83_FR_24658 83 FR 24555 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

83 FR 24555 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 103 (May 29, 2018)

Page Range24555-24563
FR Document2018-11412

FMCSA announces receipt of applications from 53 individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with insulin-treated diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these individuals with ITDM to operate CMVs in interstate commerce.

Federal Register, Volume 83 Issue 103 (Tuesday, May 29, 2018)
[Federal Register Volume 83, Number 103 (Tuesday, May 29, 2018)]
[Notices]
[Pages 24555-24563]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-11412]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2018-0026]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

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

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

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SUMMARY: FMCSA announces receipt of applications from 53 individuals 
for an exemption from the prohibition in the Federal Motor Carrier 
Safety Regulations (FMCSRs) against persons with insulin-treated 
diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in 
interstate commerce. If granted, the exemptions would enable these 
individuals with ITDM to operate CMVs in interstate commerce.

DATES: Comments must be received on or before June 28, 2018.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2018-0026 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

[[Page 24556]]

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.

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 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. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the FMCSRs for a five-year period if it finds ``such exemption 
would likely achieve a level of safety that is equivalent to or greater 
than the level that would be achieved absent such exemption.'' The 
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 53 individuals listed in this notice have requested an 
exemption from the diabetes prohibition in 49 CFR 391.41(b)(3). 
Accordingly, the Agency will evaluate the qualifications of each 
applicant to determine whether granting the exemption will achieve the 
required level of safety mandated by statute.
    The physical qualification standard for drivers regarding diabetes 
found in 49 CFR 391.41(b)(3) states that a person is physically 
qualified to drive a CMV if that person has no established medical 
history or clinical diagnosis of diabetes mellitus currently requiring 
insulin for control. The Agency established the current requirement for 
diabetes in 1970 because several risk studies indicated that drivers 
with diabetes had a higher rate of crash involvement than the general 
population.
    FMCSA established its diabetes exemption program, based on the 
Agency's July 2000 study entitled ``A Report to Congress on the 
Feasibility of a Program to Qualify Individuals with Insulin-Treated 
Diabetes Mellitus to Operate in Interstate Commerce as Directed by the 
Transportation Act for the 21st Century.'' The report concluded that a 
safe and practicable protocol to allow some drivers with ITDM to 
operate CMVs is feasible. The September 3, 2003 (68 FR 52441), Federal 
Register notice in conjunction with the November 8, 2005 (70 FR 67777), 
Federal Register notice provides the current protocol for allowing such 
drivers to operate CMVs in interstate commerce.
    FMCSA notes that section 4129 of the Safe, Accountable, Flexible 
and Efficient Transportation Equity Act: A Legacy for Users requires 
the Secretary to revise its diabetes exemption program established on 
September 3, 2003 (68 FR 52441). The revision must provide for 
individual assessment of drivers with diabetes mellitus, and be 
consistent with the criteria described in section 4018 of the 
Transportation Equity Act for the 21st Century (49 U.S.C. 31305). 
Section 4129 requires: (1) Elimination of the requirement for three 
years of experience operating CMVs while being treated with insulin; 
and (2) establishment of a specified minimum period of insulin use to 
demonstrate stable control of diabetes before being allowed to operate 
a CMV.
    In response to section 4129, FMCSA made immediate revisions to the 
diabetes exemption program established by the September 3, 2003 notice. 
FMCSA discontinued use of the three-year driving experience and 
fulfilled the requirements of section 4129 while continuing to ensure 
that operation of CMVs by drivers with ITDM will achieve the requisite 
level of safety required of all exemptions granted under 49 U.S.C. 
31136(e). Section 4129(d) also directed FMCSA to ensure that drivers of 
CMVs with ITDM are not held to a higher standard than other drivers, 
with the exception of limited operating, monitoring and medical 
requirements that are deemed medically necessary. The FMCSA concluded 
that all of the operating, monitoring and medical requirements set out 
in the September 3, 2003, notice, except as modified, were in 
compliance with section 4129(d). Therefore, all of the requirements set 
out in the September 3, 2003, notice, except as modified by the notice 
in the Federal Register on November 8, 2005 (70 FR 67777), remain in 
effect.

II. Qualifications of Applicants

Robert M. Athanas

    Mr. Athanas, 68, has had ITDM since 2000. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Athanas understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Athanas meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Oregon.

Gary R. Babcock

    Mr. Babcock, 59, has had ITDM since 1999. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Babcock understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Babcock meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Connecticut.

Jennifer L. Baker

    Ms. Baker, 37, has had ITDM since 2017. Her endocrinologist 
examined her in 2017 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. Her endocrinologist certifies that Ms. Baker understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin,

[[Page 24557]]

and is able to drive a CMV safely. Ms. Baker meets the requirements of 
the vision standard at 49 CFR 391.41(b)(10). Her optometrist examined 
her in 2018 and certified that she does not have diabetic retinopathy. 
She holds a Class B CDL from North Carolina.

Lesley L. Beasley

    Mr. Beasley, 67, has had ITDM since 2013. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Beasley understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Beasley meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Alabama.

Theresa J. Blackman

    Ms. Blackman, 61, has had ITDM since 2017. Her endocrinologist 
examined her in 2018 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. Her endocrinologist certifies that Ms. Blackman understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin, and is able to drive a CMV safely. Ms. Blackman meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
optometrist examined her in 2018 and certified that she does not have 
diabetic retinopathy. She holds a Class B CDL from Indiana.

Jeffrey D. Boutin

    Mr. Boutin, 58, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Boutin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Boutin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Georgia.

Douglas P. Chretien

    Mr. Chretien, 55, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Chretien understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Chretien meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Louisiana.

Eugene V. Cost

    Mr. Cost, 62, has had ITDM since 2016. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Cost understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Cost meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from North Dakota.

James R. Crump

    Mr. Crump, 54, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Crump understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Crump meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Virginia.

James G. Cucinotta

    Mr. Cucinotta, 47, has had ITDM since 2001. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Cucinotta understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Cucinotta meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Maine.

Bryan S. Davis

    Mr. Davis, 49, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Davis understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Davis meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Virginia.

Jeremy C. Durand

    Mr. Durand, 55, has had ITDM since 1990. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the

[[Page 24558]]

past 12 months and no recurrent (two or more) severe hypoglycemic 
episodes in the last five years. His endocrinologist certifies that Mr. 
Durand understands diabetes management and monitoring, has stable 
control of his diabetes using insulin, and is able to drive a CMV 
safely. Mr. Durand meets the requirements of the vision standard at 49 
CFR 391.41(b)(10). His optometrist examined him in 2018 and certified 
that he does not have diabetic retinopathy. He holds a Class B CDL from 
New York.

Connie S. Erwin

    Ms. Erwin, 60, has had ITDM since 2016. Her endocrinologist 
examined her in 2018 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. Her endocrinologist certifies that Ms. Erwin understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin, and is able to drive a CMV safely. Ms. Erwin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
optometrist examined her in 2018 and certified that she has stable 
nonproliferative diabetic retinopathy. She holds an operator's license 
from Tennessee.

Brendan T. Farnam

    Mr. Farnam, 24, has had ITDM since 1997. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Farnam understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Farnam meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from 
Massachusetts.

Randall S. Feldt

    Mr. Feldt, 66, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Feldt understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Feldt meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Iowa.

Travis E. Forrest

    Mr. Forrest, 26, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Forrest understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Forrest meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class C CDL from Pennsylvania.

Robert R. Frost

    Mr. Frost, 60, has had ITDM since 2009. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Frost understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Frost meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from Pennsylvania.

Alexander A. Hegyi

    Mr. Hegyi, 32, has had ITDM since 1994. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Hegyi understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hegyi meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from New Jersey.

Sergio Hernandez

    Mr. Hernandez, 28, has had ITDM since 2016. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Hernandez understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hernandez meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Illinois.

Scotty A. Hill

    Mr. Hill, 46, has had ITDM since 2016. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Hill understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Hill meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from North Carolina.

[[Page 24559]]

Billie Hinton

    Mr. Hinton, 60, has had ITDM since 2008. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Hinton understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hinton meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from New York.

Arild Johansen

    Mr. Johansen, 62, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Johansen understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Johansen meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
North Dakota.

Kaleb N. Jones

    Mr. Jones, 27, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Jones understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Jones meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Illinois.

Reginald Jones

    Mr. Jones, 51, has had ITDM since 2005. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Jones understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Jones meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
proliferative diabetic retinopathy. He holds a Class A CDL from North 
Carolina.

Kevin R. Kerrigan

    Mr. Kerrigan, 34, has had ITDM since 1995. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Kerrigan understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kerrigan meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's license 
from Michigan.

William R. Koepplin

    Mr. Koepplin, 54, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Koepplin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Koepplin meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from North Dakota.

Jeff F. Kress

    Mr. Kress, 63, has had ITDM since 2015. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Kress understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kress meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Minnesota.
    Eric J. Kuster
    Mr. Kuster, 31, has had ITDM since 2013. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Kuster understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kuster meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Iowa.

Michael P. Labrosse

    Mr. Labrosse, 50, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Labrosse understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV

[[Page 24560]]

safely. Mr. Labrosse meets the requirements of the vision standard at 
49 CFR 391.41(b)(10). His ophthalmologist examined him in 2017 and 
certified that he does not have diabetic retinopathy. He holds a Class 
A CDL from New York.

Michael J. Mason

    Mr. Mason, 33, has had ITDM since 1996. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Mason understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Mason meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Georgia.

Chad W. Moore

    Mr. Moore, 36, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Moore understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Moore meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Missouri.

Walter N. Morphew, Jr.

    Mr. Morphew, 69, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Morphew understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Morphew meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Indiana.

Edward C. Mulvenna, Jr.

    Mr. Mulvenna, 57, has had ITDM since 1969. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Mulvenna understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Mulvenna meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from New 
Jersey.

Jeffrey C. Olson

    Mr. Olson, 74, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Olson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Olson meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from South Dakota.

Robin L. Phillips

    Ms. Phillips, 42, has had ITDM since 2016. Her endocrinologist 
examined her in 2018 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. Her endocrinologist certifies that Ms. Phillips understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin, and is able to drive a CMV safely. Ms. Phillips meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
ophthalmologist examined her in 2017 and certified that she does not 
have diabetic retinopathy. She holds an operator's license from 
Pennsylvania.

Roosevelt Price

    Mr. Price, 71, has had ITDM since 2014. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Price understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Price meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from 
Mississippi.

William P. Raben

    Mr. Raben, 26, has had ITDM since 2015. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Raben understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Raben meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Alabama.

Dennis B. Segel

    Mr. Segel, 60, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting

[[Page 24561]]

in loss of consciousness, requiring the assistance of another person, 
or resulting in impaired cognitive function that occurred without 
warning in the past 12 months and no recurrent (two or more) severe 
hypoglycemic episodes in the last five years. His endocrinologist 
certifies that Mr. Segel understands diabetes management and 
monitoring, has stable control of his diabetes using insulin, and is 
able to drive a CMV safely. Mr. Segel meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2018 and certified that he does not have diabetic retinopathy. 
He holds a Class A CDL from Washington.

Daniel A. Slattery

    Mr. Slattery, 26, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Slattery understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Slattery meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Indiana.

Mathew C. Smart

    Mr. Smart, 26, has had ITDM since 2005. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Smart understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Smart meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from Texas.

Jeffrey J. Smith

    Mr. Smith, 54, has had ITDM since 2015. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Smith understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Smith meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative and stable proliferative diabetic retinopathy. He 
holds a Class A CDL from Virginia.

Charles D. Smith, Jr.

    Mr. Smith, Jr., 43, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Smith, Jr. understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Smith, Jr. meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Indiana.

Patrick J. Snell

    Mr. Snell, 38, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Snell understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Snell meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Iowa.

Rodney M. Stephens

    Mr. Stephens, 35, has had ITDM since 1997. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Stephens understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Stephens meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from Pennsylvania.

Robert A. Swasey, Jr.

    Mr. Swasey, 57, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Swasey understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Swasey meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from Maine.

Kevin R. Terpstra

    Mr. Terpstra, 50, has had ITDM since 1973. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Terpstra understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Terpstra meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His

[[Page 24562]]

ophthalmologist examined him in 2017 and certified that he has stable 
proliferative diabetic retinopathy. He holds an operator's license from 
Illinois.

Richard D. Thompson

    Mr. Thompson, 64, has had ITDM since 2014. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Thompson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Thompson meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from New 
York.

William D. Thull

    Mr. Thull, 68, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Thull understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Thull meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Illinois.

Billy J. Thurnall

    Mr. Thurnall, 39, has had ITDM since 1993. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Thurnall understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Thurnall meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Indiana.

John T. Tuck, Jr.

    Mr. Tuck, 70, has had ITDM since 2010. His endocrinologist examined 
him in 2017 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Tuck understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Tuck meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2017 and certified that he does not have diabetic retinopathy. 
He holds an operator's license from New Jersey.

Roy D. Wendte

    Mr. Wendte, 57, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Wendte understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Wendte meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Illinois.

Bailey Westgate

    Mr. Westgate, 23, has had ITDM since 2008. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Westgate understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Westgate meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from Idaho.

Walter L. Williams

    Mr. Williams, 65, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Williams understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Williams meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Arkansas.

III. Request for Comments

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

IV. Submitting Comments

    You may submit your comments and material online or by fax, mail, 
or hand delivery, but please use only one of these means. FMCSA 
recommends that you include your name and a mailing address, an email 
address, or a phone number in the body of your document so that FMCSA 
can contact you if there are questions regarding your submission.
    To submit your comment online, go to http://www.regulations.gov and 
in the search box insert the docket number FMCSA-2018-0026 and click 
the search button. When the new screen appears, click on the blue 
``Comment Now!'' button on the right hand side of the page. On the new 
page, enter information required including the specific section of this 
document to which each comment applies, and provide a reason for each 
suggestion or recommendation. If you submit your

[[Page 24563]]

comments by mail or hand delivery, submit them in an unbound format, no 
larger than 8\1/2\ by 11 inches, suitable for copying and electronic 
filing. If you submit comments by mail and would like to know that they 
reached the facility, please enclose a stamped, self-addressed postcard 
or envelope.
    We will consider all comments and materials received during the 
comment period. FMCSA may issue a final determination at any time after 
the close of the comment period.

V. Viewing Comments and Documents

    To view comments, as well as any documents mentioned in this 
preamble, go to http://www.regulations.gov and in the search box insert 
the docket number FMCSA-2018-0026 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: May 17, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-11412 Filed 5-25-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                              Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices                                          24555

                                               Richard L. Gandee (OH)                                  Charles H. Baim (PA)                                  DEPARTMENT OF TRANSPORTATION
                                               James E. Goodman (AL)                                   Dana L. Colberg (OR)
                                               Christopher L. Granby (MI)                                                                                    Federal Motor Carrier Safety
                                               John M. Guilford (AL)                                   Joseph T. Saba (MN)                                   Administration
                                               John E. Halcomb (GA)                                    LeRoy W. Scharkey (MN)
                                               Mervin M. Hershberger (WI)                                                                                    [Docket No. FMCSA–2018–0026]
                                                                                                       Walton W. Smith (VA)
                                               Steven M. Hoover (IL)                                                                                         Qualification of Drivers; Exemption
                                               Frank E. Johnson, Jr. (FL)                              Aaron D. Tillman (DE)
                                                                                                                                                             Applications; Diabetes Mellitus
                                               Jeremy W. Knott (NC)                                      The drivers were included in docket
                                               Roger D. Kool (IA)                                      number FMCSA–2015–0347. Their                         AGENCY: Federal Motor Carrier Safety
                                               Michael R. Leftwich (GA)                                                                                      Administration (FMCSA), DOT.
                                                                                                       exemptions are applicable as of
                                               Jose A. Marco (TX)                                                                                            ACTION: Notice of applications for
                                               David Matos (NY)                                        February 12, 2018, and will expire on
                                                                                                       February 12, 2020.                                    exemption; request for comments.
                                               George A. McCue (NV)
                                               Dennis L. Maxcy (NY)                                      As of February 22, 2018, and in                     SUMMARY:    FMCSA announces receipt of
                                               Cameron S. McMillen (NM)                                accordance with 49 U.S.C. 31136(e) and                applications from 53 individuals for an
                                               David L. Menken (NY)                                    31315, the following two individuals                  exemption from the prohibition in the
                                               Gregory G. Miller (OH)                                  have satisfied the renewal conditions for             Federal Motor Carrier Safety
                                               Rashawn L. Morris (VA)                                  obtaining an exemption from the vision                Regulations (FMCSRs) against persons
                                               Charles D. Oestreich (MN)                               requirement in the FMCSRs for                         with insulin-treated diabetes mellitus
                                               Carols A. Osollo (NM)                                   interstate CMV drivers (77 FR 539; 77                 (ITDM) operating a commercial motor
                                               Robert L. Pearson (GA)                                                                                        vehicle (CMV) in interstate commerce. If
                                                                                                       FR 10608; 79 FR 6993; 81 FR 15401):
                                               Robert M. Pickett, II (MI)                                                                                    granted, the exemptions would enable
                                               Johnny L. Powell (MD)                                   Brian K. Cline (NC); Mickey Lawson
                                                                                                       (NC).                                                 these individuals with ITDM to operate
                                               Branden J. Ramos (CA)
                                                                                                                                                             CMVs in interstate commerce.
                                               Andres Regalado (CA)                                      The drivers were included in docket
                                               Thenon D. Ridley (TX)                                   number FMCSA–2011–0325. Their                         DATES: Comments must be received on
                                               Christopher M. Rivera (NM)                              exemptions are applicable as of                       or before June 28, 2018.
                                               Richard S. Robb (NM)                                    February 22, 2018, and will expire on                 ADDRESSES: You may submit comments
                                               Angelo D. Rogers (AL)                                   February 22, 2020.                                    bearing the Federal Docket Management
                                               David J. Rothermal (RI)                                                                                       System (FDMS) Docket No. FMCSA–
                                               Sonny Scott (OH)                                          As of February 27, 2018, and in                     2018–0026 using any of the following
                                               James J. Slemmer (PA)                                   accordance with 49 U.S.C. 31136(e) and                methods:
                                               John T. Thor (MN)                                       31315, Danielle Wilkins (CA) has                         • Federal eRulemaking Portal: Go to
                                               Donald L. Urmston (OH)                                  satisfied the renewal conditions for                  http://www.regulations.gov. Follow the
                                               Paul J. Vines (AL)                                      obtaining an exemption from the vision                online instructions for submitting
                                               Jackie G. Wells (VA)                                    requirement in the FMCSRs for                         comments.
                                               Joseph A. Wells (IL)                                    interstate CMV drivers (79 FR 1908; 79                   • Mail: Docket Management Facility;
                                               James D. Zimmer (OH)                                    FR 14333; 81 FR 15401).                               U.S. Department of Transportation, 1200
                                                 The drivers were included in docket                     The driver was included in docket                   New Jersey Avenue SE, West Building
                                               numbers FMCSA–1999–5748; FMCSA–                         number FMCSA–2013–0174. The                           Ground Floor, Room W12–140,
                                               2003–15268; FMCSA–2003–15892;                           exemption is applicable as of February                Washington, DC 20590–0001.
                                               FMCSA–2005–21711; FMCSA–2005–                           27, 2018, and will expire on February                    • Hand Delivery: West Building
                                               22194; FMCSA–2005–22727; FMCSA–                         27, 2020.                                             Ground Floor, Room W12–140, 1200
                                               2006–26653; FMCSA–2007–0017;                                                                                  New Jersey Avenue SE, Washington,
                                               FMCSA–2007–27897; FMCSA–2007–                             In accordance with 49 U.S.C. 31315,                 DC, between 9 a.m. and 5 p.m., E.T.,
                                               29019; FMCSA–2009–0154; FMCSA–                          each exemption will be valid for two                  Monday through Friday, except Federal
                                               2009–0303; FMCSA–2011–0140;                             years from the effective date unless                  Holidays.
                                               FMCSA–2011–0275; FMCSA–2011–                            revoked earlier by FMCSA. The                            • Fax: 1–202–493–2251.
                                               0298; FMCSA–2013–0028; FMCSA–                           exemption will be revoked if the                         Instructions: Each submission must
                                               2013–0029; FMCSA–2013–0165;                             following occurs: (1) The person fails to             include the Agency name and the
                                               FMCSA–2013–0166; FMCSA–2013–                            comply with the terms and conditions                  docket number(s) for this notice. Note
                                               0167; FMCSA–2013–0168; FMCSA–                           of the exemption; (2) the exemption has               that all comments received will be
                                               2013–0169; FMCSA–2013–0170;                             resulted in a lower level of safety than              posted without change to http://
                                               FMCSA–2014–0304; FMCSA–2015–                            was maintained prior to being granted;                www.regulations.gov, including any
                                               0053; FMCSA–2015–0056; FMCSA–                           or (3) continuation of the exemption                  personal information provided. Please
                                               2015–0070; FMCSA–2015–0071;                             would not be consistent with the goals                see the Privacy Act heading below for
                                               FMCSA–2015–0072; FMCSA–2015–                            and objectives of 49 U.S.C. 31136 and                 further information.
                                               0344. Their exemptions are applicable                   31315.                                                   Docket: For access to the docket to
                                               as of February 9, 2018, and will expire                                                                       read background documents or
                                                                                                         Issued on: May 17, 2018.
                                               on February 9, 2020.                                                                                          comments, go to http://
                                                 As of February 12, 2018, and in                       Larry W. Minor,                                       www.regulations.gov at any time or
daltland on DSKBBV9HB2PROD with NOTICES




                                               accordance with 49 U.S.C. 31136(e) and                  Associate Administrator for Policy.                   Room W12–140 on the ground level of
                                               31315, the following six individuals                    [FR Doc. 2018–11423 Filed 5–25–18; 8:45 am]           the West Building, 1200 New Jersey
                                               have satisfied the renewal conditions for               BILLING CODE 4910–EX–P                                Avenue SE, Washington, DC, between 9
                                               obtaining an exemption from the vision                                                                        a.m. and 5 p.m., E.T., Monday through
                                               requirement in the FMCSRs for                                                                                 Friday, except Federal holidays. The
                                               interstate CMV drivers (81 FR 1474; 81                                                                        FDMS is available 24 hours each day
                                               FR 48493):                                                                                                    E.T., 365 days each year. If you want


                                          VerDate Sep<11>2014   16:39 May 25, 2018   Jkt 244001   PO 00000   Frm 00099   Fmt 4703   Sfmt 4703   E:\FR\FM\29MYN1.SGM   29MYN1


                                               24556                          Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices

                                               acknowledgment that we received your                    involvement than the general                          November 8, 2005 (70 FR 67777),
                                               comments, please include a self-                        population.                                           remain in effect.
                                               addressed, stamped envelope or                             FMCSA established its diabetes                     II. Qualifications of Applicants
                                               postcard or print the acknowledgement                   exemption program, based on the
                                               page that appears after submitting                      Agency’s July 2000 study entitled ‘‘A                 Robert M. Athanas
                                               comments online.                                        Report to Congress on the Feasibility of                Mr. Athanas, 68, has had ITDM since
                                                  Privacy Act: In accordance with 5                    a Program to Qualify Individuals with                 2000. His endocrinologist examined him
                                               U.S.C. 553(c), DOT solicits comments                    Insulin-Treated Diabetes Mellitus to                  in 2017 and certified that he has had no
                                               from the public to better inform its                    Operate in Interstate Commerce as                     severe hypoglycemic reactions resulting
                                               rulemaking process. DOT posts these                     Directed by the Transportation Act for                in loss of consciousness, requiring the
                                               comments, without edit, including any                   the 21st Century.’’ The report concluded              assistance of another person, or
                                               personal information the commenter                      that a safe and practicable protocol to               resulting in impaired cognitive function
                                               provides, to http://www.regulations.gov,                allow some drivers with ITDM to                       that occurred without warning in the
                                               as described in the system of records                   operate CMVs is feasible. The                         past 12 months and no recurrent (two or
                                               notice (DOT/ALL–14 FDMS), which can                     September 3, 2003 (68 FR 52441),                      more) severe hypoglycemic episodes in
                                               be reviewed at http://www.dot.gov/                      Federal Register notice in conjunction                the last five years. His endocrinologist
                                               privacy.                                                with the November 8, 2005 (70 FR                      certifies that Mr. Athanas understands
                                                                                                       67777), Federal Register notice provides              diabetes management and monitoring,
                                               FOR FURTHER INFORMATION CONTACT:     Ms.                the current protocol for allowing such
                                               Christine A. Hydock, Chief, Medical                                                                           has stable control of his diabetes using
                                                                                                       drivers to operate CMVs in interstate                 insulin, and is able to drive a CMV
                                               Programs Division, (202) 366–4001,                      commerce.
                                               fmcsamedical@dot.gov, FMCSA,                                                                                  safely. Mr. Athanas meets the
                                                                                                          FMCSA notes that section 4129 of the               requirements of the vision standard at
                                               Department of Transportation, 1200
                                                                                                       Safe, Accountable, Flexible and                       49 CFR 391.41(b)(10). His optometrist
                                               New Jersey Avenue SE, Room W64–224,
                                                                                                       Efficient Transportation Equity Act: A                examined him in 2018 and certified that
                                               Washington, DC 20590–0001. Office
                                                                                                       Legacy for Users requires the Secretary               he does not have diabetic retinopathy.
                                               hours are 8:30 a.m. to 5 p.m., E.T.,
                                                                                                       to revise its diabetes exemption program              He holds an operator’s license from
                                               Monday through Friday, except Federal
                                                                                                       established on September 3, 2003 (68 FR               Oregon.
                                               holidays. If you have questions
                                                                                                       52441). The revision must provide for
                                               regarding viewing or submitting                                                                               Gary R. Babcock
                                                                                                       individual assessment of drivers with
                                               material to the docket, contact Docket
                                                                                                       diabetes mellitus, and be consistent                    Mr. Babcock, 59, has had ITDM since
                                               Services, telephone (202) 366–9826.
                                                                                                       with the criteria described in section                1999. His endocrinologist examined him
                                               SUPPLEMENTARY INFORMATION:                              4018 of the Transportation Equity Act                 in 2017 and certified that he has had no
                                               I. Background                                           for the 21st Century (49 U.S.C. 31305).               severe hypoglycemic reactions resulting
                                                                                                       Section 4129 requires: (1) Elimination of             in loss of consciousness, requiring the
                                                  Under 49 U.S.C. 31136(e) and 31315,                  the requirement for three years of                    assistance of another person, or
                                               FMCSA may grant an exemption from                       experience operating CMVs while being                 resulting in impaired cognitive function
                                               the FMCSRs for a five-year period if it                 treated with insulin; and (2)                         that occurred without warning in the
                                               finds ‘‘such exemption would likely                     establishment of a specified minimum                  past 12 months and no recurrent (two or
                                               achieve a level of safety that is                       period of insulin use to demonstrate                  more) severe hypoglycemic episodes in
                                               equivalent to or greater than the level                 stable control of diabetes before being               the last five years. His endocrinologist
                                               that would be achieved absent such                      allowed to operate a CMV.                             certifies that Mr. Babcock understands
                                               exemption.’’ The statute also allows the                   In response to section 4129, FMCSA                 diabetes management and monitoring,
                                               Agency to renew exemptions at the end                   made immediate revisions to the                       has stable control of his diabetes using
                                               of the five-year period. FMCSA grants                   diabetes exemption program established                insulin, and is able to drive a CMV
                                               exemptions from the FMCSRs for a two-                   by the September 3, 2003 notice.                      safely. Mr. Babcock meets the
                                               year period to align with the maximum                   FMCSA discontinued use of the three-                  requirements of the vision standard at
                                               duration of a driver’s medical                          year driving experience and fulfilled the             49 CFR 391.41(b)(10). His optometrist
                                               certification.                                          requirements of section 4129 while                    examined him in 2017 and certified that
                                                  The 53 individuals listed in this                    continuing to ensure that operation of                he does not have diabetic retinopathy.
                                               notice have requested an exemption                      CMVs by drivers with ITDM will                        He holds an operator’s license from
                                               from the diabetes prohibition in 49 CFR                 achieve the requisite level of safety                 Connecticut.
                                               391.41(b)(3). Accordingly, the Agency                   required of all exemptions granted
                                               will evaluate the qualifications of each                under 49 U.S.C. 31136(e). Section                     Jennifer L. Baker
                                               applicant to determine whether granting                 4129(d) also directed FMCSA to ensure                   Ms. Baker, 37, has had ITDM since
                                               the exemption will achieve the required                 that drivers of CMVs with ITDM are not                2017. Her endocrinologist examined her
                                               level of safety mandated by statute.                    held to a higher standard than other                  in 2017 and certified that she has had
                                                  The physical qualification standard                  drivers, with the exception of limited                no severe hypoglycemic reactions
                                               for drivers regarding diabetes found in                 operating, monitoring and medical                     resulting in loss of consciousness,
                                               49 CFR 391.41(b)(3) states that a person                requirements that are deemed medically                requiring the assistance of another
                                               is physically qualified to drive a CMV                  necessary. The FMCSA concluded that                   person, or resulting in impaired
                                               if that person has no established                       all of the operating, monitoring and                  cognitive function that occurred without
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                                               medical history or clinical diagnosis of                medical requirements set out in the                   warning in the past 12 months and no
                                               diabetes mellitus currently requiring                   September 3, 2003, notice, except as                  recurrent (two or more) severe
                                               insulin for control. The Agency                         modified, were in compliance with                     hypoglycemic episodes in the last five
                                               established the current requirement for                 section 4129(d). Therefore, all of the                years. Her endocrinologist certifies that
                                               diabetes in 1970 because several risk                   requirements set out in the September 3,              Ms. Baker understands diabetes
                                               studies indicated that drivers with                     2003, notice, except as modified by the               management and monitoring, has stable
                                               diabetes had a higher rate of crash                     notice in the Federal Register on                     control of her diabetes using insulin,


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                                                                              Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices                                           24557

                                               and is able to drive a CMV safely. Ms.                  has stable control of his diabetes using              certifies that Mr. Crump understands
                                               Baker meets the requirements of the                     insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               vision standard at 49 CFR 391.41(b)(10).                safely. Mr. Boutin meets the                          has stable control of his diabetes using
                                               Her optometrist examined her in 2018                    requirements of the vision standard at                insulin, and is able to drive a CMV
                                               and certified that she does not have                    49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Crump meets the
                                               diabetic retinopathy. She holds a Class                 examined him in 2017 and certified that               requirements of the vision standard at
                                               B CDL from North Carolina.                              he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His
                                                                                                       He holds an operator’s license from                   ophthalmologist examined him in 2017
                                               Lesley L. Beasley
                                                                                                       Georgia.                                              and certified that he has stable
                                                 Mr. Beasley, 67, has had ITDM since                                                                         nonproliferative diabetic retinopathy.
                                               2013. His endocrinologist examined him                  Douglas P. Chretien
                                                                                                                                                             He holds a Class A CDL from Virginia.
                                               in 2017 and certified that he has had no                  Mr. Chretien, 55, has had ITDM since
                                               severe hypoglycemic reactions resulting                 2018. His endocrinologist examined him                James G. Cucinotta
                                               in loss of consciousness, requiring the                 in 2018 and certified that he has had no                Mr. Cucinotta, 47, has had ITDM
                                               assistance of another person, or                        severe hypoglycemic reactions resulting               since 2001. His endocrinologist
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the               examined him in 2018 and certified that
                                               that occurred without warning in the                    assistance of another person, or                      he has had no severe hypoglycemic
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function              reactions resulting in loss of
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                  consciousness, requiring the assistance
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or               of another person, or resulting in
                                               certifies that Mr. Beasley understands                  more) severe hypoglycemic episodes in                 impaired cognitive function that
                                               diabetes management and monitoring,                     the last five years. His endocrinologist              occurred without warning in the past 12
                                               has stable control of his diabetes using                certifies that Mr. Chretien understands               months and no recurrent (two or more)
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,                   severe hypoglycemic episodes in the
                                               safely. Mr. Beasley meets the                           has stable control of his diabetes using              last five years. His endocrinologist
                                               requirements of the vision standard at                  insulin, and is able to drive a CMV                   certifies that Mr. Cucinotta understands
                                               49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Chretien meets the                        diabetes management and monitoring,
                                               examined him in 2017 and certified that                 requirements of the vision standard at                has stable control of his diabetes using
                                               he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               He holds a Class A CDL from Alabama.                    examined him in 2018 and certified that               safely. Mr. Cucinotta meets the
                                                                                                       he does not have diabetic retinopathy.                requirements of the vision standard at
                                               Theresa J. Blackman
                                                                                                       He holds an operator’s license from                   49 CFR 391.41(b)(10). His optometrist
                                                 Ms. Blackman, 61, has had ITDM                        Louisiana.                                            examined him in 2018 and certified that
                                               since 2017. Her endocrinologist                                                                               he does not have diabetic retinopathy.
                                               examined her in 2018 and certified that                 Eugene V. Cost
                                                                                                                                                             He holds an operator’s license from
                                               she has had no severe hypoglycemic                        Mr. Cost, 62, has had ITDM since                    Maine.
                                               reactions resulting in loss of                          2016. His endocrinologist examined him
                                               consciousness, requiring the assistance                 in 2018 and certified that he has had no              Bryan S. Davis
                                               of another person, or resulting in                      severe hypoglycemic reactions resulting                 Mr. Davis, 49, has had ITDM since
                                               impaired cognitive function that                        in loss of consciousness, requiring the               2013. His endocrinologist examined him
                                               occurred without warning in the past 12                 assistance of another person, or                      in 2018 and certified that he has had no
                                               months and no recurrent (two or more)                   resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               severe hypoglycemic episodes in the                     that occurred without warning in the                  in loss of consciousness, requiring the
                                               last five years. Her endocrinologist                    past 12 months and no recurrent (two or               assistance of another person, or
                                               certifies that Ms. Blackman understands                 more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               diabetes management and monitoring,                     the last five years. His endocrinologist              that occurred without warning in the
                                               has stable control of her diabetes using                certifies that Mr. Cost understands                   past 12 months and no recurrent (two or
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               safely. Ms. Blackman meets the                          has stable control of his diabetes using              the last five years. His endocrinologist
                                               requirements of the vision standard at                  insulin, and is able to drive a CMV                   certifies that Mr. Davis understands
                                               49 CFR 391.41(b)(10). Her optometrist                   safely. Mr. Cost meets the requirements               diabetes management and monitoring,
                                               examined her in 2018 and certified that                 of the vision standard at 49 CFR                      has stable control of his diabetes using
                                               she does not have diabetic retinopathy.                 391.41(b)(10). His optometrist examined               insulin, and is able to drive a CMV
                                               She holds a Class B CDL from Indiana.                   him in 2018 and certified that he does                safely. Mr. Davis meets the requirements
                                                                                                       not have diabetic retinopathy. He holds               of the vision standard at 49 CFR
                                               Jeffrey D. Boutin
                                                                                                       a Class A CDL from North Dakota.                      391.41(b)(10). His optometrist examined
                                                  Mr. Boutin, 58, has had ITDM since                                                                         him in 2018 and certified that he does
                                               2013. His endocrinologist examined him                  James R. Crump
                                                                                                                                                             not have diabetic retinopathy. He holds
                                               in 2018 and certified that he has had no                  Mr. Crump, 54, has had ITDM since                   an operator’s license from Virginia.
                                               severe hypoglycemic reactions resulting                 2017. His endocrinologist examined him
                                               in loss of consciousness, requiring the                 in 2017 and certified that he has had no              Jeremy C. Durand
                                               assistance of another person, or                        severe hypoglycemic reactions resulting                 Mr. Durand, 55, has had ITDM since
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                                               resulting in impaired cognitive function                in loss of consciousness, requiring the               1990. His endocrinologist examined him
                                               that occurred without warning in the                    assistance of another person, or                      in 2018 and certified that he has had no
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                  in loss of consciousness, requiring the
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or               assistance of another person, or
                                               certifies that Mr. Boutin understands                   more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               diabetes management and monitoring,                     the last five years. His endocrinologist              that occurred without warning in the


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                                               24558                          Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices

                                               past 12 months and no recurrent (two or                 assistance of another person, or                      in loss of consciousness, requiring the
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              assistance of another person, or
                                               the last five years. His endocrinologist                that occurred without warning in the                  resulting in impaired cognitive function
                                               certifies that Mr. Durand understands                   past 12 months and no recurrent (two or               that occurred without warning in the
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 past 12 months and no recurrent (two or
                                               has stable control of his diabetes using                the last five years. His endocrinologist              more) severe hypoglycemic episodes in
                                               insulin, and is able to drive a CMV                     certifies that Mr. Feldt understands                  the last five years. His endocrinologist
                                               safely. Mr. Durand meets the                            diabetes management and monitoring,                   certifies that Mr. Hegyi understands
                                               requirements of the vision standard at                  has stable control of his diabetes using              diabetes management and monitoring,
                                               49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               examined him in 2018 and certified that                 safely. Mr. Feldt meets the requirements              insulin, and is able to drive a CMV
                                               he does not have diabetic retinopathy.                  of the vision standard at 49 CFR                      safely. Mr. Hegyi meets the
                                               He holds a Class B CDL from New York.                   391.41(b)(10). His optometrist examined
                                                                                                                                                             requirements of the vision standard at
                                                                                                       him in 2017 and certified that he does
                                               Connie S. Erwin                                                                                               49 CFR 391.41(b)(10). His optometrist
                                                                                                       not have diabetic retinopathy. He holds
                                                 Ms. Erwin, 60, has had ITDM since                     a Class A CDL from Iowa.                              examined him in 2018 and certified that
                                               2016. Her endocrinologist examined her                                                                        he does not have diabetic retinopathy.
                                               in 2018 and certified that she has had                  Travis E. Forrest                                     He holds an operator’s license from New
                                               no severe hypoglycemic reactions                          Mr. Forrest, 26, has had ITDM since                 Jersey.
                                               resulting in loss of consciousness,                     2017. His endocrinologist examined him                Sergio Hernandez
                                               requiring the assistance of another                     in 2017 and certified that he has had no
                                               person, or resulting in impaired                        severe hypoglycemic reactions resulting                  Mr. Hernandez, 28, has had ITDM
                                               cognitive function that occurred without                in loss of consciousness, requiring the               since 2016. His endocrinologist
                                               warning in the past 12 months and no                    assistance of another person, or                      examined him in 2017 and certified that
                                               recurrent (two or more) severe                          resulting in impaired cognitive function              he has had no severe hypoglycemic
                                               hypoglycemic episodes in the last five                  that occurred without warning in the                  reactions resulting in loss of
                                               years. Her endocrinologist certifies that               past 12 months and no recurrent (two or               consciousness, requiring the assistance
                                               Ms. Erwin understands diabetes                          more) severe hypoglycemic episodes in                 of another person, or resulting in
                                               management and monitoring, has stable                   the last five years. His endocrinologist              impaired cognitive function that
                                               control of her diabetes using insulin,                  certifies that Mr. Forrest understands                occurred without warning in the past 12
                                               and is able to drive a CMV safely. Ms.                  diabetes management and monitoring,
                                                                                                                                                             months and no recurrent (two or more)
                                               Erwin meets the requirements of the                     has stable control of his diabetes using
                                                                                                                                                             severe hypoglycemic episodes in the
                                               vision standard at 49 CFR 391.41(b)(10).                insulin, and is able to drive a CMV
                                                                                                                                                             last five years. His endocrinologist
                                               Her optometrist examined her in 2018                    safely. Mr. Forrest meets the
                                               and certified that she has stable                       requirements of the vision standard at                certifies that Mr. Hernandez
                                               nonproliferative diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                 understands diabetes management and
                                               She holds an operator’s license from                    examined him in 2017 and certified that               monitoring, has stable control of his
                                               Tennessee.                                              he does not have diabetic retinopathy.                diabetes using insulin, and is able to
                                                                                                       He holds a Class C CDL from                           drive a CMV safely. Mr. Hernandez
                                               Brendan T. Farnam                                                                                             meets the requirements of the vision
                                                                                                       Pennsylvania.
                                                 Mr. Farnam, 24, has had ITDM since                                                                          standard at 49 CFR 391.41(b)(10). His
                                               1997. His endocrinologist examined him                  Robert R. Frost                                       optometrist examined him in 2017 and
                                               in 2018 and certified that he has had no                  Mr. Frost, 60, has had ITDM since                   certified that he does not have diabetic
                                               severe hypoglycemic reactions resulting                 2009. His endocrinologist examined him                retinopathy. He holds an operator’s
                                               in loss of consciousness, requiring the                 in 2017 and certified that he has had no              license from Illinois.
                                               assistance of another person, or                        severe hypoglycemic reactions resulting
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the               Scotty A. Hill
                                               that occurred without warning in the                    assistance of another person, or                        Mr. Hill, 46, has had ITDM since
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function              2016. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                  in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or               severe hypoglycemic reactions resulting
                                               certifies that Mr. Farnam understands                   more) severe hypoglycemic episodes in
                                                                                                                                                             in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     the last five years. His endocrinologist
                                                                                                                                                             assistance of another person, or
                                               has stable control of his diabetes using                certifies that Mr. Frost understands
                                                                                                                                                             resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,
                                                                                                                                                             that occurred without warning in the
                                               safely. Mr. Farnam meets the                            has stable control of his diabetes using
                                                                                                                                                             past 12 months and no recurrent (two or
                                               requirements of the vision standard at                  insulin, and is able to drive a CMV
                                               49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Frost meets the requirements              more) severe hypoglycemic episodes in
                                               examined him in 2017 and certified that                 of the vision standard at 49 CFR                      the last five years. His endocrinologist
                                               he does not have diabetic retinopathy.                  391.41(b)(10). His optometrist examined               certifies that Mr. Hill understands
                                               He holds an operator’s license from                     him in 2017 and certified that he does                diabetes management and monitoring,
                                               Massachusetts.                                          not have diabetic retinopathy. He holds               has stable control of his diabetes using
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                                                                                                       a Class B CDL from Pennsylvania.                      insulin, and is able to drive a CMV
                                               Randall S. Feldt                                                                                              safely. Mr. Hill meets the requirements
                                                 Mr. Feldt, 66, has had ITDM since                     Alexander A. Hegyi                                    of the vision standard at 49 CFR
                                               2017. His endocrinologist examined him                    Mr. Hegyi, 32, has had ITDM since                   391.41(b)(10). His optometrist examined
                                               in 2018 and certified that he has had no                1994. His endocrinologist examined him                him in 2018 and certified that he does
                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no              not have diabetic retinopathy. He holds
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting               a Class A CDL from North Carolina.


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                                                                              Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices                                          24559

                                               Billie Hinton                                           him in 2018 and certified that he does                safely. Mr. Koepplin meets the
                                                 Mr. Hinton, 60, has had ITDM since                    not have diabetic retinopathy. He holds               requirements of the vision standard at
                                               2008. His endocrinologist examined him                  a Class A CDL from Illinois.                          49 CFR 391.41(b)(10). His optometrist
                                               in 2017 and certified that he has had no                                                                      examined him in 2018 and certified that
                                                                                                       Reginald Jones
                                               severe hypoglycemic reactions resulting                                                                       he does not have diabetic retinopathy.
                                                                                                         Mr. Jones, 51, has had ITDM since                   He holds a Class A CDL from North
                                               in loss of consciousness, requiring the                 2005. His endocrinologist examined him                Dakota.
                                               assistance of another person, or                        in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               Jeff F. Kress
                                               that occurred without warning in the                    in loss of consciousness, requiring the                  Mr. Kress, 63, has had ITDM since
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      2015. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                that occurred without warning in the                  severe hypoglycemic reactions resulting
                                               certifies that Mr. Hinton understands                   past 12 months and no recurrent (two or               in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 assistance of another person, or
                                               has stable control of his diabetes using                the last five years. His endocrinologist              resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     certifies that Mr. Jones understands                  that occurred without warning in the
                                               safely. Mr. Hinton meets the                            diabetes management and monitoring,                   past 12 months and no recurrent (two or
                                               requirements of the vision standard at                  has stable control of his diabetes using              more) severe hypoglycemic episodes in
                                               49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   the last five years. His endocrinologist
                                               examined him in 2017 and certified that                 safely. Mr. Jones meets the requirements              certifies that Mr. Kress understands
                                               he does not have diabetic retinopathy.                  of the vision standard at 49 CFR                      diabetes management and monitoring,
                                               He holds an operator’s license from New                 391.41(b)(10). His ophthalmologist                    has stable control of his diabetes using
                                               York.                                                   examined him in 2017 and certified that               insulin, and is able to drive a CMV
                                               Arild Johansen                                          he has stable proliferative diabetic                  safely. Mr. Kress meets the requirements
                                                                                                       retinopathy. He holds a Class A CDL                   of the vision standard at 49 CFR
                                                 Mr. Johansen, 62, has had ITDM since                  from North Carolina.                                  391.41(b)(10). His optometrist examined
                                               2017. His endocrinologist examined him                                                                        him in 2017 and certified that he does
                                               in 2017 and certified that he has had no                Kevin R. Kerrigan
                                                                                                                                                             not have diabetic retinopathy. He holds
                                               severe hypoglycemic reactions resulting                   Mr. Kerrigan, 34, has had ITDM since                an operator’s license from Minnesota.
                                               in loss of consciousness, requiring the                 1995. His endocrinologist examined him                   Eric J. Kuster
                                               assistance of another person, or                        in 2018 and certified that he has had no                 Mr. Kuster, 31, has had ITDM since
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               2013. His endocrinologist examined him
                                               that occurred without warning in the                    in loss of consciousness, requiring the               in 2016 and certified that he has had no
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      severe hypoglycemic reactions resulting
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              in loss of consciousness, requiring the
                                               the last five years. His endocrinologist                that occurred without warning in the                  assistance of another person, or
                                               certifies that Mr. Johansen understands                 past 12 months and no recurrent (two or               resulting in impaired cognitive function
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 that occurred without warning in the
                                               has stable control of his diabetes using                the last five years. His endocrinologist              past 12 months and no recurrent (two or
                                               insulin, and is able to drive a CMV                     certifies that Mr. Kerrigan understands               more) severe hypoglycemic episodes in
                                               safely. Mr. Johansen meets the                          diabetes management and monitoring,                   the last five years. His endocrinologist
                                               requirements of the vision standard at                  has stable control of his diabetes using              certifies that Mr. Kuster understands
                                               49 CFR 391.41(b)(10). His                               insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               ophthalmologist examined him in 2017                    safely. Mr. Kerrigan meets the                        has stable control of his diabetes using
                                               and certified that he has stable                        requirements of the vision standard at                insulin, and is able to drive a CMV
                                               nonproliferative diabetic retinopathy.                  49 CFR 391.41(b)(10). His                             safely. Mr. Kuster meets the
                                               He holds a Class A CDL from North                       ophthalmologist examined him in 2017                  requirements of the vision standard at
                                               Dakota.                                                 and certified that he has stable                      49 CFR 391.41(b)(10). His optometrist
                                               Kaleb N. Jones                                          nonproliferative diabetic retinopathy.                examined him in 2018 and certified that
                                                                                                       He holds an operator’s license from                   he does not have diabetic retinopathy.
                                                 Mr. Jones, 27, has had ITDM since                     Michigan.                                             He holds a Class A CDL from Iowa.
                                               2017. His endocrinologist examined him
                                               in 2018 and certified that he has had no                William R. Koepplin                                   Michael P. Labrosse
                                               severe hypoglycemic reactions resulting                   Mr. Koepplin, 54, has had ITDM since                  Mr. Labrosse, 50, has had ITDM since
                                               in loss of consciousness, requiring the                 2017. His endocrinologist examined him                2017. His endocrinologist examined him
                                               assistance of another person, or                        in 2018 and certified that he has had no              in 2017 and certified that he has had no
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    in loss of consciousness, requiring the               in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      assistance of another person, or
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              resulting in impaired cognitive function
                                               the last five years. His endocrinologist                that occurred without warning in the                  that occurred without warning in the
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                                               certifies that Mr. Jones understands                    past 12 months and no recurrent (two or               past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                the last five years. His endocrinologist              the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     certifies that Mr. Koepplin understands               certifies that Mr. Labrosse understands
                                               safely. Mr. Jones meets the requirements                diabetes management and monitoring,                   diabetes management and monitoring,
                                               of the vision standard at 49 CFR                        has stable control of his diabetes using              has stable control of his diabetes using
                                               391.41(b)(10). His optometrist examined                 insulin, and is able to drive a CMV                   insulin, and is able to drive a CMV


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                                               24560                          Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices

                                               safely. Mr. Labrosse meets the                          diabetes management and monitoring,                   cognitive function that occurred without
                                               requirements of the vision standard at                  has stable control of his diabetes using              warning in the past 12 months and no
                                               49 CFR 391.41(b)(10). His                               insulin, and is able to drive a CMV                   recurrent (two or more) severe
                                               ophthalmologist examined him in 2017                    safely. Mr. Morphew meets the                         hypoglycemic episodes in the last five
                                               and certified that he does not have                     requirements of the vision standard at                years. Her endocrinologist certifies that
                                               diabetic retinopathy. He holds a Class A                49 CFR 391.41(b)(10). His                             Ms. Phillips understands diabetes
                                               CDL from New York.                                      ophthalmologist examined him in 2018                  management and monitoring, has stable
                                                                                                       and certified that he has stable                      control of her diabetes using insulin,
                                               Michael J. Mason
                                                                                                       nonproliferative diabetic retinopathy.                and is able to drive a CMV safely. Ms.
                                                 Mr. Mason, 33, has had ITDM since                     He holds a Class A CDL from Indiana.                  Phillips meets the requirements of the
                                               1996. His endocrinologist examined him                                                                        vision standard at 49 CFR 391.41(b)(10).
                                               in 2017 and certified that he has had no                Edward C. Mulvenna, Jr.
                                                                                                                                                             Her ophthalmologist examined her in
                                               severe hypoglycemic reactions resulting                   Mr. Mulvenna, 57, has had ITDM                      2017 and certified that she does not
                                               in loss of consciousness, requiring the                 since 1969. His endocrinologist                       have diabetic retinopathy. She holds an
                                               assistance of another person, or                        examined him in 2018 and certified that               operator’s license from Pennsylvania.
                                               resulting in impaired cognitive function                he has had no severe hypoglycemic
                                               that occurred without warning in the                    reactions resulting in loss of                        Roosevelt Price
                                               past 12 months and no recurrent (two or                 consciousness, requiring the assistance                 Mr. Price, 71, has had ITDM since
                                               more) severe hypoglycemic episodes in                   of another person, or resulting in                    2014. His endocrinologist examined him
                                               the last five years. His endocrinologist                impaired cognitive function that                      in 2017 and certified that he has had no
                                               certifies that Mr. Mason understands                    occurred without warning in the past 12               severe hypoglycemic reactions resulting
                                               diabetes management and monitoring,                     months and no recurrent (two or more)                 in loss of consciousness, requiring the
                                               has stable control of his diabetes using                severe hypoglycemic episodes in the                   assistance of another person, or
                                               insulin, and is able to drive a CMV                     last five years. His endocrinologist                  resulting in impaired cognitive function
                                               safely. Mr. Mason meets the                             certifies that Mr. Mulvenna understands               that occurred without warning in the
                                               requirements of the vision standard at                  diabetes management and monitoring,                   past 12 months and no recurrent (two or
                                               49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using              more) severe hypoglycemic episodes in
                                               examined him in 2018 and certified that                 insulin, and is able to drive a CMV                   the last five years. His endocrinologist
                                               he does not have diabetic retinopathy.                  safely. Mr. Mulvenna meets the                        certifies that Mr. Price understands
                                               He holds an operator’s license from                     requirements of the vision standard at                diabetes management and monitoring,
                                               Georgia.                                                49 CFR 391.41(b)(10). His                             has stable control of his diabetes using
                                                                                                       ophthalmologist examined him in 2018                  insulin, and is able to drive a CMV
                                               Chad W. Moore
                                                                                                       and certified that he has stable                      safely. Mr. Price meets the requirements
                                                 Mr. Moore, 36, has had ITDM since                     nonproliferative diabetic retinopathy.                of the vision standard at 49 CFR
                                               2017. His endocrinologist examined him                  He holds a Class A CDL from New                       391.41(b)(10). His ophthalmologist
                                               in 2018 and certified that he has had no                Jersey.                                               examined him in 2017 and certified that
                                               severe hypoglycemic reactions resulting                                                                       he does not have diabetic retinopathy.
                                               in loss of consciousness, requiring the                 Jeffrey C. Olson
                                                                                                                                                             He holds an operator’s license from
                                               assistance of another person, or                           Mr. Olson, 74, has had ITDM since                  Mississippi.
                                               resulting in impaired cognitive function                2017. His endocrinologist examined him
                                               that occurred without warning in the                    in 2018 and certified that he has had no              William P. Raben
                                               past 12 months and no recurrent (two or                 severe hypoglycemic reactions resulting                 Mr. Raben, 26, has had ITDM since
                                               more) severe hypoglycemic episodes in                   in loss of consciousness, requiring the               2015. His endocrinologist examined him
                                               the last five years. His endocrinologist                assistance of another person, or                      in 2017 and certified that he has had no
                                               certifies that Mr. Moore understands                    resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               diabetes management and monitoring,                     that occurred without warning in the                  in loss of consciousness, requiring the
                                               has stable control of his diabetes using                past 12 months and no recurrent (two or               assistance of another person, or
                                               insulin, and is able to drive a CMV                     more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               safely. Mr. Moore meets the                             the last five years. His endocrinologist              that occurred without warning in the
                                               requirements of the vision standard at                  certifies that Mr. Olson understands                  past 12 months and no recurrent (two or
                                               49 CFR 391.41(b)(10). His optometrist                   diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               examined him in 2018 and certified that                 has stable control of his diabetes using              the last five years. His endocrinologist
                                               he does not have diabetic retinopathy.                  insulin, and is able to drive a CMV                   certifies that Mr. Raben understands
                                               He holds a Class A CDL from Missouri.                   safely. Mr. Olson meets the                           diabetes management and monitoring,
                                                                                                       requirements of the vision standard at                has stable control of his diabetes using
                                               Walter N. Morphew, Jr.
                                                                                                       49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                                 Mr. Morphew, 69, has had ITDM                         examined him in 2017 and certified that               safely. Mr. Raben meets the
                                               since 2016. His endocrinologist                         he does not have diabetic retinopathy.                requirements of the vision standard at
                                               examined him in 2018 and certified that                 He holds a Class B CDL from South                     49 CFR 391.41(b)(10). His
                                               he has had no severe hypoglycemic                       Dakota.                                               ophthalmologist examined him in 2018
                                               reactions resulting in loss of                                                                                and certified that he does not have
                                               consciousness, requiring the assistance                 Robin L. Phillips
                                                                                                                                                             diabetic retinopathy. He holds a Class A
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                                               of another person, or resulting in                        Ms. Phillips, 42, has had ITDM since                CDL from Alabama.
                                               impaired cognitive function that                        2016. Her endocrinologist examined her
                                               occurred without warning in the past 12                 in 2018 and certified that she has had                Dennis B. Segel
                                               months and no recurrent (two or more)                   no severe hypoglycemic reactions                        Mr. Segel, 60, has had ITDM since
                                               severe hypoglycemic episodes in the                     resulting in loss of consciousness,                   2017. His endocrinologist examined him
                                               last five years. His endocrinologist                    requiring the assistance of another                   in 2018 and certified that he has had no
                                               certifies that Mr. Morphew understands                  person, or resulting in impaired                      severe hypoglycemic reactions resulting


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                                                                              Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices                                          24561

                                               in loss of consciousness, requiring the                 Jeffrey J. Smith                                      not have diabetic retinopathy. He holds
                                               assistance of another person, or                          Mr. Smith, 54, has had ITDM since                   an operator’s license from Iowa.
                                               resulting in impaired cognitive function                2015. His endocrinologist examined him                Rodney M. Stephens
                                               that occurred without warning in the                    in 2017 and certified that he has had no
                                               past 12 months and no recurrent (two or                                                                         Mr. Stephens, 35, has had ITDM since
                                                                                                       severe hypoglycemic reactions resulting               1997. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                   in loss of consciousness, requiring the
                                               the last five years. His endocrinologist                                                                      in 2017 and certified that he has had no
                                                                                                       assistance of another person, or                      severe hypoglycemic reactions resulting
                                               certifies that Mr. Segel understands                    resulting in impaired cognitive function              in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     that occurred without warning in the                  assistance of another person, or
                                               has stable control of his diabetes using                past 12 months and no recurrent (two or               resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     more) severe hypoglycemic episodes in                 that occurred without warning in the
                                               safely. Mr. Segel meets the requirements                the last five years. His endocrinologist              past 12 months and no recurrent (two or
                                               of the vision standard at 49 CFR                        certifies that Mr. Smith understands                  more) severe hypoglycemic episodes in
                                               391.41(b)(10). His ophthalmologist                      diabetes management and monitoring,                   the last five years. His endocrinologist
                                               examined him in 2018 and certified that                 has stable control of his diabetes using              certifies that Mr. Stephens understands
                                               he does not have diabetic retinopathy.                  insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               He holds a Class A CDL from                             safely. Mr. Smith meets the                           has stable control of his diabetes using
                                               Washington.                                             requirements of the vision standard at                insulin, and is able to drive a CMV
                                                                                                       49 CFR 391.41(b)(10). His                             safely. Mr. Stephens meets the
                                               Daniel A. Slattery                                      ophthalmologist examined him in 2018                  requirements of the vision standard at
                                                 Mr. Slattery, 26, has had ITDM since                  and certified that he has stable                      49 CFR 391.41(b)(10). His optometrist
                                                                                                       nonproliferative and stable proliferative             examined him in 2017 and certified that
                                               2013. His endocrinologist examined him
                                                                                                       diabetic retinopathy. He holds a Class A              he does not have diabetic retinopathy.
                                               in 2018 and certified that he has had no
                                                                                                       CDL from Virginia.                                    He holds a Class B CDL from
                                               severe hypoglycemic reactions resulting
                                               in loss of consciousness, requiring the                 Charles D. Smith, Jr.                                 Pennsylvania.
                                               assistance of another person, or                          Mr. Smith, Jr., 43, has had ITDM since              Robert A. Swasey, Jr.
                                               resulting in impaired cognitive function                2017. His endocrinologist examined him                  Mr. Swasey, 57, has had ITDM since
                                               that occurred without warning in the                    in 2017 and certified that he has had no              2017. His endocrinologist examined him
                                               past 12 months and no recurrent (two or                 severe hypoglycemic reactions resulting               in 2017 and certified that he has had no
                                               more) severe hypoglycemic episodes in                   in loss of consciousness, requiring the               severe hypoglycemic reactions resulting
                                               the last five years. His endocrinologist                assistance of another person, or                      in loss of consciousness, requiring the
                                               certifies that Mr. Slattery understands                 resulting in impaired cognitive function              assistance of another person, or
                                               diabetes management and monitoring,                     that occurred without warning in the                  resulting in impaired cognitive function
                                               has stable control of his diabetes using                past 12 months and no recurrent (two or               that occurred without warning in the
                                               insulin, and is able to drive a CMV                     more) severe hypoglycemic episodes in                 past 12 months and no recurrent (two or
                                               safely. Mr. Slattery meets the                          the last five years. His endocrinologist              more) severe hypoglycemic episodes in
                                               requirements of the vision standard at                  certifies that Mr. Smith, Jr. understands             the last five years. His endocrinologist
                                               49 CFR 391.41(b)(10). His optometrist                   diabetes management and monitoring,                   certifies that Mr. Swasey understands
                                               examined him in 2018 and certified that                 has stable control of his diabetes using              diabetes management and monitoring,
                                               he does not have diabetic retinopathy.                  insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               He holds an operator’s license from                     safely. Mr. Smith, Jr. meets the                      insulin, and is able to drive a CMV
                                               Indiana.                                                requirements of the vision standard at                safely. Mr. Swasey meets the
                                                                                                       49 CFR 391.41(b)(10). His optometrist                 requirements of the vision standard at
                                               Mathew C. Smart                                         examined him in 2017 and certified that               49 CFR 391.41(b)(10). His optometrist
                                                                                                       he does not have diabetic retinopathy.                examined him in 2018 and certified that
                                                 Mr. Smart, 26, has had ITDM since
                                                                                                       He holds a Class A CDL from Indiana.                  he does not have diabetic retinopathy.
                                               2005. His endocrinologist examined him
                                               in 2018 and certified that he has had no                Patrick J. Snell                                      He holds a Class B CDL from Maine.
                                               severe hypoglycemic reactions resulting                   Mr. Snell, 38, has had ITDM since                   Kevin R. Terpstra
                                               in loss of consciousness, requiring the                 2017. His endocrinologist examined him                  Mr. Terpstra, 50, has had ITDM since
                                               assistance of another person, or                        in 2018 and certified that he has had no              1973. His endocrinologist examined him
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               in 2017 and certified that he has had no
                                               that occurred without warning in the                    in loss of consciousness, requiring the               severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      in loss of consciousness, requiring the
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              assistance of another person, or
                                               the last five years. His endocrinologist                that occurred without warning in the                  resulting in impaired cognitive function
                                               certifies that Mr. Smart understands                    past 12 months and no recurrent (two or               that occurred without warning in the
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 past 12 months and no recurrent (two or
                                               has stable control of his diabetes using                the last five years. His endocrinologist              more) severe hypoglycemic episodes in
                                               insulin, and is able to drive a CMV                     certifies that Mr. Snell understands                  the last five years. His endocrinologist
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                                               safely. Mr. Smart meets the                             diabetes management and monitoring,                   certifies that Mr. Terpstra understands
                                               requirements of the vision standard at                  has stable control of his diabetes using              diabetes management and monitoring,
                                               49 CFR 391.41(b)(10). His                               insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               ophthalmologist examined him in 2018                    safely. Mr. Snell meets the requirements              insulin, and is able to drive a CMV
                                               and certified that he does not have                     of the vision standard at 49 CFR                      safely. Mr. Terpstra meets the
                                               diabetic retinopathy. He holds an                       391.41(b)(10). His optometrist examined               requirements of the vision standard at
                                               operator’s license from Texas.                          him in 2018 and certified that he does                49 CFR 391.41(b)(10). His


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                                               24562                          Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices

                                               ophthalmologist examined him in 2017                    safely. Mr. Thurnall meets the                        diabetes management and monitoring,
                                               and certified that he has stable                        requirements of the vision standard at                has stable control of his diabetes using
                                               proliferative diabetic retinopathy. He                  49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               holds an operator’s license from Illinois.              examined him in 2018 and certified that               safely. Mr. Westgate meets the
                                                                                                       he does not have diabetic retinopathy.                requirements of the vision standard at
                                               Richard D. Thompson
                                                                                                       He holds an operator’s license from                   49 CFR 391.41(b)(10). His
                                                 Mr. Thompson, 64, has had ITDM                        Indiana.                                              ophthalmologist examined him in 2017
                                               since 2014. His endocrinologist                                                                               and certified that he does not have
                                               examined him in 2018 and certified that                 John T. Tuck, Jr.
                                                                                                                                                             diabetic retinopathy. He holds an
                                               he has had no severe hypoglycemic                         Mr. Tuck, 70, has had ITDM since                    operator’s license from Idaho.
                                               reactions resulting in loss of                          2010. His endocrinologist examined him
                                               consciousness, requiring the assistance                 in 2017 and certified that he has had no              Walter L. Williams
                                               of another person, or resulting in                      severe hypoglycemic reactions resulting                 Mr. Williams, 65, has had ITDM since
                                               impaired cognitive function that                        in loss of consciousness, requiring the               2017. His endocrinologist examined him
                                               occurred without warning in the past 12                 assistance of another person, or                      in 2017 and certified that he has had no
                                               months and no recurrent (two or more)                   resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               severe hypoglycemic episodes in the                     that occurred without warning in the                  in loss of consciousness, requiring the
                                               last five years. His endocrinologist                    past 12 months and no recurrent (two or               assistance of another person, or
                                               certifies that Mr. Thompson                             more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               understands diabetes management and                     the last five years. His endocrinologist              that occurred without warning in the
                                               monitoring, has stable control of his                   certifies that Mr. Tuck understands                   past 12 months and no recurrent (two or
                                               diabetes using insulin, and is able to                  diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               drive a CMV safely. Mr. Thompson                        has stable control of his diabetes using              the last five years. His endocrinologist
                                               meets the requirements of the vision                    insulin, and is able to drive a CMV                   certifies that Mr. Williams understands
                                               standard at 49 CFR 391.41(b)(10). His                   safely. Mr. Tuck meets the requirements               diabetes management and monitoring,
                                               ophthalmologist examined him in 2018                    of the vision standard at 49 CFR                      has stable control of his diabetes using
                                               and certified that he has stable                        391.41(b)(10). His ophthalmologist                    insulin, and is able to drive a CMV
                                               nonproliferative diabetic retinopathy.                  examined him in 2017 and certified that               safely. Mr. Williams meets the
                                               He holds a Class A CDL from New York.                   he does not have diabetic retinopathy.                requirements of the vision standard at
                                                                                                       He holds an operator’s license from New               49 CFR 391.41(b)(10). His
                                               William D. Thull
                                                                                                       Jersey.                                               ophthalmologist examined him in 2018
                                                 Mr. Thull, 68, has had ITDM since                                                                           and certified that he does not have
                                               2017. His endocrinologist examined him                  Roy D. Wendte
                                                                                                                                                             diabetic retinopathy. He holds a Class A
                                               in 2018 and certified that he has had no                   Mr. Wendte, 57, has had ITDM since                 CDL from Arkansas.
                                               severe hypoglycemic reactions resulting                 2016. His endocrinologist examined him
                                               in loss of consciousness, requiring the                 in 2018 and certified that he has had no              III. Request for Comments
                                               assistance of another person, or                        severe hypoglycemic reactions resulting                  In accordance with 49 U.S.C. 31136(e)
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the               and 31315, FMCSA requests public
                                               that occurred without warning in the                    assistance of another person, or                      comment from all interested persons on
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function              the exemption petitions described in
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                  this notice. We will consider all
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or               comments received before the close of
                                               certifies that Mr. Thull understands                    more) severe hypoglycemic episodes in                 business on the closing date indicated
                                               diabetes management and monitoring,                     the last five years. His endocrinologist              in the dates section of the notice.
                                               has stable control of his diabetes using                certifies that Mr. Wendte understands
                                                                                                       diabetes management and monitoring,                   IV. Submitting Comments
                                               insulin, and is able to drive a CMV
                                               safely. Mr. Thull meets the requirements                has stable control of his diabetes using                 You may submit your comments and
                                               of the vision standard at 49 CFR                        insulin, and is able to drive a CMV                   material online or by fax, mail, or hand
                                               391.41(b)(10). His ophthalmologist                      safely. Mr. Wendte meets the                          delivery, but please use only one of
                                               examined him in 2018 and certified that                 requirements of the vision standard at                these means. FMCSA recommends that
                                               he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                 you include your name and a mailing
                                               He holds a Class A CDL from Illinois.                   examined him in 2018 and certified that               address, an email address, or a phone
                                                                                                       he does not have diabetic retinopathy.                number in the body of your document
                                               Billy J. Thurnall                                                                                             so that FMCSA can contact you if there
                                                                                                       He holds an operator’s license from
                                                 Mr. Thurnall, 39, has had ITDM since                  Illinois.                                             are questions regarding your
                                               1993. His endocrinologist examined him                                                                        submission.
                                               in 2018 and certified that he has had no                Bailey Westgate                                          To submit your comment online, go to
                                               severe hypoglycemic reactions resulting                   Mr. Westgate, 23, has had ITDM since                http://www.regulations.gov and in the
                                               in loss of consciousness, requiring the                 2008. His endocrinologist examined him                search box insert the docket number
                                               assistance of another person, or                        in 2017 and certified that he has had no              FMCSA–2018–0026 and click the search
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               button. When the new screen appears,
                                               that occurred without warning in the                    in loss of consciousness, requiring the               click on the blue ‘‘Comment Now!’’
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                                               past 12 months and no recurrent (two or                 assistance of another person, or                      button on the right hand side of the
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              page. On the new page, enter
                                               the last five years. His endocrinologist                that occurred without warning in the                  information required including the
                                               certifies that Mr. Thurnall understands                 past 12 months and no recurrent (two or               specific section of this document to
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 which each comment applies, and
                                               has stable control of his diabetes using                the last five years. His endocrinologist              provide a reason for each suggestion or
                                               insulin, and is able to drive a CMV                     certifies that Mr. Westgate understands               recommendation. If you submit your


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                                                                              Federal Register / Vol. 83, No. 103 / Tuesday, May 29, 2018 / Notices                                           24563

                                               comments by mail or hand delivery,                      New Jersey Avenue SE, West Building                   equivalent to or greater than the level
                                               submit them in an unbound format, no                    Ground Floor, Room W12–140,                           that would be achieved absent such
                                               larger than 81⁄2 by 11 inches, suitable for             Washington, DC 20590–0001.                            exemption.’’ The statute also allows the
                                               copying and electronic filing. If you                      • Hand Delivery: West Building                     Agency to renew exemptions at the end
                                               submit comments by mail and would                       Ground Floor, Room W12–140, 1200                      of the five-year period. FMCSA grants
                                               like to know that they reached the                      New Jersey Avenue SE, Washington,                     exemptions from the FMCSRs for a two-
                                               facility, please enclose a stamped, self-               DC, between 9 a.m. and 5 p.m., e.t.,                  year period to align with the maximum
                                               addressed postcard or envelope.                         Monday through Friday, except Federal                 duration of a driver’s medical
                                                  We will consider all comments and                    Holidays.                                             certification.
                                               materials received during the comment                      • Fax: 1–202–493–2251.                                The 36 individuals listed in this
                                               period. FMCSA may issue a final                            Instructions: Each submission must                 notice have requested an exemption
                                               determination at any time after the close               include the Agency name and the                       from the diabetes prohibition in 49 CFR
                                               of the comment period.                                  docket number(s) for this notice. Note                391.41(b)(3). Accordingly, the Agency
                                                                                                       that all comments received will be                    will evaluate the qualifications of each
                                               V. Viewing Comments and Documents                       posted without change to http://                      applicant to determine whether granting
                                                 To view comments, as well as any                      www.regulations.gov, including any                    the exemption will achieve the required
                                               documents mentioned in this preamble,                   personal information provided. Please                 level of safety mandated by statute.
                                               go to http://www.regulations.gov and in                 see the Privacy Act heading below for                    The physical qualification standard
                                               the search box insert the docket number                 further information.                                  for drivers regarding diabetes found in
                                               FMCSA–2018–0026 and click ‘‘Search.’’                      Docket: For access to the docket to                49 CFR 391.41(b)(3) states that a person
                                               Next, click ‘‘Open Docket Folder’’ and                  read background documents or                          is physically qualified to drive a CMV
                                               you will find all documents and                         comments, go to http://                               if that person has no established
                                               comments related to this notice.                        www.regulations.gov at any time or                    medical history or clinical diagnosis of
                                                 Issued on: May 17, 2018.                              Room W12–140 on the ground level of                   diabetes mellitus currently requiring
                                               Larry W. Minor,
                                                                                                       the West Building, 1200 New Jersey                    insulin for control. The Agency
                                                                                                       Avenue, SE, Washington, DC, between 9                 established the current requirement for
                                               Associate Administrator for Policy.
                                                                                                       a.m. and 5 p.m., e.t., Monday through                 diabetes in 1970 because several risk
                                               [FR Doc. 2018–11412 Filed 5–25–18; 8:45 am]
                                                                                                       Friday, except Federal holidays. The                  studies indicated that drivers with
                                               BILLING CODE 4910–EX–P                                  FDMS is available 24 hours each day                   diabetes had a higher rate of crash
                                                                                                       e.t., 365 days each year. If you want                 involvement than the general
                                                                                                       acknowledgment that we received your                  population.
                                               DEPARTMENT OF TRANSPORTATION
                                                                                                       comments, please include a self-                         FMCSA established its diabetes
                                               Federal Motor Carrier Safety                            addressed, stamped envelope or                        exemption program, based on the
                                               Administration                                          postcard or print the acknowledgement                 Agency’s July 2000 study entitled ‘‘A
                                                                                                       page that appears after submitting                    Report to Congress on the Feasibility of
                                               [Docket No. FMCSA–2018–0028]                            comments online.                                      a Program to Qualify Individuals with
                                                                                                          Privacy Act: In accordance with 5                  Insulin-Treated Diabetes Mellitus to
                                               Qualification of Drivers; Exemption                     U.S.C. 553(c), DOT solicits comments
                                               Applications; Diabetes Mellitus                                                                               Operate in Interstate Commerce as
                                                                                                       from the public to better inform its                  Directed by the Transportation Act for
                                               AGENCY: Federal Motor Carrier Safety                    rulemaking process. DOT posts these                   the 21st Century.’’ The report concluded
                                               Administration (FMCSA), DOT.                            comments, without edit, including any                 that a safe and practicable protocol to
                                               ACTION: Notice of applications for
                                                                                                       personal information the commenter                    allow some drivers with ITDM to
                                               exemption; request for comments.                        provides, to http://www.regulations.gov,              operate CMVs is feasible. The
                                                                                                       as described in the system of records                 September 3, 2003 (68 FR 52441),
                                               SUMMARY:   FMCSA announces receipt of                   notice (DOT/ALL–14 FDMS), which can                   Federal Register notice in conjunction
                                               applications from 36 individuals for an                 be reviewed at http://www.dot.gov/                    with the November 8, 2005 (70 FR
                                               exemption from the prohibition in the                   privacy.                                              67777), Federal Register notice provides
                                               Federal Motor Carrier Safety                            FOR FURTHER INFORMATION CONTACT:     Ms.              the current protocol for allowing such
                                               Regulations (FMCSRs) against persons                    Christine A. Hydock, Chief, Medical                   drivers to operate CMVs in interstate
                                               with insulin-treated diabetes mellitus                  Programs Division, (202) 366–4001,                    commerce.
                                               (ITDM) operating a commercial motor                     fmcsamedical@dot.gov, FMCSA,                             FMCSA notes that section 4129 of the
                                               vehicle (CMV) in interstate commerce. If                Department of Transportation, 1200                    Safe, Accountable, Flexible and
                                               granted, the exemptions would enable                    New Jersey Avenue SE, Room W64–224,                   Efficient Transportation Equity Act: A
                                               these individuals with ITDM to operate                  Washington, DC 20590–0001. Office                     Legacy for Users requires the Secretary
                                               CMVs in interstate commerce.                            hours are 8:30 a.m. to 5 p.m., e.t.,                  to revise its diabetes exemption program
                                               DATES: Comments must be received on                     Monday through Friday, except Federal                 established on September 3, 2003 (68 FR
                                               or before June 28, 2018.                                holidays. If you have questions                       52441). The revision must provide for
                                               ADDRESSES: You may submit comments                      regarding viewing or submitting                       individual assessment of drivers with
                                               bearing the Federal Docket Management                   material to the docket, contact Docket                diabetes mellitus, and be consistent
                                               System (FDMS) Docket No. FMCSA–                         Services, telephone (202) 366–9826.                   with the criteria described in section
                                               2018–0028 using any of the following                    SUPPLEMENTARY INFORMATION:                            4018 of the Transportation Equity Act
daltland on DSKBBV9HB2PROD with NOTICES




                                               methods:                                                                                                      for the 21st Century (49 U.S.C. 31305).
                                                  • Federal eRulemaking Portal: Go to                  I. Background                                         Section 4129 requires: (1) Elimination of
                                               http://www.regulations.gov. Follow the                     Under 49 U.S.C. 31136(e) and 31315,                the requirement for three years of
                                               online instructions for submitting                      FMCSA may grant an exemption from                     experience operating CMVs while being
                                               comments.                                               the FMCSRs for a five-year period if it               treated with insulin; and (2)
                                                  • Mail: Docket Management Facility;                  finds ‘‘such exemption would likely                   establishment of a specified minimum
                                               U.S. Department of Transportation, 1200                 achieve a level of safety that is                     period of insulin use to demonstrate


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Document Created: 2018-05-26 00:48:48
Document Modified: 2018-05-26 00:48:48
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 applications for exemption; request for comments.
DatesComments must be received on or before June 28, 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 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 24555 

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