83_FR_18706 83 FR 18624 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

83 FR 18624 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 82 (April 27, 2018)

Page Range18624-18626
FR Document2018-08917

FMCSA announces its decision to renew exemptions for three individuals from the requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) that interstate commercial motor vehicle (CMV) drivers have ``no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause loss of consciousness or any loss of ability to control a CMV.'' The exemptions enable these individuals who have had one or more seizures and are taking anti- seizure medication to continue to operate CMVs in interstate commerce.

Federal Register, Volume 83 Issue 82 (Friday, April 27, 2018)
[Federal Register Volume 83, Number 82 (Friday, April 27, 2018)]
[Notices]
[Pages 18624-18626]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-08917]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket Nos. FMCSA-2013-0107; FMCSA-2013-0109; FMCSA-2015-0119]


Qualification of Drivers; Exemption Applications; Epilepsy and 
Seizure Disorders

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

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

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

SUMMARY: FMCSA announces its decision to renew exemptions for three 
individuals from the requirement in the Federal Motor Carrier Safety 
Regulations (FMCSRs) that interstate commercial motor vehicle (CMV) 
drivers have ``no established medical history or clinical diagnosis of 
epilepsy or any other condition which is likely to cause loss of 
consciousness or any

[[Page 18625]]

loss of ability to control a CMV.'' The exemptions enable these 
individuals who have had one or more seizures and are taking anti-
seizure medication to continue to operate CMVs in interstate commerce.

DATES: The exemptions were applicable on February 14, 2018. The 
exemptions expire on February 14, 2020. Comments must be received on or 
before May 29, 2018.

FOR FURTHER INFORMATION CONTACT: Ms. 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 from 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.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2013-0107; FMCSA-2013-0109; 
FMCSA-2015-0119 using any of the following methods:
     Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting 
comments.
     Mail: Docket Management Facility; U.S. Department of 
Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor, 
Room W12-140, Washington, DC 20590-0001.
     Hand Delivery: West Building Ground Floor, Room W12-140, 
1200 New Jersey Avenue SE, Washington, DC, between 9 a.m. and 5 p.m., 
e.t., Monday through Friday, except Federal Holidays.
     Fax: 1-202-493-2251.
    Instructions: Each submission must include the Agency name and the 
docket number(s) for this notice. Note that all comments received will 
be posted without change to http://www.regulations.gov, including any 
personal information provided. Please see the Privacy Act heading below 
for further information.
    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov at any time or Room W12-140 
on the ground level of the West Building, 1200 New Jersey Avenue SE, 
Washington, DC, between 9 a.m. and 5 p.m., e.t., Monday through Friday, 
except Federal holidays. The FDMS is available 24 hours each day e.t., 
365 days each year. If you want acknowledgment that we received your 
comments, please include a self-addressed, stamped envelope or postcard 
or print the acknowledgement page that appears after submitting 
comments online.
    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.

I. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
for five years if it finds ``such exemption would likely achieve a 
level of safety that is equivalent to or greater than the level that 
would be achieved absent such exemption.'' The statute also allows the 
Agency to renew exemptions at the end of the five-year period. FMCSA 
grants exemptions from the FMCSRs for a two-year period to align with 
the maximum duration of a driver's medical certification.
    The physical qualification standard for drivers regarding epilepsy 
found in 49 CFR 391.41(b)(8) states that a person is physically 
qualified to drive a CMV if that person has no established medical 
history or clinical diagnosis of epilepsy or any other condition which 
is likely to cause the loss of consciousness or any loss of ability to 
control a CMV.
    In addition to the regulations, FMCSA has published advisory 
criteria to assist Medical Examiners in determining whether drivers 
with certain medical conditions are qualified to operate a CMV in 
interstate commerce. [49 CFR part 391, APPENDIX A TO PART 391--MEDICAL 
ADVISORY CRITERIA, section H. Epilepsy: Sec.  391.41(b)(8), paragraphs 
3, 4, and 5.]
    The three individuals listed in this notice have requested renewal 
of their exemptions from the epilepsy and seizure disorders prohibition 
in 49 CFR 391.41(b)(8), in accordance with FMCSA procedures. 
Accordingly, FMCSA has evaluated these applications for renewal on 
their merits and decided to extend each exemption for a renewable two-
year period.

II. Request for Comments

    Interested parties or organizations possessing information that 
would otherwise show that any, or all, of these drivers are not 
currently achieving the statutory level of safety should immediately 
notify FMCSA. The Agency will evaluate any adverse evidence submitted 
and, if safety is being compromised or if continuation of the exemption 
would not be consistent with the goals and objectives of 49 U.S.C. 
31136(e) and 31315, FMCSA will take immediate steps to revoke the 
exemption of a driver.

III. Basis for Renewing Exemptions

    In accordance with 49 U.S.C. 31136(e) and 31315, each of the three 
applicants has satisfied the renewal conditions for obtaining an 
exemption from the epilepsy and seizure disorders prohibition. The 
three drivers in this notice remain in good standing with the Agency, 
have maintained their medical monitoring and have not exhibited any 
medical issues that would compromise their ability to safely operate a 
CMV during the previous two-year exemption period. In addition, for 
Commercial Driver's License (CDL) holders, the Commercial Driver's 
License Information System (CDLIS) and the Motor Carrier Management 
Information System (MCMIS) are searched for crash and violation data. 
For non-CDL holders, the Agency reviews the driving records from the 
State Driver's Licensing Agency (SDLA). These factors provide an 
adequate basis for predicting each driver's ability to continue to 
safely operate a CMV in interstate commerce. Therefore, FMCSA concludes 
that extending the exemption for each renewal applicant for a period of 
two years is likely to achieve a level of safety equal to that existing 
without the exemption.
    As of February 14, 2018, and in accordance with 49 U.S.C. 31136(e) 
and 31315, the following three individuals have satisfied the renewal 
conditions for obtaining an exemption from the epilepsy and seizure 
disorders prohibition in the FMCSRs for interstate CMV drivers:

Gregory L. Hrutkay, (PA)
John Johnson, (WI)
George K. Webb, (MA).

    The drivers were included in docket number FMCSA-2013-0107; FMCSA-
2013-0109; FMCSA-2015-0119. Their exemptions are applicable as of 
February 14, 2018, and will expire on February 14, 2020.

IV. Conditions and Requirements

    The exemptions are extended subject to the following conditions: 
(1) Each driver must remain seizure-free and maintain a stable 
treatment during the two-year exemption period; (2) each driver must 
submit annual reports from their treating physicians attesting to the 
stability of treatment and that the driver has remained seizure-free; 
(3) each

[[Page 18626]]

driver must undergo an annual medical examination by a certified 
Medical Examiner, as defined by 49 CFR 390.5; and (4) each driver must 
provide a copy of the annual medical certification to the employer for 
retention in the driver's qualification file, or keep a copy of his/her 
driver's qualification file if he/she is self-employed. The driver must 
also have a copy of the exemption when driving, for presentation to a 
duly authorized Federal, State, or local enforcement official. The 
exemption will be rescinded if: (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.

V. Preemption

    During the period the exemption is in effect, no State shall 
enforce any law or regulation that conflicts with this exemption with 
respect to a person operating under the exemption.

VI. Conclusion

    Based upon its evaluation of the three exemption applications, 
FMCSA renews the exemptions of the aforementioned drivers from the 
epilepsy and seizure disorders prohibition in 49 CFR 391.41 (b)(8). In 
accordance with 49 U.S.C. 31136(e) and 31315, each exemption will be 
valid for two years unless revoked earlier by FMCSA.

    Issued on: April 23, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-08917 Filed 4-26-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                               18624                            Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices

                                               comments, without edit, including any                   II. Request for Comments                              commerce. The driver must also have a
                                               personal information the commenter                        Interested parties or organizations                 copy of the exemption when driving, for
                                               provides, to http://www.regulations.gov,                possessing information that would                     presentation to a duly authorized
                                               as described in the system of records                   otherwise show that any, or all, of these             Federal, State, or local enforcement
                                               notice (DOT/ALL–14 FDMS), which can                     drivers are not currently achieving the               official. In addition, the exemption does
                                               be reviewed at http://www.dot.gov/                      statutory level of safety should                      not exempt the individual from meeting
                                               privacy.                                                immediately notify FMCSA. The                         the applicable CDL testing
                                                                                                       Agency will evaluate any adverse                      requirements. Each exemption will be
                                               FOR FURTHER INFORMATION CONTACT:     Ms.
                                                                                                       evidence submitted and, if safety is                  valid for two years unless rescinded
                                               Christine A. Hydock, Chief, Medical
                                                                                                       being compromised or if continuation of               earlier by FMCSA. The exemption will
                                               Programs Division, 202–366–4001,
                                                                                                       the exemption would not be consistent                 be rescinded if: (1) The person fails to
                                               fmcsamedical@dot.gov, FMCSA,
                                                                                                       with the goals and objectives of 49                   comply with the terms and conditions
                                               Department of Transportation, 1200
                                                                                                       U.S.C. 31136(e) and 31315, FMCSA will                 of the exemption; (2) the exemption has
                                               New Jersey Avenue SE, Room W64–224,
                                                                                                       take immediate steps to revoke the                    resulted in a lower level of safety than
                                               Washington, DC 20590–0001. Office
                                                                                                       exemption of a driver.                                was maintained before it was granted; or
                                               hours are from 8:30 a.m. to 5 p.m., e.t.,
                                                                                                                                                             (3) continuation of the exemption would
                                               Monday through Friday, except Federal                   III. Basis for Renewing Exemptions                    not be consistent with the goals and
                                               holidays. If you have questions
                                                                                                         In accordance with 49 U.S.C. 31136(e)               objectives of 49 U.S.C. 31136(e) and
                                               regarding viewing or submitting
                                                                                                       and 31315, each of the 3 applicants has               31315.
                                               material to the docket, contact Docket
                                               Services, telephone (202) 366–9826.                     satisfied the renewal conditions for                  V. Preemption
                                                                                                       obtaining an exemption from the
                                               SUPPLEMENTARY INFORMATION:                                                                                       During the period the exemption is in
                                                                                                       hearing requirement. The 3 drivers in
                                                                                                                                                             effect, no State shall enforce any law or
                                               I. Background                                           this notice remain in good standing with
                                                                                                                                                             regulation that conflicts with this
                                                                                                       the Agency. In addition, for Commercial
                                                  Under 49 U.S.C. 31136(e) and 31315,                                                                        exemption with respect to a person
                                                                                                       Driver’s License (CDL) holders, the
                                               FMCSA may grant an exemption for five                                                                         operating under the exemption.
                                                                                                       Commercial Driver’s License
                                               years if it finds ‘‘such exemption would                Information System (CDLIS) and the                    VI. Conclusion
                                               likely achieve a level of safety that is                Motor Carrier Management Information
                                               equivalent to or greater than the level                                                                         Based upon its evaluation of the 3
                                                                                                       System (MCMIS) are searched for crash                 exemption applications, FMCSA renews
                                               that would be achieved absent such                      and violation data. For non-CDL
                                               exemption.’’ The statute also allows the                                                                      the exemptions of the aforementioned
                                                                                                       holders, the Agency reviews the driving               drivers from the hearing requirement in
                                               Agency to renew exemptions at the end                   records from the State Driver’s
                                               of the five-year period. FMCSA grants                                                                         49 CFR 391.41 (b)(11). In accordance
                                                                                                       Licensing Agency (SDLA). These factors                with 49 U.S.C. 31136(e) and 31315, each
                                               exemptions from the FMCSRs for a two-                   provide an adequate basis for predicting
                                               year period to align with the maximum                                                                         exemption will be valid for two years
                                                                                                       each driver’s ability to continue to                  unless revoked earlier by FMCSA.
                                               duration of a driver’s medical                          safely operate a CMV in interstate
                                               certification.                                          commerce. Therefore, FMCSA                              Issued on: April 23, 2018.
                                                  The physical qualification standard                  concludes that extending the exemption                Larry W. Minor,
                                               for drivers regarding hearing found in                  for each of these drivers for a period of             Associate Administrator for Policy.
                                               49 CFR 391.41(b)(11) states that a                      two years is likely to achieve a level of             [FR Doc. 2018–08908 Filed 4–26–18; 8:45 am]
                                               person is physically qualified to driver                safety equal to that existing without the             BILLING CODE 4910–EX–P
                                               a CMV if that person first perceives a                  exemption.
                                               forced whispered voice in the better ear                  As of March 27, 2018, and in
                                               at not less than 5 feet with or without                 accordance with 49 U.S.C. 31136(e) and                DEPARTMENT OF TRANSPORTATION
                                               the use of a hearing aid or, if tested by               31315, the following 3 individuals have
                                               use of an audiometric device, does not                                                                        Federal Motor Carrier Safety
                                                                                                       satisfied the renewal conditions for
                                               have an average hearing loss in the                                                                           Administration
                                                                                                       obtaining an exemption from the
                                               better ear greater than 40 decibels at 500              hearing requirement in the FMCSRs for                 [Docket Nos. FMCSA–2013–0107; FMCSA–
                                               Hz, 1,000 Hz, and 2,000 Hz with or                      interstate CMV drivers: Marquarius                    2013–0109; FMCSA–2015–0119]
                                               without a hearing aid when the                          Boyd, (MS); Keith Craig Drown, (ID);
                                               audiometric device is calibrated to                     and James Gooch, (KS).                                Qualification of Drivers; Exemption
                                               American National Standard (formerly                      The drivers were included in docket                 Applications; Epilepsy and Seizure
                                               ASA Standard) Z24.5—1951.                               numbers FMCSA–2013–0124 and                           Disorders
                                                  49 CFR 391.41(b)(11) was adopted in                  FMCSA–2013–0125. Their exemptions                     AGENCY: Federal Motor Carrier Safety
                                               1970, with a revision in 1971 to allow                  are applicable as of March 27, 2018, and              Administration (FMCSA), DOT.
                                               drivers to be qualified under this                      will expire on March 27, 2020.                        ACTION: Notice of renewal of
                                               standard while wearing a hearing aid,
                                                                                                       IV. Conditions and Requirements                       exemptions; request for comments.
                                               35 FR 6458, 6463 (April 22, 1970) and
                                               36 FR 12857 (July 3, 1971).                               The exemptions are extended subject                 SUMMARY:   FMCSA announces its
                                                  The 3 individuals listed in this notice              to the following conditions: (1) Each                 decision to renew exemptions for three
                                               have requested renewal of their                         driver must report any crashes or                     individuals from the requirement in the
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                                               exemptions from the hearing standard                    accidents as defined in 49 CFR 390.5;                 Federal Motor Carrier Safety
                                               in 49 CFR 391.41(b)(11), in accordance                  and (2) report all citations and                      Regulations (FMCSRs) that interstate
                                               with FMCSA procedures. Accordingly,                     convictions for disqualifying offenses                commercial motor vehicle (CMV)
                                               FMCSA has evaluated these                               under 49 CFR part 383 and 49 CFR 391                  drivers have ‘‘no established medical
                                               applications for renewal on their merits                to FMCSA; and (3) each driver                         history or clinical diagnosis of epilepsy
                                               and decided to extend each exemption                    prohibited from operating a motorcoach                or any other condition which is likely
                                               for a renewable two-year period.                        or bus with passengers in interstate                  to cause loss of consciousness or any


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                                                                                Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices                                          18625

                                               loss of ability to control a CMV.’’ The                 addressed, stamped envelope or                        evidence submitted and, if safety is
                                               exemptions enable these individuals                     postcard or print the acknowledgement                 being compromised or if continuation of
                                               who have had one or more seizures and                   page that appears after submitting                    the exemption would not be consistent
                                               are taking anti-seizure medication to                   comments online.                                      with the goals and objectives of 49
                                               continue to operate CMVs in interstate                    Privacy Act: In accordance with 5                   U.S.C. 31136(e) and 31315, FMCSA will
                                               commerce.                                               U.S.C. 553(c), DOT solicits comments                  take immediate steps to revoke the
                                               DATES: The exemptions were applicable                   from the public to better inform its                  exemption of a driver.
                                               on February 14, 2018. The exemptions                    rulemaking process. DOT posts these
                                                                                                       comments, without edit, including any                 III. Basis for Renewing Exemptions
                                               expire on February 14, 2020. Comments
                                               must be received on or before May 29,                   personal information the commenter                      In accordance with 49 U.S.C. 31136(e)
                                               2018.                                                   provides, to http://www.regulations.gov,              and 31315, each of the three applicants
                                                                                                       as described in the system of records                 has satisfied the renewal conditions for
                                               FOR FURTHER INFORMATION CONTACT: Ms.
                                                                                                       notice (DOT/ALL–14 FDMS), which can                   obtaining an exemption from the
                                               Christine A. Hydock, Chief, Medical
                                                                                                       be reviewed at http://www.dot.gov/                    epilepsy and seizure disorders
                                               Programs Division, 202–366–4001,
                                                                                                       privacy.                                              prohibition. The three drivers in this
                                               fmcsamedical@dot.gov, FMCSA,
                                               Department of Transportation, 1200                      I. Background                                         notice remain in good standing with the
                                               New Jersey Avenue SE, Room W64–224,                                                                           Agency, have maintained their medical
                                                                                                          Under 49 U.S.C. 31136(e) and 31315,                monitoring and have not exhibited any
                                               Washington, DC 20590–0001. Office                       FMCSA may grant an exemption for five
                                               hours are from 8:30 a.m. to 5 p.m., e.t.,                                                                     medical issues that would compromise
                                                                                                       years if it finds ‘‘such exemption would              their ability to safely operate a CMV
                                               Monday through Friday, except Federal                   likely achieve a level of safety that is
                                               holidays. If you have questions                                                                               during the previous two-year exemption
                                                                                                       equivalent to or greater than the level               period. In addition, for Commercial
                                               regarding viewing or submitting                         that would be achieved absent such
                                               material to the docket, contact Docket                                                                        Driver’s License (CDL) holders, the
                                                                                                       exemption.’’ The statute also allows the              Commercial Driver’s License
                                               Services, telephone (202) 366–9826.                     Agency to renew exemptions at the end                 Information System (CDLIS) and the
                                               ADDRESSES: You may submit comments                      of the five-year period. FMCSA grants                 Motor Carrier Management Information
                                               bearing the Federal Docket Management                   exemptions from the FMCSRs for a two-                 System (MCMIS) are searched for crash
                                               System (FDMS) Docket No. FMCSA–                         year period to align with the maximum                 and violation data. For non-CDL
                                               2013–0107; FMCSA–2013–0109;                             duration of a driver’s medical                        holders, the Agency reviews the driving
                                               FMCSA–2015–0119 using any of the                        certification.                                        records from the State Driver’s
                                               following methods:                                         The physical qualification standard                Licensing Agency (SDLA). These factors
                                                  • Federal eRulemaking Portal: Go to                  for drivers regarding epilepsy found in               provide an adequate basis for predicting
                                               http://www.regulations.gov. Follow the                  49 CFR 391.41(b)(8) states that a person              each driver’s ability to continue to
                                               online instructions for submitting                      is physically qualified to drive a CMV                safely operate a CMV in interstate
                                               comments.                                               if that person has no established                     commerce. Therefore, FMCSA
                                                  • Mail: Docket Management Facility;                  medical history or clinical diagnosis of              concludes that extending the exemption
                                               U.S. Department of Transportation, 1200                 epilepsy or any other condition which                 for each renewal applicant for a period
                                               New Jersey Avenue SE, West Building                     is likely to cause the loss of                        of two years is likely to achieve a level
                                               Ground Floor, Room W12–140,                             consciousness or any loss of ability to               of safety equal to that existing without
                                               Washington, DC 20590–0001.                              control a CMV.
                                                  • Hand Delivery: West Building                                                                             the exemption.
                                                                                                          In addition to the regulations, FMCSA                As of February 14, 2018, and in
                                               Ground Floor, Room W12–140, 1200                        has published advisory criteria to assist
                                               New Jersey Avenue SE, Washington,                                                                             accordance with 49 U.S.C. 31136(e) and
                                                                                                       Medical Examiners in determining                      31315, the following three individuals
                                               DC, between 9 a.m. and 5 p.m., e.t.,                    whether drivers with certain medical
                                               Monday through Friday, except Federal                                                                         have satisfied the renewal conditions for
                                                                                                       conditions are qualified to operate a                 obtaining an exemption from the
                                               Holidays.                                               CMV in interstate commerce. [49 CFR
                                                  • Fax: 1–202–493–2251.                                                                                     epilepsy and seizure disorders
                                                                                                       part 391, APPENDIX A TO PART 391—                     prohibition in the FMCSRs for interstate
                                                  Instructions: Each submission must                   MEDICAL ADVISORY CRITERIA,
                                               include the Agency name and the                                                                               CMV drivers:
                                                                                                       section H. Epilepsy: § 391.41(b)(8),
                                               docket number(s) for this notice. Note                  paragraphs 3, 4, and 5.]                              Gregory L. Hrutkay, (PA)
                                               that all comments received will be                         The three individuals listed in this               John Johnson, (WI)
                                               posted without change to http://                        notice have requested renewal of their                George K. Webb, (MA).
                                               www.regulations.gov, including any                      exemptions from the epilepsy and                        The drivers were included in docket
                                               personal information provided. Please                   seizure disorders prohibition in 49 CFR               number FMCSA–2013–0107; FMCSA–
                                               see the Privacy Act heading below for                   391.41(b)(8), in accordance with                      2013–0109; FMCSA–2015–0119. Their
                                               further information.                                    FMCSA procedures. Accordingly,                        exemptions are applicable as of
                                                  Docket: For access to the docket to                  FMCSA has evaluated these                             February 14, 2018, and will expire on
                                               read background documents or                            applications for renewal on their merits              February 14, 2020.
                                               comments, go to http://                                 and decided to extend each exemption
                                               www.regulations.gov at any time or                                                                            IV. Conditions and Requirements
                                                                                                       for a renewable two-year period.
                                               Room W12–140 on the ground level of                                                                             The exemptions are extended subject
                                               the West Building, 1200 New Jersey                      II. Request for Comments                              to the following conditions: (1) Each
daltland on DSKBBV9HB2PROD with NOTICES




                                               Avenue SE, Washington, DC, between 9                       Interested parties or organizations                driver must remain seizure-free and
                                               a.m. and 5 p.m., e.t., Monday through                   possessing information that would                     maintain a stable treatment during the
                                               Friday, except Federal holidays. The                    otherwise show that any, or all, of these             two-year exemption period; (2) each
                                               FDMS is available 24 hours each day                     drivers are not currently achieving the               driver must submit annual reports from
                                               e.t., 365 days each year. If you want                   statutory level of safety should                      their treating physicians attesting to the
                                               acknowledgment that we received your                    immediately notify FMCSA. The                         stability of treatment and that the driver
                                               comments, please include a self-                        Agency will evaluate any adverse                      has remained seizure-free; (3) each


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                                               18626                            Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices

                                               driver must undergo an annual medical                   enable these individuals with ITDM to                 if that person has no established
                                               examination by a certified Medical                      operate CMVs in interstate commerce.                  medical history or clinical diagnosis of
                                               Examiner, as defined by 49 CFR 390.5;                   DATES: The exemptions were applicable                 diabetes mellitus currently requiring
                                               and (4) each driver must provide a copy                 on March 17, 2018. The exemptions                     insulin for control.
                                               of the annual medical certification to                  expire on March 17, 2020.                             III. Discussion of Comments
                                               the employer for retention in the                       FOR FURTHER INFORMATION CONTACT: Ms.
                                               driver’s qualification file, or keep a copy                                                                      FMCSA received one comment in this
                                                                                                       Christine A. Hydock, Chief, Medical
                                               of his/her driver’s qualification file if                                                                     proceeding. Vicky Johnson stated that
                                                                                                       Programs Division, (202) 366–4001,
                                               he/she is self-employed. The driver                                                                           the Minnesota Driver and Vehicle
                                                                                                       fmcsamedical@dot.gov, FMCSA,
                                               must also have a copy of the exemption                                                                        Services (DVS) has no objections in
                                                                                                       Department of Transportation, 1200
                                               when driving, for presentation to a duly                                                                      granting exemptions to the following
                                                                                                       New Jersey Avenue SE, Room W64–224,
                                               authorized Federal, State, or local                                                                           Minnesota drivers: Deavan T. Jones,
                                                                                                       Washington, DC 20590–0001. Office
                                               enforcement official. The exemption                                                                           Sandra K. Kostka, and Todd D. Rue.
                                                                                                       hours are from 8:30 a.m. to 5 p.m., e.t.,
                                               will be rescinded if: (1) The person fails              Monday through Friday, except Federal                 IV. Basis for Exemption Determination
                                               to comply with the terms and                            holidays. If you have questions
                                               conditions of the exemption; (2) the                                                                             Under 49 U.S.C. 31136(e) and 31315,
                                                                                                       regarding viewing or submitting                       FMCSA may grant an exemption from
                                               exemption has resulted in a lower level                 material to the docket, contact Docket
                                               of safety than was maintained before it                                                                       the diabetes standard in 49 CFR
                                                                                                       Services, telephone (202) 366–9826.                   391.41(b)(3) if the exemption is likely to
                                               was granted; or (3) continuation of the
                                                                                                       SUPPLEMENTARY INFORMATION:                            achieve an equivalent or greater level of
                                               exemption would not be consistent with
                                               the goals and objectives of 49 U.S.C.                   I. Electronic Access                                  safety than would be achieved without
                                               31136(e) and 31315.                                                                                           the exemption. The exemption allows
                                                                                                          You may see all the comments online                the applicants to operate CMVs in
                                               V. Preemption                                           through the Federal Document                          interstate commerce.
                                                                                                       Management System (FDMS) at: http://                     The Agency’s decision regarding these
                                                  During the period the exemption is in
                                                                                                       www.regulations.gov.                                  exemption applications is based on the
                                               effect, no State shall enforce any law or
                                                                                                          Docket: For access to the docket to                program eligibility criteria and an
                                               regulation that conflicts with this
                                                                                                       read background documents or                          individualized assessment of
                                               exemption with respect to a person
                                                                                                       comments, go to http://                               information submitted by each
                                               operating under the exemption.
                                                                                                       www.regulations.gov and/or Room                       applicant. The qualifications,
                                               VI. Conclusion                                          W12–140 on the ground level of the                    experience, and medical condition of
                                                 Based upon its evaluation of the three                West Building, 1200 New Jersey Avenue                 each applicant were stated and
                                               exemption applications, FMCSA renews                    SE, Washington, DC, between 9 a.m. and                discussed in detail in the February 14,
                                               the exemptions of the aforementioned                    5 p.m., e.t., Monday through Friday,                  2018, Federal Register notice (83 FR
                                               drivers from the epilepsy and seizure                   except Federal holidays.                              6704) and will not be repeated in this
                                               disorders prohibition in 49 CFR 391.41                     Privacy Act: In accordance with 5                  notice.
                                               (b)(8). In accordance with 49 U.S.C.                    U.S.C. 553(c), DOT solicits comments                     These 51 applicants have had ITDM
                                               31136(e) and 31315, each exemption                      from the public to better inform its                  over a range of 1 to 41 years. These
                                               will be valid for two years unless                      rulemaking process. DOT posts these                   applicants report no severe
                                               revoked earlier by FMCSA.                               comments, without edit, including any                 hypoglycemic reactions resulting in loss
                                                                                                       personal information the commenter                    of consciousness or seizure, requiring
                                                 Issued on: April 23, 2018.                            provides, to http://www.regulations.gov,              the assistance of another person, or
                                               Larry W. Minor,                                         as described in the system of records                 resulting in impaired cognitive function
                                               Associate Administrator for Policy.                     notice (DOT/ALL–14 FDMS), which can                   that occurred without warning
                                               [FR Doc. 2018–08917 Filed 4–26–18; 8:45 am]             be reviewed at http://www.dot.gov/                    symptoms, in the past 12 months and no
                                               BILLING CODE 4910–EX–P                                  privacy.                                              recurrent (two or more) severe
                                                                                                       II. Background                                        hypoglycemic episodes in the past five
                                                                                                                                                             years. In each case, an endocrinologist
                                               DEPARTMENT OF TRANSPORTATION                               On February 14, 2018, FMCSA                        verified that the driver has
                                                                                                       published a notice announcing receipt                 demonstrated a willingness to properly
                                               Federal Motor Carrier Safety                            of applications from 51 individuals                   monitor and manage his/her diabetes
                                               Administration                                          requesting an exemption from diabetes                 mellitus, received education related to
                                                                                                       requirement in 49 CFR 391.41(b)(3) and                diabetes management, and is on a stable
                                               [FMCSA Docket No. FMCSA–2017–0290]                      requested comments from the public (83                insulin regimen. These drivers report no
                                               Qualification of Drivers; Exemption                     FR 6704). The public comment period                   other disqualifying conditions,
                                               Applications; Diabetes Mellitus                         ended on March 16, 2017, and one                      including diabetes related
                                                                                                       comment was received.                                 complications. Each meets the vision
                                               AGENCY: Federal Motor Carrier Safety                       FMCSA has evaluated the eligibility                requirement at 49 CFR 391.41(b)(10).
                                               Administration (FMCSA), DOT.                            of these applicants and determined that                  Consequently, FMCSA finds that in
                                               ACTION: Notice of final disposition.                    granting the exemptions to these                      each case exempting these applicants
                                                                                                       individuals would achieve a level of                  from the diabetes requirement in 49 CFR
                                               SUMMARY:   FMCSA announces its                          safety equivalent to or greater than the              391.41(b)(3) is likely to achieve a level
daltland on DSKBBV9HB2PROD with NOTICES




                                               decision to exempt 51 individuals from                  level that would be achieved by                       of safety equal to that existing without
                                               the prohibition in the Federal Motor                    complying with the current regulation                 the exemption.
                                               Carrier Safety Regulations (FMCSRs)                     49 CFR 391.41(b)(3).
                                               against persons with insulin-treated                       The physical qualification standard                V. Conditions and Requirements
                                               diabetes mellitus (ITDM) from operating                 for drivers regarding diabetes found in                 The terms and conditions of the
                                               a commercial motor vehicle (CMV) in                     49 CFR 391.41(b)(3) states that a person              exemption are provided to the
                                               interstate commerce. The exemptions                     is physically qualified to drive a CMV                applicants in the exemption document


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Document Created: 2018-04-27 01:45:29
Document Modified: 2018-04-27 01:45:29
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 renewal of exemptions; request for comments.
DatesThe exemptions were applicable on February 14, 2018. The exemptions expire on February 14, 2020. Comments must be received on or before May 29, 2018.
ContactMs. 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 from 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 Citation83 FR 18624 

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