr. Nagy underwent a craniotomy for resection 
of an astrocytoma in June 2015. He takes anti-seizure medication. He 
does not meet the MEP guidelines at this time.
    Nicholas Ramirez--Mr. Ramirez has a history of a seizure disorder. 
His last seizure was in 2010. He takes anti-seizure medication. He does 
not meet the MEP guidelines at this time.
    Tory J. Shuler--Mr. Shuler has a history of seizure. His last 
seizure was in 2012. He takes anti-seizure medication. He does not meet 
the MEP guidelines at this time.
    Randall T. Slavik--Mr. Slavik has a history of a single seizure in 
2015. He takes anti-seizure medication. He not meet the MEP guidelines 
at this time.
    Michael Spinelli, IV--Mr. Spinelli has a history of seizure. His 
last seizure was in 2015. He takes anti-seizure medication. He does not 
meet the MEP guidelines at this time.
    Daisy Tapia--Ms. Tapia has a history of a single seizure in 2012 
followed by a resection of a benign meningioma. She takes anti-seizure 
medication. She does not meet the MEP guidelines at this time.
    Paul Richard Trombley--Mr. Trombley has a history of a seizure 
disorder. His last seizure was in 2014. He takes anti-seizure 
medication. He does not meet the MEP guidelines at this time.

    Issued on: August 26, 2016.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2016-21719 Filed 9-8-16; 8:45 am]
 BILLING CODE 4910-EX-P



                                                    62556                       Federal Register / Vol. 81, No. 175 / Friday, September 9, 2016 / Notices

                                                    Notice FMCSA–2015–0117 published                        exemption from the Federal Motor                      granting nine of the 31 exemptions
                                                    on August 12, 2015:                                     Carrier Safety Regulations (FMCSRs)                   would not provide a level of safety that
                                                      Nicholes Arroyo—Mr. Arroyo has a                      prohibiting persons with a clinical                   would be equivalent to or greater than,
                                                    history of epilepsy. His last seizure was               diagnosis of epilepsy or any other                    the level of safety that would be
                                                    in 2014. He takes anti-seizure                          condition that is likely to cause a loss              obtained by complying with the
                                                    medication. He does not meet the MEP                    of consciousness or any loss of ability to            regulation 49 CFR 391.41(b)(8). A final
                                                    guidelines at this time.                                operate a commercial motor vehicle                    notice announcing a decision on the
                                                      Kevin Scott Brelsford—Mr. Brelsford                   (CMV) from operating CMVs in                          remaining 22 requests will be published
                                                    has a history of epilepsy. His last                     interstate commerce.                                  at a later date.
                                                    seizure was in 2010. He takes anti-                     FOR FURTHER INFORMATION CONTACT:                      III. Basis for Exemption Determination
                                                    seizure medication. He does not meet                    Christine A. Hydock, Chief, Medical
                                                    the MEP guidelines at this time.                        Programs Division, (202) 366–4001,                       Under 49 U.S.C. 31136(e) and
                                                      Donald Adin Horst—Mr. Horst has a                     fmcsamedical@dot.gov, FMCSA,                          31315(b), FMCSA may grant an
                                                    history of a single provoked seizure in                 Department of Transportation, 1200                    exemption from the Federal epilepsy
                                                    2009 as the result of a subdural                        New Jersey Avenue SE., Room W64–                      standard for a renewable two-year
                                                    hematoma. He takes anti-seizure                         224, Washington, DC 20590–0001.                       period if it finds ‘‘such exemption is
                                                    medication. He does not meet the MEP                    Office hours are 8:30 a.m. to 5 p.m., e.t.,           likely achieve a level of safety that is
                                                    guidelines at this time.                                Monday through Friday, except Federal                 equivalent to or greater than the level
                                                      Bradley Jolley—Mr. Jolley has a                       holidays. If you have questions                       that would be achieved absent such
                                                    history of a epilepsy. Mr. Jolley did not               regarding viewing or submitting                       exemption.’’
                                                    provide enough medical information to                   material to the docket, contact Docket                   The Agency’s decision regarding these
                                                    determine the date of his last seizure.                 Services, telephone (202) 366–9826.                   exemption applications is based on an
                                                    He takes anti-seizure medication. He                    SUPPLEMENTARY INFORMATION:                            individualized assessment of each
                                                    does not meet the MEP guidelines at                                                                           applicant’s medical information,
                                                    this time.                                              I. Electronic Access                                  including the root cause of the
                                                      Charles Ray Paul—Mr. Paul has a                          You may see all the comments online                respective seizure(s) and medical
                                                    history of epilepsy. His last seizure was               through the Federal Document                          information about the applicant’s
                                                    in 2006, and his medical documentation                  Management System (FDMS) at: http://                  seizure history, the length of time that
                                                    notes that he experiences stereotypical                 www.regulations.gov.                                  has elapsed since the individual’s last
                                                    auras. He takes anti-seizure medication.                   Docket: For access to the docket to                seizure, the stability of each individual’s
                                                    He does not meet the MEP guidelines at                  read background documents or                          treatment regimen and the duration of
                                                    this time.                                              comments, go to http://                               time on or off of anti-seizure
                                                      Eric Lee Troendle—Mr. Troendle has                    www.regulations.gov and/or Room                       medication. The Agency considered the
                                                    a history of a brain tumor. His last                    W12–140 on the ground level of the                    2007 recommendations of the Agency’s
                                                    seizure was in 2014. He takes anti-                     West Building, 1200 New Jersey Avenue                 Medical Expert Panel (MEP). The
                                                    seizure medication. He does not meet                    SE., Washington, DC, between 9 a.m.                   January 15, 2013 Federal Register notice
                                                    the MEP guidelines at this time.                        and 5 p.m., Monday through Friday,                    (78 FR 3069) provides the current MEP
                                                      Brian J. Underwood—Mr. Underwood                      except Federal holidays.                              recommendations which is the criteria
                                                    has a history of epilepsy. His last                        Privacy Act: In accordance with 5                  the Agency uses to make decisions
                                                    seizure was in 2003. Mr. Underwood                      U.S.C. 553(c), DOT solicits comments                  regarding seizure exemptions.
                                                    did not provide enough medical                          from the public to better inform its
                                                    information to determine the last change                                                                      IV. Conclusion
                                                                                                            rulemaking process. DOT posts these
                                                    in his anti-seizure medication. He does                 comments, without edit, including any                    The Agency has determined that these
                                                    not meet the MEP guidelines at this                     personal information the commenter                    nine applicants do not satisfy the
                                                    time.                                                   provides, to http://www.regulations.gov,              criteria eligibility or meet the terms and
                                                      Issued on: August 26, 2016.                           as described in the system of records                 conditions for a Federal exemption and
                                                    Larry W. Minor,                                         notice (DOT/ALL–14 FDMS), which can                   granting these exemptions would not
                                                    Associate Administrator for Policy.                     be reviewed at http://www.dot.gov/                    provide a level of safety that would be
                                                                                                            privacy.                                              equivalent to or greater than, the level
                                                    [FR Doc. 2016–21716 Filed 9–8–16; 8:45 am]
                                                                                                                                                                  of safety that would be obtained by
                                                    BILLING CODE 4910–EX–P                                  II. Background                                        complying with the regulation 49 CFR
                                                                                                               On March 9, 2016, FMCSA published                  391.41(b)(8). Therefore, the applicants
                                                    DEPARTMENT OF TRANSPORTATION                            a notice announcing receipt of                        in this notice have been denied an
                                                                                                            applications from 31 individuals                      exemption from the physical
                                                    Federal Motor Carrier Safety                            requesting an exemption from the                      qualification standards in 49 CFR
                                                    Administration                                          prohibition against persons with a                    391.41(b)(8).
                                                                                                            clinical diagnosis of epilepsy or any                    Each applicant has, prior to this
                                                    [Docket No. FMCSA–2015–0321]                            other condition that is likely to cause a             notice, received a letter of final
                                                                                                            loss of consciousness or any loss of                  disposition regarding his/her exemption
                                                    Denial of Exemption Applications;
                                                                                                            ability to operate a CMV in interstate                request. Those decision letters fully
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Epilepsy and Seizure Disorders
                                                                                                            commerce and requested comments                       outlined the basis for the denial and
                                                    AGENCY: Federal Motor Carrier Safety                    from the public (81 FR 12553). The                    constitutes final action by the Agency.
                                                    Administration (FMCSA), DOT.                            public comment period closed on April                 This notice summarizes the Agency’s
                                                    ACTION: Notice of denial.                               8, 2016, and three comments were                      recent denials as required under 49
                                                                                                            received, all in support of granting                  U.S.C. 31315(b)(4) by periodically
                                                    SUMMARY:  FMCSA announces its                           seizure exemptions.                                   publishing names and reasons for
                                                    decision to deny applications from nine                    FMCSA has evaluated the eligibility                denial. The following drivers were
                                                    individuals who requested an                            of these applicants and concluded that                listed previously in Federal Register


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                                                                                Federal Register / Vol. 81, No. 175 / Friday, September 9, 2016 / Notices                                                 62557

                                                    Notice FMCSA–2015–0321 published                        this document provides the public                     scheduling a public hearing in
                                                    on March 9, 2016:                                       notice that by a document dated                       connection with these proceedings since
                                                       George J. Conte—Mr. Conte has a                      September 17, 2015, the National                      the facts do not appear to warrant a
                                                    history of epilepsy. His last seizure was               Railroad Passenger Corporation                        hearing. If any interested party desires
                                                    in 2014. He takes anti-seizure                          (Amtrak) has requested a Special                      an opportunity for oral comment, they
                                                    medication. He does not meet the MEP                    Approval of an alternate standard for 49              should notify FRA, in writing, before
                                                    guidelines at this time.                                CFR 238.311(a)—Single car test, as                    the end of the comment period and
                                                       Dean W. Drury—Mr. Drury has a                        prescribed in 49 CFR 238.21(b)—Special                specify the basis for their request.
                                                    history of seizure following surgery in                 approval procedure. FRA assigned the
                                                    February 2015. He currently takes anti-                 request Docket Number FRA–2015–                         All communications concerning these
                                                    seizure medication. He does not meet                    0106.                                                 proceedings should identify the
                                                    the MEP guidelines at this time.                           Amtrak requests permission to                      appropriate docket number and may be
                                                       Ronald Alan Nagy, Jr—Mr. Nagy                        continue to maintain and test the 9600                submitted by any of the following
                                                    underwent a craniotomy for resection of                 series cab coach car CCB II brake                     methods:
                                                    an astrocytoma in June 2015. He takes                   systems under the requirements of 49                    • Web site: http://
                                                    anti-seizure medication. He does not                    CFR 229.29 as an alternative                          www.regulations.gov. Follow the online
                                                    meet the MEP guidelines at this time.                   maintenance procedure that provides
                                                       Nicholas Ramirez—Mr. Ramirez has a                                                                         instructions for submitting comments.
                                                                                                            equivalent safety to the standard in
                                                    history of a seizure disorder. His last                                                                         • Fax: 202–493–2251.
                                                                                                            APTA–PR–M–S–005–98 Rev 2.1
                                                    seizure was in 2010. He takes anti-                     outlined in 49 CFR 238.311.                             • Mail: Docket Operations Facility,
                                                    seizure medication. He does not meet                       Amtrak’s fleet of 9600 series cab                  U.S. Department of Transportation, 1200
                                                    the MEP guidelines at this time.                        coach cars was originally equipped with               New Jersey Avenue SE., W12–140,
                                                       Tory J. Shuler—Mr. Shuler has a
                                                                                                            a 26–C (car) type of brake system along               Washington, DC 20590.
                                                    history of seizure. His last seizure was
                                                                                                            with additional 26–L (locomotive) style                 • Hand Delivery: 1200 New Jersey
                                                    in 2012. He takes anti-seizure
                                                    medication. He does not meet the MEP                    of control valves in the cab, to control              Avenue SE., Room W12–140,
                                                    guidelines at this time.                                the brake system when in push/pull                    Washington, DC 20590, between 9 a.m.
                                                       Randall T. Slavik—Mr. Slavik has a                   service. Amtrak previously maintained                 and 5 p.m., Monday through Friday,
                                                    history of a single seizure in 2015. He                 and tested the 26–C style of valves per               except Federal Holidays.
                                                    takes anti-seizure medication. He not                   49 CFR 238.309 and the 26–L style of
                                                                                                            valves per 49 CFR 229.29, along with                    Communications received by October
                                                    meet the MEP guidelines at this time.
                                                       Michael Spinelli, IV—Mr. Spinelli has                the requirement of FRA Form F6180–                    11, 2016 will be considered by FRA
                                                    a history of seizure. His last seizure was              49A (‘‘Blue Card’’) to be located in the              before final action is taken. Comments
                                                    in 2015. He takes anti-seizure                          cab. The main reservoir leakage tests                 received after that date will be
                                                    medication. He does not meet the MEP                    and the brake cylinder leakage tests                  considered as far as practicable.
                                                    guidelines at this time.                                were conducted per APTA–PR–M–S–                         Anyone is able to search the
                                                       Daisy Tapia—Ms. Tapia has a history                  005–98 Rev 2.1.                                       electronic form of any written
                                                    of a single seizure in 2012 followed by                    The cab cars are presently equipped                communications and comments
                                                    a resection of a benign meningioma. She                 with New York Air Brake’s CCB II brake                received into any of our dockets by the
                                                    takes anti-seizure medication. She does                 system designed for locomotives and are               name of the individual submitting the
                                                    not meet the MEP guidelines at this                     being maintained and tested under the
                                                                                                                                                                  comment (or signing the document, if
                                                    time.                                                   requirements of 49 CFR 229.29. The
                                                                                                                                                                  submitted on behalf of an association,
                                                       Paul Richard Trombley—Mr.                            main reservoir leakage test and the
                                                                                                            brake cylinder leakage test continue to               business, labor union, etc.). In
                                                    Trombley has a history of a seizure
                                                    disorder. His last seizure was in 2014.                 be tested per APTA–PR–M–S–005–98                      accordance with 5 U.S.C. 553(c), DOT
                                                    He takes anti-seizure medication. He                    Rev 2.1. The 92-day and annual test                   solicits comments from the public to
                                                    does not meet the MEP guidelines at                     procedures for these CCB II-equipped                  better inform its processes. DOT posts
                                                    this time.                                              cab cars are found in documents                       these comments, without edit, including
                                                                                                            submitted to the public docket.                       any personal information the
                                                      Issued on: August 26, 2016.
                                                                                                               Copies of these documents and the                  commenter provides, to
                                                    Larry W. Minor,
                                                                                                            petition, as well as any written                      www.regulations.gov, as described in
                                                    Associate Administrator for Policy.
                                                                                                            communications concerning the                         the system of records notice (DOT/ALL–
                                                    [FR Doc. 2016–21719 Filed 9–8–16; 8:45 am]
                                                                                                            petition, are available for review online             14 FDMS), which can be reviewed at
                                                    BILLING CODE 4910–EX–P
                                                                                                            at www.regulations.gov and in person at               www.dot.gov/privacy. See also http://
                                                                                                            the U.S. Department of Transportation’s               www.regulations.gov/#!privacyNotice
                                                                                                            (DOT) Docket Operations Facility, 1200                for the privacy notice of regulations.gov.
                                                    DEPARTMENT OF TRANSPORTATION
                                                                                                            New Jersey Avenue SE., W12–140,
                                                                                                            Washington, DC 20590. The Docket                      Robert C. Lauby,
                                                    Federal Railroad Administration
                                                                                                            Operations Facility is open from 9 a.m.               Associate Administrator for Safety, Chief
                                                    [Docket Number FRA–2015–0106]                           to 5 p.m., Monday through Friday,                     Safety Officer.
                                                                                                            except Federal Holidays.                              [FR Doc. 2016–21762 Filed 9–8–16; 8:45 am]
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Petition for Special Approval of
                                                                                                               Interested parties are invited to                  BILLING CODE 4910–06–P
                                                    Alternate Standard
                                                                                                            participate in these proceedings by
                                                      In accordance with Part 232 of Title                  submitting written views, data, or
                                                    49 Code of Federal Regulations (CFR),                   comments. FRA does not anticipate




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Document Created: 2018-02-09 13:15:22
Document Modified: 2018-02-09 13:15:22
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 denial.
ContactChristine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE., Room W64-224, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826.
FR Citation81 FR 62556 

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