81_FR_62969 81 FR 62793 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

81 FR 62793 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 81, Issue 176 (September 12, 2016)

Page Range62793-62795
FR Document2016-21828

FMCSA confirms its decision to exempt 58 individuals from its rule prohibiting persons with insulin-treated diabetes mellitus (ITDM) from operating commercial motor vehicles (CMVs) in interstate commerce. The exemptions enable these individuals to operate CMVs in interstate commerce.

Federal Register, Volume 81 Issue 176 (Monday, September 12, 2016)
[Federal Register Volume 81, Number 176 (Monday, September 12, 2016)]
[Notices]
[Pages 62793-62795]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-21828]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[FMCSA Docket No. FMCSA-[2016-0042]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

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

ACTION: Notice of final disposition.

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

SUMMARY: FMCSA confirms its decision to exempt 58 individuals from its 
rule prohibiting persons with insulin-treated diabetes mellitus (ITDM) 
from operating commercial motor vehicles (CMVs) in interstate commerce. 
The exemptions enable these individuals to operate CMVs in interstate 
commerce.

DATES: The exemptions were effective on July 28, 2016. The exemptions 
expire on July 28, 2018.

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 W64-113, 
Washington, DC 20590-0001. Office hours are from 8:30 a.m. to 5 p.m. 
e.t., Monday through Friday, except Federal holidays.

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

[[Page 62794]]

comments, without edit, including any personal information the 
commenter provides, to www.regulations.gov, as described in the system 
of records notice (DOT/ALL-14 FDMS), which can be reviewed at 
www.dot.gov/privacy.

II. Background

    On June 28, 2016, FMCSA published a notice of receipt of Federal 
diabetes exemption applications from 58 individuals and requested 
comments from the public (81 FR 42044. The public comment period closed 
on July 28, 2016, and one comment was received.
    FMCSA has evaluated the eligibility of the 58 applicants and 
determined that granting the exemptions to these individuals would 
achieve a level of safety equivalent to or greater than the level that 
would be achieved by complying with the current regulation 49 CFR 
391.41(b)(3).

Diabetes Mellitus and Driving Experience of the Applicants

    The Agency established the current requirement for diabetes in 1970 
because several risk studies indicated that drivers with diabetes had a 
higher rate of crash involvement than the general population. The 
diabetes rule provides that ``A person is physically qualified to drive 
a commercial motor vehicle if that person has no established medical 
history or clinical diagnosis of diabetes mellitus currently requiring 
insulin for control'' (49 CFR 391.41(b)(3)).
    FMCSA established its diabetes exemption program, based on the 
Agency's July 2000 study entitled ``A Report to Congress on the 
Feasibility of a Program to Qualify Individuals with Insulin-Treated 
Diabetes Mellitus to Operate in Interstate Commerce as Directed by the 
Transportation Act for the 21st Century.'' The report concluded that a 
safe and practicable protocol to allow some drivers with ITDM to 
operate CMVs is feasible. The September 3, 2003 (68 FR 52441), Federal 
Register notice in conjunction with the November 8, 2005 (70 FR 67777), 
Federal Register notice provides the current protocol for allowing such 
drivers to operate CMVs in interstate commerce.
    These 58 applicants have had ITDM over a range of one to 40 years. 
These applicants report no severe hypoglycemic reactions resulting in 
loss of consciousness or seizure, requiring the assistance of another 
person, or resulting in impaired cognitive function that occurred 
without warning symptoms, in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the past 5 years. In each case, 
an endocrinologist verified that the driver has demonstrated a 
willingness to properly monitor and manage his/her diabetes mellitus, 
received education related to diabetes management, and is on a stable 
insulin regimen. These drivers report no other disqualifying 
conditions, including diabetes-related complications. Each meets the 
vision requirement at 49 CFR 391.41(b)(10).
    The qualifications and medical condition of each applicant were 
stated and discussed in detail in the June 28, 2016, Federal Register 
notice and they will not be repeated in this notice.

III. Discussion of Comments

    FMCSA received one comments in this proceeding. An anonymous 
commenter stated that they believe drivers should not have to be placed 
in the comment period before receiving the exemptions. As discussed in 
the initial request for comments published on June 28, 2016, all 
exemptions that the Agency considers granting must be put forth in a 30 
day public comment period, as required by law.

IV. Basis for Exemption Determination

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the diabetes requirement in 49 CFR 391.41(b)(3) if the exemption 
is likely to achieve an equivalent or greater level of safety than 
would be achieved without the exemption. The exemption allows the 
applicants to operate CMVs in interstate commerce.
    To evaluate the effect of these exemptions on safety, FMCSA 
considered medical reports about the applicants' ITDM and vision, and 
reviewed the treating endocrinologists' medical opinion related to the 
ability of the driver to safely operate a CMV while using insulin.
    Consequently, FMCSA finds that in each case exempting these 
applicants from the diabetes requirement in 49 CFR 391.41(b)(3) is 
likely to achieve a level of safety equal to that existing without the 
exemption.

V. Conditions and Requirements

    The terms and conditions of the exemption will be provided to the 
applicants in the exemption document and they include the following: 
(1) That each individual submit a quarterly monitoring checklist 
completed by the treating endocrinologist as well as an annual 
checklist with a comprehensive medical evaluation; (2) that each 
individual reports within 2 business days of occurrence, all episodes 
of severe hypoglycemia, significant complications, or inability to 
manage diabetes; also, any involvement in an accident or any other 
adverse event in a CMV or personal vehicle, whether or not it is 
related to an episode of hypoglycemia; (3) that each individual provide 
a copy of the ophthalmologist's or optometrist's report to the medical 
examiner at the time of the annual medical examination; and (4) that 
each individual provide a copy of the annual medical certification to 
the employer for retention in the driver's qualification file, or keep 
a copy in his/her driver's qualification file if he/she is self-
employed. The driver must also have a copy of the certification when 
driving, for presentation to a duly authorized Federal, State, or local 
enforcement official.

VI. Conclusion

    Based upon its evaluation of the 58 exemption applications, FMCSA 
exempts the following drivers from the diabetes requirement in 49 CFR 
391.41(b)(10), subject to the requirements cited above 49 CFR 
391.64(b)):

Scott D. Allen (NE)
Timothy K. Beal (NJ)
Casey G. Bergman (MN)
Chad B. Bramblett (NC)
Robert J. Brearley, Jr. (AL)
Gary R. Butts (NY)
Carey P. Cole (PA)
John W. Cyrus (VA)
Paul J. Dematas (NY)
Tara DiPierri (NY)
William G. Edgell (OH)
Robert M. Flory (OH)
Jason L. Garrett (TX)
Faustino P. Garza (TX)
Robert D. Golding (NM)
Bruce E. Gusler (NH)
Seth R. Hamilton (NY)
Travis L. Handy (DE)
Paul D. Hollenbeck (UT)
Larry J. Huisman (NE)
Brian J. Hurley (IL)
Jarmone W. Johnson (MD)
Dan M. Kirk (OR)
Sung Y. Kong (NJ)
Kevin M. Krug (IN)
Brian C. Link (NY)
Timothy J. Loeschen (TX)
Bruce A. Mattison (WA)
Brian K. McGowan (AR)
James K. Medeiros (RI)
Brian C. Moffett, Jr. (MD)
Gregory S. Montierth (CA)
Daniel M. Mulligan (NJ)
John N. Mulready, Jr. (MA)
Jerry L. Niichel (IA)
Donald S. Oakes (PA)
Ardell Parks (IL)
Terry D. Paxton (PA)
Lawrence C. Powers (MI)
Reynier Prieto (FL)

[[Page 62795]]

Charles V. Radford, Jr. (NC)
Manuel A. Samayoa (GA)
Malcolm D. Small (TX)
Russell F. Smith (PA)
Trenton W. Socha (TX)
Edward D. Sprague (WI)
Carla J. Stafford (TN)
Jennifer N. Stout (TX)
Virgil W. Sykes (WI)
Luis M. Torres (CT)
Lyle D. Tunink (IA)
Fasitupe Tupuola (CA)
Christa VanHook (KY)
Saverio Verre (NJ)
Raymond R. Webker (OH)
James A. Wiggins (OK)
Reed R. Wilken (IL)
Abraham K. Yohannan (NY)

    In accordance with 49 U.S.C. 31136(e) and 31315 each exemption is 
valid for two years unless revoked earlier by FMCSA. The exemption will 
be revoked if the following occurs: (1) The person fails to comply with 
the terms and conditions of the exemption; (2) the exemption has 
resulted in a lower level of safety than was maintained before it was 
granted; or (3) continuation of the exemption would not be consistent 
with the goals and objectives of 49 U.S.C. 31136(e) and 31315. If the 
exemption is still effective at the end of the 2-year period, the 
person may apply to FMCSA for a renewal under procedures in effect at 
that time.

    Issued on: August 25, 2016.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2016-21828 Filed 9-9-16; 8:45 am]
BILLING CODE 4910-EX-P



                                                                          Federal Register / Vol. 81, No. 176 / Monday, September 12, 2016 / Notices                                                  62793

                                                1312, 1537, Dec. 4, 2015], amended 49                   2014 (79 FR 42626); March 27, 2015 (80                381.600, during the period this
                                                U.S.C. 31315(b) by adding a new                         FR 16511); October 5, 2015 (80 FR                     exemption is in effect, no State shall
                                                paragraph (2) which permits exemptions                  60220); December 7, 2015 (80 FR                       enforce any law or regulation applicable
                                                for no longer than 5 years from their                   76059); December 21, 2015 (80 FR                      to interstate or intrastate commerce that
                                                dates of inception, instead of the                      79410)].                                              conflicts with or is inconsistent with
                                                previous 2 years. This statutory                                                                              this exemption with respect to a firm or
                                                provision will be codified in 49 CFR                    Public Comments
                                                                                                                                                              person operating under the exemption.
                                                part 381 in a forthcoming rulemaking.                     On May 4, 2016, FMCSA published
                                                                                                                                                                Issued on: August 31, 2016.
                                                                                                        notice of this application and requested
                                                III. Request for Exemption                              public comments (81 FR 26865). No                     T.F. Scott Darling, III,
                                                   On behalf of Henning Oeltjenbruns,                   comments were submitted.                              Administrator.
                                                Daimler has applied for a 5-year                                                                              [FR Doc. 2016–21827 Filed 9–9–16; 8:45 am]
                                                exemption from 49 CFR 383.23, which                     FMCSA Decision                                        BILLING CODE 4910–EX–P
                                                prescribes licensing requirements for                     Based upon the merits of this
                                                drivers operating CMVs in interstate or                 application, including Mr. Oeltjenbruns’
                                                intrastate commerce. Mr. Oeltjenbruns                   extensive driving experience and safety               DEPARTMENT OF TRANSPORTATION
                                                is unable to obtain a CDL in any of the                 record, FMCSA concluded that the
                                                States due to his lack of residency in the              exemption would likely achieve a level                Federal Motor Carrier Safety
                                                United States. A copy of the application                of safety that is equivalent to or greater            Administration
                                                is in Docket No. FMCSA–2012–0032.                       than the level that would be achieved                 [FMCSA Docket No. FMCSA–[2016–0042]
                                                   The exemption would allow Mr.                        absent such exemption, in accordance
                                                Oeltjenbruns to operate CMVs in                         with § 381.305(a).                                    Qualification of Drivers; Exemption
                                                interstate or intrastate commerce to                                                                          Applications; Diabetes Mellitus
                                                support Daimler field tests designed to                 Terms and Conditions for the
                                                meet future vehicle safety and                          Exemption                                             AGENCY: Federal Motor Carrier Safety
                                                environmental requirements and to                          FMCSA grants Daimler and Henning                   Administration (FMCSA), DOT.
                                                promote technological advancements in                   Oeltjenbruns an exemption from the                    ACTION: Notice of final disposition.
                                                vehicle safety systems and emissions                    CDL requirement in 49 CFR 383.23 to
                                                                                                                                                              SUMMARY:   FMCSA confirms its decision
                                                reductions. Mr. Oeltjenbruns needs to                   allow Mr. Oeltjenbruns to drive CMVs
                                                                                                                                                              to exempt 58 individuals from its rule
                                                drive Daimler vehicles on public roads                  in this country without a U.S. State-
                                                                                                                                                              prohibiting persons with insulin-treated
                                                to better understand ‘‘real world’’                     issued CDL, subject to the following
                                                                                                                                                              diabetes mellitus (ITDM) from operating
                                                environments in the U.S. market.                        terms and conditions: (1) The driver and
                                                                                                                                                              commercial motor vehicles (CMVs) in
                                                According to Daimler, Mr. Oeltjenbruns                  carrier must comply with all other
                                                                                                                                                              interstate commerce. The exemptions
                                                will typically drive for no more than 6                 applicable provisions of the FMCSRs
                                                                                                                                                              enable these individuals to operate
                                                hours per day, and 10 percent of the test               (49 CFR parts 350–399); (2) the driver
                                                                                                                                                              CMVs in interstate commerce.
                                                driving will be on two-lane state                       must be in possession of this notice or
                                                highways, while 90 percent will be on                   an equivalent signed letter, and a valid              DATES: The exemptions were effective
                                                interstate highways. The driving will                   German commercial license; (3) the                    on July 28, 2016. The exemptions expire
                                                consist of no more than 200 miles per                   driver must be employed by and operate                on July 28, 2018.
                                                day, during a two-day period on a                       the CMV within the scope of his duties                FOR FURTHER INFORMATION CONTACT:
                                                quarterly basis. He will in all cases be                for Daimler; (4) at all times while                   Christine A. Hydock, Chief, Medical
                                                accompanied by a holder of a U.S. CDL                   operating a CMV under this exemption,                 Programs Division, (202) 366–4001,
                                                who is familiar with the routes to be                   the driver must be accompanied by a                   fmcsamedical@dot.gov, FMCSA,
                                                traveled.                                               holder of a U.S. CDL who is familiar                  Department of Transportation, 1200
                                                   Mr. Oeltjenbruns would be required                   with the routes traveled; (5) Daimler                 New Jersey Avenue SE., Room W64–
                                                to comply with all applicable Federal                   must notify FMCSA in writing within 5                 113, Washington, DC 20590–0001.
                                                Motor Carrier Safety Regulations                        business days of any accident, as                     Office hours are from 8:30 a.m. to 5 p.m.
                                                (FMCSRs) (49 CFR parts 350–399)                         defined in 49 CFR 390.5, involving this               e.t., Monday through Friday, except
                                                except the CDL provisions described in                  driver; and (6) Daimler must notify                   Federal holidays.
                                                this notice.                                            FMCSA in writing if this driver is                    SUPPLEMENTARY INFORMATION:
                                                   Mr. Oeltjenbruns holds a valid                       convicted of a disqualifying offense
                                                German commercial license, and as                                                                             I. Electronic Access
                                                                                                        under § 383.51 or § 391.15 of the
                                                explained by Daimler in its exemption                   FMCSRs.                                                  You may see all the comments online
                                                request, the requirements for that                         In accordance with 49 U.S.C. 31315                 through the Federal Document
                                                license ensure that the same level of                   and 31136(e), the exemption will be                   Management System (FDMS) at: http://
                                                safety is met or exceeded as if this                    valid for 2 years unless revoked earlier              www.regulations.gov.
                                                driver had a U.S. CDL. Furthermore,                     by the FMCSA. The exemption will be                      Docket: For access to the docket to
                                                according to Daimler, Mr. Oeltjenbruns                  revoked if: (1) Mr. Oeltjenbruns fails to             read background documents or
                                                is familiar with the operation of CMVs                  comply with the terms and conditions                  comments, go to http://
                                                worldwide.                                              of the exemption; (2) the exemption                   www.regulations.gov and/or Room
                                                   FMCSA has previously determined                      results in a lower level of safety than               W12–140 on the ground level of the
                                                that the process for obtaining a German
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                        was maintained before it was granted; or              West Building, 1200 New Jersey Avenue
                                                commercial license is comparable to, or                 (3) continuation of the exemption would               SE., Washington, DC, between 9 a.m.
                                                as effective as, the requirements of part               be inconsistent with the goals and                    and 5 p.m., Monday through Friday,
                                                383, and adequately assesses the                        objectives of 49 U.S.C. 31315 and 31136.              except Federal holidays.
                                                driver’s ability to operate CMVs in the                                                                          Privacy Act: In accordance with 5
                                                U.S. Since 2012, FMCSA has granted                      VIII. Preemption                                      U.S.C. 553(c), DOT solicits comments
                                                Daimler drivers similar exemptions                        In accordance with 49 U.S.C.                        from the public to better inform its
                                                [May 25, 2012 (77 FR 31422); July 22,                   31315(d), as implemented by 49 CFR                    rulemaking process. DOT posts these


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                                                62794                     Federal Register / Vol. 81, No. 176 / Monday, September 12, 2016 / Notices

                                                comments, without edit, including any                   hypoglycemic episodes in the past 5                   complications, or inability to manage
                                                personal information the commenter                      years. In each case, an endocrinologist               diabetes; also, any involvement in an
                                                provides, to www.regulations.gov, as                    verified that the driver has                          accident or any other adverse event in
                                                described in the system of records                      demonstrated a willingness to properly                a CMV or personal vehicle, whether or
                                                notice (DOT/ALL–14 FDMS), which can                     monitor and manage his/her diabetes                   not it is related to an episode of
                                                be reviewed at www.dot.gov/privacy.                     mellitus, received education related to               hypoglycemia; (3) that each individual
                                                II. Background                                          diabetes management, and is on a stable               provide a copy of the ophthalmologist’s
                                                                                                        insulin regimen. These drivers report no              or optometrist’s report to the medical
                                                   On June 28, 2016, FMCSA published                    other disqualifying conditions,                       examiner at the time of the annual
                                                a notice of receipt of Federal diabetes                 including diabetes-related                            medical examination; and (4) that each
                                                exemption applications from 58                          complications. Each meets the vision                  individual provide a copy of the annual
                                                individuals and requested comments                      requirement at 49 CFR 391.41(b)(10).                  medical certification to the employer for
                                                from the public (81 FR 42044. The                         The qualifications and medical                      retention in the driver’s qualification
                                                public comment period closed on July                    condition of each applicant were stated               file, or keep a copy in his/her driver’s
                                                28, 2016, and one comment was                           and discussed in detail in the June 28,               qualification file if he/she is self-
                                                received.                                               2016, Federal Register notice and they                employed. The driver must also have a
                                                   FMCSA has evaluated the eligibility                  will not be repeated in this notice.                  copy of the certification when driving,
                                                of the 58 applicants and determined that                                                                      for presentation to a duly authorized
                                                granting the exemptions to these                        III. Discussion of Comments
                                                                                                                                                              Federal, State, or local enforcement
                                                individuals would achieve a level of                       FMCSA received one comments in                     official.
                                                safety equivalent to or greater than the                this proceeding. An anonymous
                                                level that would be achieved by                         commenter stated that they believe                    VI. Conclusion
                                                complying with the current regulation                   drivers should not have to be placed in                 Based upon its evaluation of the 58
                                                49 CFR 391.41(b)(3).                                    the comment period before receiving the               exemption applications, FMCSA
                                                Diabetes Mellitus and Driving                           exemptions. As discussed in the initial               exempts the following drivers from the
                                                Experience of the Applicants                            request for comments published on June                diabetes requirement in 49 CFR
                                                                                                        28, 2016, all exemptions that the                     391.41(b)(10), subject to the
                                                   The Agency established the current                   Agency considers granting must be put                 requirements cited above 49 CFR
                                                requirement for diabetes in 1970                        forth in a 30 day public comment                      391.64(b)):
                                                because several risk studies indicated                  period, as required by law.
                                                that drivers with diabetes had a higher                                                                       Scott D. Allen (NE)
                                                rate of crash involvement than the                      IV. Basis for Exemption Determination                 Timothy K. Beal (NJ)
                                                general population. The diabetes rule                                                                         Casey G. Bergman (MN)
                                                                                                          Under 49 U.S.C. 31136(e) and 31315,                 Chad B. Bramblett (NC)
                                                provides that ‘‘A person is physically                  FMCSA may grant an exemption from                     Robert J. Brearley, Jr. (AL)
                                                qualified to drive a commercial motor                   the diabetes requirement in 49 CFR                    Gary R. Butts (NY)
                                                vehicle if that person has no established               391.41(b)(3) if the exemption is likely to            Carey P. Cole (PA)
                                                medical history or clinical diagnosis of                achieve an equivalent or greater level of             John W. Cyrus (VA)
                                                diabetes mellitus currently requiring                   safety than would be achieved without                 Paul J. Dematas (NY)
                                                insulin for control’’ (49 CFR                           the exemption. The exemption allows                   Tara DiPierri (NY)
                                                391.41(b)(3)).                                          the applicants to operate CMVs in                     William G. Edgell (OH)
                                                   FMCSA established its diabetes                       interstate commerce.                                  Robert M. Flory (OH)
                                                exemption program, based on the                           To evaluate the effect of these                     Jason L. Garrett (TX)
                                                Agency’s July 2000 study entitled ‘‘A                   exemptions on safety, FMCSA                           Faustino P. Garza (TX)
                                                Report to Congress on the Feasibility of                considered medical reports about the                  Robert D. Golding (NM)
                                                a Program to Qualify Individuals with                   applicants’ ITDM and vision, and                      Bruce E. Gusler (NH)
                                                Insulin-Treated Diabetes Mellitus to                    reviewed the treating endocrinologists’               Seth R. Hamilton (NY)
                                                Operate in Interstate Commerce as                       medical opinion related to the ability of             Travis L. Handy (DE)
                                                Directed by the Transportation Act for                  the driver to safely operate a CMV while              Paul D. Hollenbeck (UT)
                                                the 21st Century.’’ The report concluded                using insulin.                                        Larry J. Huisman (NE)
                                                that a safe and practicable protocol to                   Consequently, FMCSA finds that in                   Brian J. Hurley (IL)
                                                allow some drivers with ITDM to                         each case exempting these applicants                  Jarmone W. Johnson (MD)
                                                operate CMVs is feasible. The                           from the diabetes requirement in 49 CFR               Dan M. Kirk (OR)
                                                September 3, 2003 (68 FR 52441),                        391.41(b)(3) is likely to achieve a level             Sung Y. Kong (NJ)
                                                Federal Register notice in conjunction                  of safety equal to that existing without              Kevin M. Krug (IN)
                                                with the November 8, 2005 (70 FR                        the exemption.                                        Brian C. Link (NY)
                                                67777), Federal Register notice provides                                                                      Timothy J. Loeschen (TX)
                                                the current protocol for allowing such                  V. Conditions and Requirements
                                                                                                                                                              Bruce A. Mattison (WA)
                                                drivers to operate CMVs in interstate                      The terms and conditions of the                    Brian K. McGowan (AR)
                                                commerce.                                               exemption will be provided to the                     James K. Medeiros (RI)
                                                   These 58 applicants have had ITDM                    applicants in the exemption document                  Brian C. Moffett, Jr. (MD)
                                                over a range of one to 40 years. These                  and they include the following: (1) That              Gregory S. Montierth (CA)
                                                applicants report no severe                             each individual submit a quarterly
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              Daniel M. Mulligan (NJ)
                                                hypoglycemic reactions resulting in loss                monitoring checklist completed by the                 John N. Mulready, Jr. (MA)
                                                of consciousness or seizure, requiring                  treating endocrinologist as well as an                Jerry L. Niichel (IA)
                                                the assistance of another person, or                    annual checklist with a comprehensive                 Donald S. Oakes (PA)
                                                resulting in impaired cognitive function                medical evaluation; (2) that each                     Ardell Parks (IL)
                                                that occurred without warning                           individual reports within 2 business                  Terry D. Paxton (PA)
                                                symptoms, in the past 12 months and no                  days of occurrence, all episodes of                   Lawrence C. Powers (MI)
                                                recurrent (2 or more) severe                            severe hypoglycemia, significant                      Reynier Prieto (FL)


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                                                                          Federal Register / Vol. 81, No. 176 / Monday, September 12, 2016 / Notices                                             62795

                                                Charles V. Radford, Jr. (NC)                            Programs Division, (202) 366–4001,                    III. Basis for Exemption Determination
                                                Manuel A. Samayoa (GA)                                  fmcsamedical@dot.gov, FMCSA,                             Under 49 U.S.C. 31136(e) and
                                                Malcolm D. Small (TX)                                   Department of Transportation, 1200
                                                Russell F. Smith (PA)                                                                                         31315(b), FMCSA may grant an
                                                                                                        New Jersey Avenue SE., Room W64–                      exemption from the Federal epilepsy
                                                Trenton W. Socha (TX)                                   224, Washington, DC 20590–0001.
                                                Edward D. Sprague (WI)                                                                                        standard for a renewable two-year
                                                                                                        Office hours are 8:30 a.m. to 5 p.m., e.t.,           period if it finds ‘‘such exemption is
                                                Carla J. Stafford (TN)                                  Monday through Friday, except Federal
                                                Jennifer N. Stout (TX)                                                                                        likely achieve a level of safety that is
                                                                                                        holidays. If you have questions                       equivalent to or greater than the level
                                                Virgil W. Sykes (WI)                                    regarding viewing or submitting
                                                Luis M. Torres (CT)                                                                                           that would be achieved absent such
                                                                                                        material to the docket, contact Docket
                                                Lyle D. Tunink (IA)                                                                                           exemption.’’
                                                Fasitupe Tupuola (CA)                                   Services, telephone (202) 366–9826.
                                                                                                                                                                 The Agency’s decision regarding these
                                                Christa VanHook (KY)                                    SUPPLEMENTARY INFORMATION:                            exemption applications is based on an
                                                Saverio Verre (NJ)                                      I. Electronic Access                                  individualized assessment of each
                                                Raymond R. Webker (OH)                                                                                        applicant’s medical information,
                                                James A. Wiggins (OK)                                      You may see all the comments online
                                                                                                                                                              including the root cause of the
                                                Reed R. Wilken (IL)                                     through the Federal Document
                                                                                                        Management System (FDMS) at: http://                  respective seizure(s) and medical
                                                Abraham K. Yohannan (NY)                                                                                      information about the applicant’s
                                                   In accordance with 49 U.S.C. 31136(e)                www.regulations.gov.
                                                                                                           Docket: For access to the docket to                seizure history, the length of time that
                                                and 31315 each exemption is valid for                                                                         has elapsed since the individual’s last
                                                two years unless revoked earlier by                     read background documents or
                                                                                                        comments, go to http://                               seizure, the stability of each individual’s
                                                FMCSA. The exemption will be revoked                                                                          treatment regimen and the duration of
                                                if the following occurs: (1) The person                 www.regulations.gov and/or Room
                                                                                                        W12–140 on the ground level of the                    time on or off of anti-seizure
                                                fails to comply with the terms and                                                                            medication. The Agency considered the
                                                                                                        West Building, 1200 New Jersey Avenue
                                                conditions of the exemption; (2) the                                                                          2007 recommendations of the Agency’s
                                                                                                        SE., Washington, DC, between 9 a.m.
                                                exemption has resulted in a lower level                                                                       Medical Expert Panel (MEP). The
                                                                                                        and 5 p.m., Monday through Friday,
                                                of safety than was maintained before it                                                                       January 15, 2013 Federal Register notice
                                                                                                        except Federal holidays.
                                                was granted; or (3) continuation of the                    Privacy Act: In accordance with 5                  (78 FR 3069) provides the current MEP
                                                exemption would not be consistent with                  U.S.C. 553(c), DOT solicits comments                  recommendations which is the criteria
                                                the goals and objectives of 49 U.S.C.                   from the public to better inform its                  the Agency uses to make decisions
                                                31136(e) and 31315. If the exemption is                 rulemaking process. DOT posts these                   regarding seizure exemptions.
                                                still effective at the end of the 2-year                comments, without edit, including any
                                                period, the person may apply to FMCSA                                                                         IV. Conclusion
                                                                                                        personal information the commenter
                                                for a renewal under procedures in effect                provides, to http://www.regulations.gov,                 The Agency has determined that these
                                                at that time.                                           as described in the system of records                 11 applicants do not satisfy the criteria
                                                  Issued on: August 25, 2016.                           notice (DOT/ALL–14 FDMS), which can                   eligibility or meet the terms and
                                                Larry W. Minor,                                         be reviewed at http://www.dot.gov/                    conditions for a Federal exemption and
                                                Associate Administrator for Policy.                     privacy.                                              granting these exemptions would not
                                                                                                                                                              provide a level of safety that would be
                                                [FR Doc. 2016–21828 Filed 9–9–16; 8:45 am]              II. Background                                        equivalent to or greater than, the level
                                                BILLING CODE 4910–EX–P
                                                                                                           On July 13, 2015, FMCSA published                  of safety that would be obtained by
                                                                                                        a notice announcing receipt of                        complying with the regulation 49 CFR
                                                DEPARTMENT OF TRANSPORTATION                            applications from 21 individuals                      391.41(b)(8). Therefore, the applicants
                                                                                                        requesting an exemption from the                      listed in this notice have been denied an
                                                Federal Motor Carrier Safety                            prohibition against persons with a                    exemption from the physical
                                                Administration                                          clinical diagnosis of epilepsy or any                 qualification standards in 49 CFR
                                                                                                        other condition that is likely to cause a             391.41(b)(8).
                                                [Docket No. FMCSA–2015–0116]                            loss of consciousness or any loss of                     Each applicant has, prior to this
                                                                                                        ability to operate a CMV in interstate                notice, received a letter of final
                                                Denial of Exemption Applications;
                                                                                                        commerce and requested comments                       disposition regarding his/her exemption
                                                Epilepsy and Seizure Disorders
                                                                                                        from the public (80 FR 40127). The                    request. Those decision letters fully
                                                AGENCY: Federal Motor Carrier Safety                    public comment period closed on                       outlined the basis for the denial and
                                                Administration (FMCSA), DOT.                            August 12, 2015, and 10 comments were                 constitutes final action by the Agency.
                                                ACTION: Notice of denial.                               received.                                             This notice summarizes the Agency’s
                                                                                                           FMCSA has evaluated the eligibility                recent denials as required under 49
                                                SUMMARY:   FMCSA announces its                          of these applicants and concluded that                U.S.C. 31315(b)(4) by periodically
                                                decision to deny applications from 11                   granting 11 of the 21 exemptions would                publishing names and reasons for
                                                individuals who requested an                            not provide a level of safety that would              denial. The following drivers were
                                                exemption from the Federal Motor                        be equivalent to or greater than, the                 listed previously in Federal Register
                                                Carrier Safety Regulations (FMCSRs)                     level of safety that would be obtained by             Notice FMCSA–2015–0116 published
                                                prohibiting persons with a clinical                     complying with the regulation 49 CFR                  on July 13, 2015:
                                                diagnosis of epilepsy or any other                      391.41(b)(8). A final notice announcing                  Leo Arnold Burns—Mr. Burns has a
sradovich on DSK3GMQ082PROD with NOTICES




                                                condition that is likely to cause a loss                the decision to grant nine of 21                      history of a seizure disorder. His last
                                                of consciousness or any loss of ability to              exemptions and providing a response to                seizure was in 2010. He takes anti-
                                                operate a commercial motor vehicle                      the 10 comments received was                          seizure medication. He does not meet
                                                (CMV) from operating CMVs in                            published on September 14, 2015 (80 FR                the MEP guidelines at this time.
                                                interstate commerce.                                    55170). One of the applicants in this                    Rodney Lee Ericson—Mr. Ericson has
                                                FOR FURTHER INFORMATION CONTACT:                        notice withdrew his request for an                    a history of epilepsy. His last seizure
                                                Christine A. Hydock, Chief, Medical                     exemption.                                            was in 2010. He takes anti-seizure


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Document Created: 2016-09-10 00:56:39
Document Modified: 2016-09-10 00:56:39
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 final disposition.
DatesThe exemptions were effective on July 28, 2016. The exemptions expire on July 28, 2018.
ContactChristine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE., Room W64-113, Washington, DC 20590-0001. Office hours are from 8:30 a.m. to 5 p.m. e.t., Monday through Friday, except Federal holidays.
FR Citation81 FR 62793 

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