83_FR_2299 83 FR 2289 - Qualification of Drivers; Exemption Applications; Vision

83 FR 2289 - Qualification of Drivers; Exemption Applications; Vision

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 10 (January 16, 2018)

Page Range2289-2291
FR Document2018-00599

FMCSA announces its decision to exempt 25 individuals from the vision requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) to operate a commercial motor vehicle (CMV) in interstate commerce. They are unable to meet the vision requirement in one eye for various reasons. The exemptions enable these individuals to operate CMVs in interstate commerce without meeting the vision requirement in one eye.

Federal Register, Volume 83 Issue 10 (Tuesday, January 16, 2018)
[Federal Register Volume 83, Number 10 (Tuesday, January 16, 2018)]
[Notices]
[Pages 2289-2291]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-00599]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2017-0023]


Qualification of Drivers; Exemption Applications; Vision

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

ACTION: Notice of final disposition.

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SUMMARY: FMCSA announces its decision to exempt 25 individuals from the 
vision requirement in the Federal Motor Carrier Safety Regulations 
(FMCSRs) to operate a commercial motor vehicle (CMV) in interstate 
commerce. They are unable to meet the vision requirement in one eye for 
various reasons. The exemptions enable these individuals to operate 
CMVs in interstate commerce without meeting the vision requirement in 
one eye.

DATES: The exemptions were applicable on October 19, 2017. The 
exemptions expire on October 19, 2019.

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.

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., e.t., Monday through Friday, 
except Federal holidays.

[[Page 2290]]

    Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits 
comments from the public to better inform its rulemaking process. DOT 
posts these comments, without edit, including any personal information 
the commenter provides, to http://www.regulations.gov, as described in 
the system of records notice (DOT/ALL-14 FDMS), which can be reviewed 
at http://www.dot.gov/privacy.

II. Background

    On September 18, 2017, FMCSA published a notice announcing receipt 
of applications from 25 individuals requesting an exemption from vision 
requirement in 49 CFR 391.41(b)(10) and requested comments from the 
public (82 FR 43647). The public comment period ended on October 18, 
2017, and three comments were received.
    FMCSA has evaluated the eligibility of these 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)(10).
    The physical qualification standard for drivers regarding vision 
found in 49 CFR 391.41(b)(10) states that a person is physically 
qualified to drive a CMV if that person has distant visual acuity of at 
least 20/40 (Snellen) in each eye without corrective lenses or visual 
acuity separately corrected to 20/40 (Snellen) or better with 
corrective lenses, distant binocular acuity of a least 20/40 (Snellen) 
in both eyes with or without corrective lenses, field of vision of at 
least 70[deg] in the horizontal meridian in each eye, and the ability 
to recognize the colors of traffic signals and devices showing red, 
green, and amber.

III. Discussion of Comments

    FMCSA received three comments in this proceeding. Mr. Cory Manthei 
commented however his comments are out of scope for this office. Mr. 
Ryan Pitre commented that FMCSA should revisit the vision 
qualifications and stated that these are new regulations. In July 1992, 
the Agency first published the criteria for the Vision Waiver Program, 
and are therefore not new regulations. Mr. Brian Weaver commented that 
he believes that if a driver is able to back a trailer in a safe manner 
then those drivers are okay to obtain a vision exemption. FMCSA has 
established program criteria drivers must meet in order to obtain a 
Federal vision exemption, functional testing is not one of them.

IV. Basis for Exemption Determination

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the vision standard in 49 CFR 391.41(b)(10) if the exemption is 
likely to achieve an equivalent or greater level of safety than would 
be achieved without the exemption. The exemption allows applicants to 
operate CMVs in interstate commerce.
    The Agency's decision regarding these exemption applications is 
based on medical reports about the applicants' vision as well as their 
driving records and experience driving with the vision deficiency. The 
qualifications, experience, and medical condition of each applicant 
were stated and discussed in detail in the September 18, 2017, Federal 
Register notice (82 FR 43647) and will not be repeated in this notice.
    FMCSA recognizes that some drivers do not meet the vision 
requirement but have adapted their driving to accommodate their 
limitation and demonstrated their ability to drive safely. The 25 
exemption applicants listed in this notice are in this category. They 
are unable to meet the vision requirement in one eye for various 
reasons, including amblyopia, aphakia, cataract, chorioretinal scar, 
complete loss of vision, fibrotic scarring, macular coloboma, phthisis 
bulbi, prosthetic eye, retinal detachment, retinal neovascularization, 
and retinal scarring. In most cases, their eye conditions were not 
recently developed. Nineteen of the applicants were either born with 
their vision impairments or have had them since childhood. The six 
individuals that sustained their vision conditions as adults have had 
it for a range of four to 45 years. Although each applicant has one eye 
which does not meet the vision requirement in 49 CFR 391.41(b)(10), 
each has at least 20/40 corrected vision in the other eye, and in a 
doctor's opinion, has sufficient vision to perform all the tasks 
necessary to operate a CMV.
    Doctors' opinions are supported by the applicants' possession of a 
valid license to operate a CMV. By meeting State licensing 
requirements, the applicants demonstrated their ability to operate a 
CMV, with their limited vision in intrastate commerce, even though 
their vision disqualified them from driving in interstate commerce. We 
believe that the applicants' intrastate driving experience and history 
provide an adequate basis for predicting their ability to drive safely 
in interstate commerce. Intrastate driving, like interstate operations, 
involves substantial driving on highways on the interstate system and 
on other roads built to interstate standards. Moreover, driving in 
congested urban areas exposes the driver to more pedestrian and 
vehicular traffic than exists on interstate highways. Faster reaction 
to traffic and traffic signals is generally required because distances 
between them are more compact. These conditions tax visual capacity and 
driver response just as intensely as interstate driving conditions.
    The applicants in this notice have driven CMVs with their limited 
vision in careers ranging for five to 56 years. In the past three 
years, one driver was involved in a crash, and two drivers were 
convicted of moving violations in CMVs. All the applicants achieved a 
record of safety while driving with their vision impairment, 
demonstrating the likelihood that they have adapted their driving 
skills to accommodate their condition. As the applicants' ample driving 
histories with their vision deficiencies are good predictors of future 
performance, FMCSA concludes their ability to drive safely can be 
projected into the future.
    Consequently, FMCSA finds that in each case exempting these 
applicants from the vision requirement in 49 CFR 391.41(b)(10) 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 are provided to the 
applicants in the exemption document and includes the following: (1) 
Each driver must be physically examined every year (a) by an 
ophthalmologist or optometrist who attests that the vision in the 
better eye continues to meet the standard in 49 CFR 391.41(b)(10) and 
(b) by a certified Medical Examiner who attests that the individual is 
otherwise physically qualified under 49 CFR 391.41; (2) each driver 
must provide a copy of the ophthalmologist's or optometrist's report to 
the Medical Examiner at the time of the annual medical examination; and 
(3) 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 in 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.

VI. Preemption

    During the period the exemption is in effect, no State shall 
enforce any law or regulation that conflicts with this

[[Page 2291]]

exemption with respect to a person operating under the exemption.

VII. Conclusion

    Based upon its evaluation of the 25 exemption applications, FMCSA 
exempts the following drivers from the vision requirement, 49 CFR 
391.41(b)(10), subject to the requirements cited above:

Paul A. Bartels (WI)
Harold J. Bartley, Jr. (KY)
Charles C. Berns (IA)
Eric L. Boyle, Jr. (MD)
Jeremiah E. Casey (MO)
Leonard M. Cassieri (CA)
Randy J. Conrad (IA)
Jimmie E. Curtis (NM)
Daniel E. Delano (VA)
Jonathan P. Edwards (PA)
James A. Green (IL)
Richard Healy (MD)
Tommy G. Hillis (TX)
Richard A. Honstad (MN)
Stephen M. Lovell (TX)
Thomas P. Maio (ME)
Carlos Marquez (WI)
Jason L. McBride (MI)
Dennis M. Olson (WI)
Kameron W. Quinalty (AR)
Daniel C. Sagert (WI)
Robert D. Steele (WA)
Richard C. Strassburg (NY)
Jeremy E. Studebaker (IN)
Daniel D. Woodworth (LA)

    In accordance with 49 U.S.C. 31136(e) and 31315, each exemption 
will be valid for two years from the effective date 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 prior to being granted; or (3) continuation 
of the exemption would not be consistent with the goals and objectives 
of 49 U.S.C. 31136 and 31315.

    Issued on: January 5, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-00599 Filed 1-12-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                             Federal Register / Vol. 83, No. 10 / Tuesday, January 16, 2018 / Notices                                                  2289

                                               the last five years. His endocrinologist                that occurred without warning in the                   Next, click ‘‘Open Docket Folder’’ and
                                               certifies that Mr. Stylc understands                    past 12 months and no recurrent (two or                you will find all documents and
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                  comments related to this notice.
                                               has stable control of his diabetes using                the last five years. His endocrinologist                 Issued on: January 5, 2018.
                                               insulin, and is able to drive a CMV                     certifies that Mr. Wiswell understands                 Larry W. Minor,
                                               safely. Mr. Stylc meets the requirements                diabetes management and monitoring,
                                                                                                                                                              Associate Administrator for Policy.
                                               of the vision standard at 49 CFR                        has stable control of his diabetes using
                                               391.41(b)(10). His optometrist examined                                                                        [FR Doc. 2018–00561 Filed 1–12–18; 8:45 am]
                                                                                                       insulin, and is able to drive a CMV
                                               him in 2017 and certified that he does                  safely. Mr. Wiswell meets the                          BILLING CODE 4910–EX–P

                                               not have diabetic retinopathy. He holds                 requirements of the vision standard at
                                               a Class A CDL from Pennsylvania.                        49 CFR 391.41(b)(10). His optometrist
                                                                                                       examined him in 2017 and certified that                DEPARTMENT OF TRANSPORTATION
                                               Todd A. Vanwinkle
                                                                                                       he does not have diabetic retinopathy.                 Federal Motor Carrier Safety
                                                  Mr. Vanwinkle, 53, has had ITDM                      He holds a Class B CDL from Maine.
                                               since 2010. His endocrinologist                                                                                Administration
                                               examined him in 2017 and certified that                 III. Request for Comments
                                               he has had no severe hypoglycemic                          In accordance with 49 U.S.C. 31136(e)               [Docket No. FMCSA–2017–0023]
                                               reactions resulting in loss of                          and 31315, FMCSA requests public                       Qualification of Drivers; Exemption
                                               consciousness, requiring the assistance                 comment from all interested persons on                 Applications; Vision
                                               of another person, or resulting in                      the exemption petitions described in
                                               impaired cognitive function that                        this notice. We will consider all                      AGENCY: Federal Motor Carrier Safety
                                               occurred without warning in the past 12                 comments received before the close of                  Administration (FMCSA), DOT.
                                               months and no recurrent (two or more)                   business on the closing date indicated                 ACTION: Notice of final disposition.
                                               severe hypoglycemic episodes in the                     in the dates section of the notice.
                                               last five years. His endocrinologist                                                                           SUMMARY:   FMCSA announces its
                                               certifies that Mr. Vanwinkle                            IV. Submitting Comments
                                                                                                                                                              decision to exempt 25 individuals from
                                               understands diabetes management and                        You may submit your comments and                    the vision requirement in the Federal
                                               monitoring, has stable control of his                   material online or by fax, mail, or hand               Motor Carrier Safety Regulations
                                               diabetes using insulin, and is able to                  delivery, but please use only one of                   (FMCSRs) to operate a commercial
                                               drive a CMV safely. Mr. Vanwinkle                       these means. FMCSA recommends that                     motor vehicle (CMV) in interstate
                                               meets the requirements of the vision                    you include your name and a mailing                    commerce. They are unable to meet the
                                               standard at 49 CFR 391.41(b)(10). His                   address, an email address, or a phone                  vision requirement in one eye for
                                               optometrist examined him in 2017 and                    number in the body of your document                    various reasons. The exemptions enable
                                               certified that he does not have diabetic                so that FMCSA can contact you if there                 these individuals to operate CMVs in
                                               retinopathy. He holds a Class A CDL                     are questions regarding your                           interstate commerce without meeting
                                               from Nebraska.                                          submission.                                            the vision requirement in one eye.
                                                                                                          To submit your comment online, go to                DATES: The exemptions were applicable
                                               Jacob W. Williams                                       http://www.regulations.gov and in the                  on October 19, 2017. The exemptions
                                                 Mr. Williams, 41, has had ITDM since                  search box insert the docket number                    expire on October 19, 2019.
                                               2017. His endocrinologist examined him                  FMCSA–2017–0286 and click the search
                                               in 2017 and certified that he has had no                                                                       FOR FURTHER INFORMATION CONTACT: Ms.
                                                                                                       button. When the new screen appears,
                                               severe hypoglycemic reactions resulting                 click on the blue ‘‘Comment Now!’’                     Christine A. Hydock, Chief, Medical
                                               in loss of consciousness, requiring the                 button on the right hand side of the                   Programs Division, (202) 366–4001,
                                               assistance of another person, or                        page. On the new page, enter                           fmcsamedical@dot.gov, FMCSA,
                                               resulting in impaired cognitive function                information required including the                     Department of Transportation, 1200
                                               that occurred without warning in the                    specific section of this document to                   New Jersey Avenue SE, Room W64–224,
                                               past 12 months and no recurrent (two or                 which each comment applies, and                        Washington, DC 20590–0001. Office
                                               more) severe hypoglycemic episodes in                   provide a reason for each suggestion or                hours are from 8:30 a.m. to 5 p.m., e.t.,
                                               the last five years. His endocrinologist                recommendation. If you submit your                     Monday through Friday, except Federal
                                               certifies that Mr. Williams understands                 comments by mail or hand delivery,                     holidays. If you have questions
                                               diabetes management and monitoring,                     submit them in an unbound format, no                   regarding viewing or submitting
                                               has stable control of his diabetes using                larger than 81⁄2 by 11 inches, suitable for            material to the docket, contact Docket
                                               insulin, and is able to drive a CMV                     copying and electronic filing. If you                  Services, telephone (202) 366–9826.
                                               safely. Mr. Williams meets the                          submit comments by mail and would                      SUPPLEMENTARY INFORMATION:
                                               requirements of the vision standard at                  like to know that they reached the                     I. Electronic Access
                                               49 CFR 391.41(b)(10). His optometrist                   facility, please enclose a stamped, self-
                                               examined him in 2017 and certified that                 addressed postcard or envelope.                          You may see all the comments online
                                               he does not have diabetic retinopathy.                     We will consider all comments and                   through the Federal Document
                                               He holds a Class A CDL from                             materials received during the comment                  Management System (FDMS) at http://
                                               Pennsylvania.                                           period. FMCSA may issue a final                        www.regulations.gov.
                                                                                                       determination at any time after the close                Docket: For access to the docket to
                                               Kevin A. Wiswell                                                                                               read background documents or
                                                                                                       of the comment period.
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                                                 Mr. Wiswell, 59, has had ITDM since                                                                          comments, go to http://
                                               2017. His endocrinologist examined him                  V. Viewing Comments and Documents                      www.regulations.gov and/or Room
                                               in 2017 and certified that he has had no                  To view comments, as well as any                     W12–140 on the ground level of the
                                               severe hypoglycemic reactions resulting                 documents mentioned in this preamble,                  West Building, 1200 New Jersey Avenue
                                               in loss of consciousness, requiring the                 go to http://www.regulations.gov and in                SE, Washington, DC, between 9 a.m. and
                                               assistance of another person, or                        the search box insert the docket number                5 p.m., e.t., Monday through Friday,
                                               resulting in impaired cognitive function                FMCSA–2017–0286 and click ‘‘Search.’’                  except Federal holidays.


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                                               2290                          Federal Register / Vol. 83, No. 10 / Tuesday, January 16, 2018 / Notices

                                                  Privacy Act: In accordance with 5                    IV. Basis for Exemption Determination                  built to interstate standards. Moreover,
                                               U.S.C. 553(c), DOT solicits comments                       Under 49 U.S.C. 31136(e) and 31315,                 driving in congested urban areas
                                               from the public to better inform its                    FMCSA may grant an exemption from                      exposes the driver to more pedestrian
                                               rulemaking process. DOT posts these                     the vision standard in 49 CFR                          and vehicular traffic than exists on
                                               comments, without edit, including any                   391.41(b)(10) if the exemption is likely               interstate highways. Faster reaction to
                                               personal information the commenter                      to achieve an equivalent or greater level              traffic and traffic signals is generally
                                               provides, to http://www.regulations.gov,                of safety than would be achieved                       required because distances between
                                               as described in the system of records                   without the exemption. The exemption                   them are more compact. These
                                               notice (DOT/ALL–14 FDMS), which can                     allows applicants to operate CMVs in                   conditions tax visual capacity and
                                               be reviewed at http://www.dot.gov/                      interstate commerce.                                   driver response just as intensely as
                                               privacy.                                                   The Agency’s decision regarding these               interstate driving conditions.
                                               II. Background                                          exemption applications is based on                        The applicants in this notice have
                                                                                                       medical reports about the applicants’                  driven CMVs with their limited vision
                                                  On September 18, 2017, FMCSA                         vision as well as their driving records                in careers ranging for five to 56 years.
                                               published a notice announcing receipt                   and experience driving with the vision                 In the past three years, one driver was
                                               of applications from 25 individuals                     deficiency. The qualifications,                        involved in a crash, and two drivers
                                               requesting an exemption from vision                     experience, and medical condition of                   were convicted of moving violations in
                                               requirement in 49 CFR 391.41(b)(10)                     each applicant were stated and                         CMVs. All the applicants achieved a
                                               and requested comments from the                         discussed in detail in the September 18,               record of safety while driving with their
                                               public (82 FR 43647). The public                        2017, Federal Register notice (82 FR                   vision impairment, demonstrating the
                                               comment period ended on October 18,                     43647) and will not be repeated in this                likelihood that they have adapted their
                                               2017, and three comments were                           notice.                                                driving skills to accommodate their
                                               received.                                                  FMCSA recognizes that some drivers                  condition. As the applicants’ ample
                                                  FMCSA has evaluated the eligibility                  do not meet the vision requirement but                 driving histories with their vision
                                               of these applicants and determined that                 have adapted their driving to                          deficiencies are good predictors of
                                               granting the exemptions to these                        accommodate their limitation and                       future performance, FMCSA concludes
                                               individuals would achieve a level of                    demonstrated their ability to drive                    their ability to drive safely can be
                                               safety equivalent to or greater than the                safely. The 25 exemption applicants                    projected into the future.
                                               level that would be achieved by                         listed in this notice are in this category.               Consequently, FMCSA finds that in
                                               complying with the current regulation                   They are unable to meet the vision                     each case exempting these applicants
                                               49 CFR 391.41(b)(10).                                   requirement in one eye for various                     from the vision requirement in 49 CFR
                                                  The physical qualification standard                  reasons, including amblyopia, aphakia,                 391.41(b)(10) is likely to achieve a level
                                               for drivers regarding vision found in 49                cataract, chorioretinal scar, complete                 of safety equal to that existing without
                                               CFR 391.41(b)(10) states that a person is               loss of vision, fibrotic scarring, macular             the exemption.
                                               physically qualified to drive a CMV if                  coloboma, phthisis bulbi, prosthetic eye,              V. Conditions and Requirements
                                               that person has distant visual acuity of                retinal detachment, retinal
                                               at least 20/40 (Snellen) in each eye                    neovascularization, and retinal scarring.                 The terms and conditions of the
                                               without corrective lenses or visual                     In most cases, their eye conditions were               exemption are provided to the
                                               acuity separately corrected to 20/40                    not recently developed. Nineteen of the                applicants in the exemption document
                                               (Snellen) or better with corrective                     applicants were either born with their                 and includes the following: (1) Each
                                               lenses, distant binocular acuity of a least             vision impairments or have had them                    driver must be physically examined
                                               20/40 (Snellen) in both eyes with or                    since childhood. The six individuals                   every year (a) by an ophthalmologist or
                                               without corrective lenses, field of vision              that sustained their vision conditions as              optometrist who attests that the vision
                                               of at least 70° in the horizontal meridian              adults have had it for a range of four to              in the better eye continues to meet the
                                               in each eye, and the ability to recognize               45 years. Although each applicant has                  standard in 49 CFR 391.41(b)(10) and (b)
                                               the colors of traffic signals and devices               one eye which does not meet the vision                 by a certified Medical Examiner who
                                               showing red, green, and amber.                          requirement in 49 CFR 391.41(b)(10),                   attests that the individual is otherwise
                                                                                                       each has at least 20/40 corrected vision               physically qualified under 49 CFR
                                               III. Discussion of Comments
                                                                                                       in the other eye, and in a doctor’s                    391.41; (2) each driver must provide a
                                                 FMCSA received three comments in                      opinion, has sufficient vision to perform              copy of the ophthalmologist’s or
                                               this proceeding. Mr. Cory Manthei                       all the tasks necessary to operate a CMV.              optometrist’s report to the Medical
                                               commented however his comments are                         Doctors’ opinions are supported by                  Examiner at the time of the annual
                                               out of scope for this office. Mr. Ryan                  the applicants’ possession of a valid                  medical examination; and (3) each
                                               Pitre commented that FMCSA should                       license to operate a CMV. By meeting                   driver must provide a copy of the
                                               revisit the vision qualifications and                   State licensing requirements, the                      annual medical certification to the
                                               stated that these are new regulations. In               applicants demonstrated their ability to               employer for retention in the driver’s
                                               July 1992, the Agency first published                   operate a CMV, with their limited vision               qualification file, or keep a copy in his/
                                               the criteria for the Vision Waiver                      in intrastate commerce, even though                    her driver’s qualification file if he/she is
                                               Program, and are therefore not new                      their vision disqualified them from                    self-employed. The driver must also
                                               regulations. Mr. Brian Weaver                           driving in interstate commerce. We                     have a copy of the exemption when
                                               commented that he believes that if a                    believe that the applicants’ intrastate                driving, for presentation to a duly
daltland on DSKBBV9HB2PROD with NOTICES




                                               driver is able to back a trailer in a safe              driving experience and history provide                 authorized Federal, State, or local
                                               manner then those drivers are okay to                   an adequate basis for predicting their                 enforcement official.
                                               obtain a vision exemption. FMCSA has                    ability to drive safely in interstate
                                                                                                                                                              VI. Preemption
                                               established program criteria drivers                    commerce. Intrastate driving, like
                                               must meet in order to obtain a Federal                  interstate operations, involves                           During the period the exemption is in
                                               vision exemption, functional testing is                 substantial driving on highways on the                 effect, no State shall enforce any law or
                                               not one of them.                                        interstate system and on other roads                   regulation that conflicts with this


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                                                                             Federal Register / Vol. 83, No. 10 / Tuesday, January 16, 2018 / Notices                                            2291

                                               exemption with respect to a person                      ACTION:   Notice of denials.                           current clinical diagnosis of myocardial
                                               operating under the exemption.                                                                                 infarction, angina pectoris, coronary
                                                                                                       SUMMARY:   FMCSA announces its                         insufficiency, thrombosis, or any other
                                               VII. Conclusion                                         decision to deny applications from two                 cardiovascular disease of a variety
                                                 Based upon its evaluation of the 25                   individuals treated with Implantable                   known to be accompanied by syncope,
                                               exemption applications, FMCSA                           Cardioverter Defibrillators (ICDs) who                 dyspnea, collapse, or congestive heart
                                               exempts the following drivers from the                  requested an exemption from the                        failure. The public comment period
                                               vision requirement, 49 CFR                              Federal Motor Carrier Safety                           closed on June 5, 2017, and two
                                               391.41(b)(10), subject to the                           Regulations (FMCSRs) prohibiting                       comments were received.
                                               requirements cited above:                               operation of a commercial motor vehicle
                                                                                                                                                                 FMCSA has evaluated the eligibility
                                                                                                       (CMV) in interstate commerce by
                                               Paul A. Bartels (WI)                                                                                           of these applicants and concluded that
                                                                                                       persons with a current clinical diagnosis
                                               Harold J. Bartley, Jr. (KY)                                                                                    granting these exemptions would not
                                                                                                       of myocardial infarction, angina
                                               Charles C. Berns (IA)                                                                                          provide a level of safety that would be
                                                                                                       pectoris, coronary insufficiency,
                                               Eric L. Boyle, Jr. (MD)                                                                                        equivalent to or greater than, the level
                                                                                                       thrombosis, or any other cardiovascular
                                               Jeremiah E. Casey (MO)                                                                                         of safety that would be obtained by
                                                                                                       disease of a variety known to be
                                               Leonard M. Cassieri (CA)                                                                                       complying with the regulation 49 CFR
                                                                                                       accompanied by syncope, dyspnea,
                                               Randy J. Conrad (IA)                                                                                           391.41(b)(4). A summary of each
                                                                                                       collapse, or congestive heart failure.
                                               Jimmie E. Curtis (NM)                                                                                          applicant’s medical history related to
                                               Daniel E. Delano (VA)                                   FOR FURTHER INFORMATION CONTACT: Ms.
                                                                                                                                                              their ICD exemption request was
                                               Jonathan P. Edwards (PA)                                Christine A. Hydock, Chief, Medical                    discussed in the May 4, 2017, Federal
                                               James A. Green (IL)                                     Programs Division, (202) 366–4001,                     Register notice and will not be repeated
                                               Richard Healy (MD)                                      fmcsamedical@dot.gov, FMCSA,                           in this notice.
                                               Tommy G. Hillis (TX)                                    Department of Transportation, 1200
                                                                                                                                                                 In reaching the decision to deny these
                                               Richard A. Honstad (MN)                                 New Jersey Avenue SE, Room W64–224,
                                                                                                                                                              exemption requests, the Agency
                                               Stephen M. Lovell (TX)                                  Washington, DC 20590–0001. Office
                                                                                                                                                              considered information from the
                                               Thomas P. Maio (ME)                                     hours are from 8:30 a.m. to 5 p.m., ET,
                                                                                                                                                              Cardiovascular Medical Advisory
                                               Carlos Marquez (WI)                                     Monday through Friday, except Federal
                                                                                                                                                              Criteria, the April 2007 Evidence Report
                                               Jason L. McBride (MI)                                   holidays. If you have questions
                                                                                                                                                              ‘‘Cardiovascular Disease and
                                               Dennis M. Olson (WI)                                    regarding viewing or submitting
                                                                                                                                                              Commercial Motor Vehicle Driver
                                               Kameron W. Quinalty (AR)                                material to the docket, contact Docket
                                                                                                                                                              Safety, a December 2014 focused
                                               Daniel C. Sagert (WI)                                   Services, telephone (202) 366–9826.
                                                                                                                                                              research report ‘‘Implantable
                                               Robert D. Steele (WA)                                   SUPPLEMENTARY INFORMATION:
                                                                                                                                                              Cardioverter Defibrillators and the
                                               Richard C. Strassburg (NY)                              I. Electronic Access                                   Impact of a Shock in a Patient When
                                               Jeremy E. Studebaker (IN)                                                                                      Deployed.’’ Copies of the reports are
                                               Daniel D. Woodworth (LA)                                   You may see all the comments online
                                                                                                       through the Federal Document                           included in the docket.
                                                 In accordance with 49 U.S.C. 31136(e)                                                                           FMCSA has published advisory
                                                                                                       Management System (FDMS) at: http://
                                               and 31315, each exemption will be valid                                                                        criteria to assist medical examiners in
                                                                                                       www.regulations.gov.
                                               for two years from the effective date                                                                          determining whether drivers with
                                                                                                          Docket: For access to the docket to
                                               unless revoked earlier by FMCSA. The                                                                           certain medical conditions are qualified
                                                                                                       read background documents or
                                               exemption will be revoked if the                                                                               to operate a CMV in interstate
                                                                                                       comments, go to http://
                                               following occurs: (1) The person fails to                                                                      commerce. [Appendix A to Part 391—
                                                                                                       www.regulations.gov and/or Room
                                               comply with the terms and conditions                                                                           Medical Advisory Criteria, section D,
                                                                                                       W12–140 on the ground level of the
                                               of the exemption; (2) the exemption has                                                                        paragraph 4.] The advisory criteria for
                                                                                                       West Building, 1200 New Jersey Avenue
                                               resulted in a lower level of safety than                                                                       49 CFR 391.41(b)(4) indicates that
                                                                                                       SE, Washington, DC, between 9 a.m. and
                                               was maintained prior to being granted;                                                                         coronary artery bypass surgery and
                                                                                                       5 p.m., ET, Monday through Friday,
                                               or (3) continuation of the exemption                                                                           pacemaker implantation are remedial
                                                                                                       except Federal holidays.
                                               would not be consistent with the goals                     Privacy Act: In accordance with 5                   procedures and thus, not medically
                                               and objectives of 49 U.S.C. 31136 and                   U.S.C. 553(c), DOT solicits comments                   disqualifying. Implantable cardioverter
                                               31315.                                                  from the public to better inform its                   defibrillators are disqualifying due to
                                                 Issued on: January 5, 2018.                           rulemaking process. DOT posts these                    risk of syncope.
                                               Larry W. Minor,                                         comments, without edit, including any                  III. Discussion of Comments
                                               Associate Administrator for Policy.                     personal information the commenter
                                               [FR Doc. 2018–00599 Filed 1–12–18; 8:45 am]             provides, to http://www.regulations.gov,                  FMCSA received two comments in
                                                                                                       as described in the system of records                  this proceeding. Each of the comments
                                               BILLING CODE 4910–EX–P
                                                                                                       notice (DOT/ALL–14 FDMS), which can                    was favorable towards the applicants
                                                                                                       be reviewed at http://www.dot.gov/                     continuing to drive CMV’s with ICD’s
                                               DEPARTMENT OF TRANSPORTATION                            privacy.                                               citing their ICDs have not deployed and
                                                                                                                                                              their medical and physical conditions
                                                                                                       II. Background                                         are stable. FMCSA acknowledges the
                                               Federal Motor Carrier Safety
                                               Administration                                             On May 4, 2017, FMCSA published a                   commenters’ responses concerning
                                                                                                       FR notice (82 FR 20961) announcing                     stable medical histories with ICDs.
daltland on DSKBBV9HB2PROD with NOTICES




                                               [Docket No. FMCSA–2017–0116]                            receipt of applications from two                       Based on the available medical
                                               Qualification of Drivers; Exemption                     individuals treated with ICDs and                      literature cited above, however, FMCSA
                                               Applications; Implantable Cardioverter                  requested comments from the public.                    believes that a driver with an ICD is at
                                               Defibrillator (ICD)                                     These two individuals requested an                     risk for incapacitation if the device
                                                                                                       exemption from 49 CFR 391.41(b)(4)                     discharges. This risk is combined with
                                               AGENCY:Federal Motor Carrier Safety                     which prohibits operation of a CMV in                  the risks associated with the underlying
                                               Administration (FMCSA), DOT.                            interstate commerce by persons with a                  cardiovascular condition for which the


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Document Created: 2018-01-13 02:02:48
Document Modified: 2018-01-13 02:02:48
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 applicable on October 19, 2017. The exemptions expire on October 19, 2019.
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 2289 

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