83_FR_28454 83 FR 28337 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

83 FR 28337 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 117 (June 18, 2018)

Page Range28337-28339
FR Document2018-13011

FMCSA announces its decision to exempt 72 individuals from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with insulin-treated diabetes mellitus (ITDM) from operating a commercial motor vehicle (CMV) in interstate commerce. The exemptions enable these individuals with ITDM to operate CMVs in interstate commerce.

Federal Register, Volume 83 Issue 117 (Monday, June 18, 2018)
[Federal Register Volume 83, Number 117 (Monday, June 18, 2018)]
[Notices]
[Pages 28337-28339]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-13011]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[FMCSA Docket No. FMCSA-2018-0024]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

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

ACTION: Notice of final disposition.

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

SUMMARY: FMCSA announces its decision to exempt 72 individuals from the 
prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) 
against persons with insulin-treated diabetes mellitus (ITDM) from 
operating a commercial motor vehicle (CMV) in interstate commerce. The 
exemptions enable these individuals with ITDM to operate CMVs in 
interstate commerce.

DATES: The exemptions were applicable on May 10, 2018. The exemptions 
expire on May 10, 2020.

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

SUPPLEMENTARY INFORMATION: 

I. Electronic Access

    You may see all the comments online through the Federal Document 
Management System (FDMS) at: http://www.regulations.gov.
    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov and/or Room W12-140 on the 
ground level of the West Building, 1200 New Jersey Avenue SE, 
Washington, DC, between 9 a.m. and 5 p.m., e.t., Monday through Friday, 
except Federal holidays.
    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.

[[Page 28338]]

II. Background

    On April 9, 2018, FMCSA published a notice announcing receipt of 
applications from 72 individuals requesting an exemption from diabetes 
requirement in 49 CFR 391.41(b)(3) and requested comments from the 
public (83 FR 15202). The public comment period ended on May 9, 2018, 
and no comments were received.
    FMCSA has evaluated the eligibility of these applicants and 
determined that granting the exemptions to these individuals would 
achieve a level of safety equivalent to or greater than the level that 
would be achieved by complying with the current regulation 49 CFR 
391.41(b)(3).
    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.

III. Discussion of Comments

    FMCSA received no comments in this proceeding.

IV. Basis for Exemption Determination

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the diabetes standard in 49 CFR 391.41(b)(3) if the exemption is 
likely to achieve an equivalent or greater level of safety than would 
be achieved without the exemption. The exemption allows the applicants 
to operate CMVs in interstate commerce.
    The Agency's decision regarding these exemption applications is 
based on the program eligibility criteria and an individualized 
assessment of information submitted by each applicant. The 
qualifications, experience, and medical condition of each applicant 
were stated and discussed in detail in the April 9, 2018, Federal 
Register notice (83 FR 15202) and will not be repeated in this notice.
    These 72 applicants have had ITDM over a range of 1 to 32 years. 
These applicants report no severe hypoglycemic reactions resulting in 
loss of consciousness or seizure, requiring the assistance of another 
person, or resulting in impaired cognitive function that occurred 
without warning symptoms, in the past 12 months and no recurrent (two 
or more) severe hypoglycemic episodes in the past five years. In each 
case, an endocrinologist verified that the driver has demonstrated a 
willingness to properly monitor and manage his/her diabetes mellitus, 
received education related to diabetes management, and is on a stable 
insulin regimen. These drivers report no other disqualifying 
conditions, including diabetes related complications. Each meets the 
vision requirement at 49 CFR 391.41(b)(10).
    Consequently, FMCSA finds that in each case exempting these 
applicants from the diabetes requirement in 49 CFR 391.41(b)(3) is 
likely to achieve a level of safety equal to that existing without the 
exemption.

V. Conditions and Requirements

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

VI. Preemption

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

VII. Conclusion

    Based upon its evaluation of the 72 exemption applications, FMCSA 
exempts the following drivers from the diabetes requirement in 49 CFR 
391.41(b)(10), subject to the requirements cited above:

Anthony R. Adamo (NY)
Waleid M. Aly (NJ)
Danny T. Anderson (GA)
Robert F. Araway, II (MI)
Roger M. Aschan (IA)
James V. Azzarello (PA)
Curtis B. Baker (DE)
Keith L. Banitt (MN)
Robert L. Bates (TX)
Timmy L. Bergman (IN)
John G. Biggs (MO)
Jason R. Brown (IA)
David W. Burkholder (PA)
Jeffrey J. Burrichter (TX)
Lou M. Cain (TX)
Brayden S. Carothers (UT)
William E. Carr (MA)
Ebon T. Christian (CA)
Yasser A. Daadour (WA)
Michael C. Elliott (KY)
Michael A. Fowler (OH)
Corey J. Gillard (TN)
John D. Goodrich (NE)
Mike Gordon (CA)
Daniel W. Greene (IN)
Rodney K. Hammond (IN)
Kasey D. Hardie (WA)
Donald F. Higgins (IN)
Raymond O. Hill (IL)
Peter M. Hluchaniuk (FL)
Phillip G. Hortin (IN)
Robert C. Hosfelt (PA)
Benjirman A. Hufstedler (NE)
Terry A. Jeralds (IL)
Nicholas L. Judd (KS)
Joseph Kohorst (TX)
Matthew J. Lacey, Sr. (IL)
Douglas B. Lampela (MI)
Timothy Leroux (MA)
Robert A. Lukasavage (PA)
Elias Martinez-Medina (ID)
Michael E. Maxcy (MS)
Edwin P. McNamara (SD)
Barbara J. McNew (IN)
William A. Mejia (MA)
David L. Mitchell (IA)
Ibrahim Moussa (IN)
Steven E. Nixon (CO)
Kendrick D. Northan (VA)
Robert L. Pae, Jr. (NJ)
James A. Parnell (SC)
Tyler D. Pittsley (ND)
Austin L. Powell (TX)
Randolph L. Saunders (PA)
Thomas J. Scholten (MI)
Gerod M. Scott (SC)
Patty A. Sealy (AL)
Elvin L. Shaum (OH)
Joseph A. Snyder (OH)
Brandon T. Staebler (OR)
Max H. Swartz, Jr. (PA)
Brian J. Tegeler (IL)
Tony L. Tracy (IN)
Jonathan P. Tschannen (IL)
Philip C. Vanderiet (TX)
David W. Vickmark (MN)
Aaron A. Ward (IL)
Jerry C. Ward (LA)
Michael A. Wells (GA)
Kennie O. Williams (NC)
Robert V. Woodrup (NC)
Joseph H. Woods (OH)

    In accordance with 49 U.S.C. 31136(e) and 31315, each exemption 
will be valid for two years from the effective date unless revoked 
earlier by FMCSA. The

[[Page 28339]]

exemption will be revoked if the following occurs: (1) The person fails 
to comply with the terms and conditions of the exemption; (2) the 
exemption has resulted in a lower level of safety than was maintained 
prior to being granted; or (3) continuation of the exemption would not 
be consistent with the goals and objectives of 49 U.S.C. 31136(e) and 
31315.

    Issued on: June 11, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-13011 Filed 6-15-18; 8:45 am]
BILLING CODE 4910-EX-P



                                                                             Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices                                            28337

                                              has driven straight trucks for six years,               III. Request for Comments                              DEPARTMENT OF TRANSPORTATION
                                              accumulating 180,000 miles, and
                                              tractor-trailer combinations for four                     In accordance with 49 U.S.C. 31136(e)                Federal Motor Carrier Safety
                                              years, accumulating 40,000 miles. He                    and 31315, FMCSA requests public                       Administration
                                              holds an operator’s license from South                  comment from all interested persons on
                                              Dakota. His driving record for the last                 the exemption petitions described in                   [FMCSA Docket No. FMCSA–2018–0024]
                                              three years shows no crashes and no                     this notice. We will consider all
                                              convictions for moving violations in a                  comments and material received before                  Qualification of Drivers; Exemption
                                              CMV.                                                    the close of business on the closing date              Applications; Diabetes Mellitus
                                                                                                      indicated in the dates section of the
                                              Marco A. Pinto                                                                                                 AGENCY: Federal Motor Carrier Safety
                                                                                                      notice.
                                                Mr. Pinto, 70, has a prosthetic left eye                                                                     Administration (FMCSA), DOT.
                                                                                                      IV. Submitting Comments                                ACTION: Notice of final disposition.
                                              due to a traumatic incident in 2001. The
                                              visual acuity in his right eye is 20/20,                   You may submit your comments and
                                              and in his left eye, no light perception.                                                                      SUMMARY:   FMCSA announces its
                                                                                                      material online or by fax, mail, or hand
                                              Following an examination in 2018, his                                                                          decision to exempt 72 individuals from
                                                                                                      delivery, but please use only one of
                                              ophthalmologist stated, ‘‘I believe he                                                                         the prohibition in the Federal Motor
                                                                                                      these means. FMCSA recommends that                     Carrier Safety Regulations (FMCSRs)
                                              has sufficient vision to perform the                    you include your name and a mailing
                                              driving tasks needed to operate a                                                                              against persons with insulin-treated
                                                                                                      address, an email address, or a phone                  diabetes mellitus (ITDM) from operating
                                              commercial vehicle.’’ Mr. Pinto reported
                                                                                                      number in the body of your document                    a commercial motor vehicle (CMV) in
                                              that he has driven tractor-trailer
                                              combinations for 54 years, accumulating                 so that FMCSA can contact you if there                 interstate commerce. The exemptions
                                              5.4 million miles. He holds a Class A                   are questions regarding your                           enable these individuals with ITDM to
                                              CDL from New York. His driving record                   submission.                                            operate CMVs in interstate commerce.
                                              for the last three years shows no crashes                  To submit your comment online, go to                DATES: The exemptions were applicable
                                              and no convictions for moving                           http://www.regulations.gov and in the                  on May 10, 2018. The exemptions
                                              violations in a CMV.                                    search box insert the docket number                    expire on May 10, 2020.
                                              Andrew R. Sampson, Jr.                                  FMCSA–2018–0013 and click the search                   FOR FURTHER INFORMATION CONTACT: Ms.
                                                                                                      button. When the new screen appears,                   Christine A. Hydock, Chief, Medical
                                                 Mr. Sampson, 50, has complete loss of                click on the blue ‘‘Comment Now!’’                     Programs Division, (202) 366–4001,
                                              vision in his left eye due to a ruptured                button on the right hand side of the                   fmcsamedical@dot.gov, FMCSA,
                                              globe in childhood. The visual acuity in                page. On the new page, enter                           Department of Transportation, 1200
                                              his right eye is 20/15, and in his left eye,            information required including the                     New Jersey Avenue SE, Room W64–224,
                                              no light perception. Following an                       specific section of this document to                   Washington, DC 20590–0001. Office
                                              examination in 2018, his optometrist                    which each comment applies, and                        hours are from 8:30 a.m. to 5 p.m., e.t.,
                                              stated, ‘‘I certify that Mr. Sampson, in                provide a reason for each suggestion or                Monday through Friday, except Federal
                                              my medical opinion, has sufficient                      recommendation. If you submit your                     holidays. If you have questions
                                              vision to perform driving tasks required                comments by mail or hand delivery,                     regarding viewing or submitting
                                              to operate a commercial vehicle.’’ Mr.                  submit them in an unbound format, no                   material to the docket, contact Docket
                                              Sampson reported that he has driven                                                                            Services, telephone (202) 366–9826.
                                                                                                      larger than 81⁄2 by 11 inches, suitable for
                                              straight trucks for 15 years,
                                                                                                      copying and electronic filing. If you                  SUPPLEMENTARY INFORMATION:
                                              accumulating 720,000 miles, and
                                              tractor-trailer combinations for two                    submit comments by mail and would
                                                                                                      like to know that they reached the                     I. Electronic Access
                                              years, accumulating 80,000 miles. He
                                              holds a Class A CDL from Maryland. His                  facility, please enclose a stamped, self-                 You may see all the comments online
                                              driving record for the last three years                 addressed postcard or envelope.                        through the Federal Document
                                              shows no crashes and no convictions for                    We will consider all comments and                   Management System (FDMS) at: http://
                                              moving violations in a CMV.                             materials received during the comment                  www.regulations.gov.
                                                                                                      period. FMCSA may issue a final                           Docket: For access to the docket to
                                              Khamla Vongvoraseng                                                                                            read background documents or
                                                                                                      determination at any time after the close
                                                 Ms. Vongvoraseng, 37, has had                        of the comment period.                                 comments, go to http://
                                              amblyopia in her right eye since                                                                               www.regulations.gov and/or Room
                                              childhood. The visual acuity in her right               V. Viewing Comments and Documents                      W12–140 on the ground level of the
                                              eye is 20/100, and in her left eye, 20/                                                                        West Building, 1200 New Jersey Avenue
                                                                                                        To view comments, as well as any
                                              20. Following an examination in 2018,                                                                          SE, Washington, DC, between 9 a.m. and
                                                                                                      documents mentioned in this preamble,                  5 p.m., e.t., Monday through Friday,
                                              her optometrist stated, ‘‘Without a
                                                                                                      go to http://www.regulations.gov and in                except Federal holidays.
                                              doubt, I certify that in my medical
                                                                                                      the search box insert the docket number
                                              opinion, Ms. Khamla Vongvoraseng has                                                                              Privacy Act: In accordance with 5
                                              sufficient vision to perform the driving                FMCSA–2018–0013 and click ‘‘Search.’’                  U.S.C. 553(c), DOT solicits comments
                                              task required to operate a commercial                   Next, click ‘‘Open Docket Folder’’ and                 from the public to better inform its
                                              vehicle.’’ Ms. Vongvoraseng reported                    you will find all documents and                        rulemaking process. DOT posts these
amozie on DSK3GDR082PROD with NOTICES1




                                              that she has driven straight trucks for                 comments related to this notice.                       comments, without edit, including any
                                              five years, accumulating 121,920 miles.                   Issued on: June 11, 2018.                            personal information the commenter
                                              She holds an operator’s license from                    Larry W. Minor,                                        provides, to http://www.regulations.gov,
                                              North Carolina. Her driving record for                  Associate Administrator for Policy.
                                                                                                                                                             as described in the system of records
                                              the last three years shows no crashes                                                                          notice (DOT/ALL–14 FDMS), which can
                                                                                                      [FR Doc. 2018–13006 Filed 6–15–18; 8:45 am]
                                              and no convictions for moving                                                                                  be reviewed at http://www.dot.gov/
                                              violations in a CMV.                                    BILLING CODE 4910–EX–P                                 privacy.


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                                              28338                          Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices

                                              II. Background                                          diabetes management, and is on a stable                Robert L. Bates (TX)
                                                 On April 9, 2018, FMCSA published                    insulin regimen. These drivers report no               Timmy L. Bergman (IN)
                                              a notice announcing receipt of                          other disqualifying conditions,                        John G. Biggs (MO)
                                              applications from 72 individuals                        including diabetes related                             Jason R. Brown (IA)
                                              requesting an exemption from diabetes                   complications. Each meets the vision                   David W. Burkholder (PA)
                                              requirement in 49 CFR 391.41(b)(3) and                  requirement at 49 CFR 391.41(b)(10).                   Jeffrey J. Burrichter (TX)
                                                                                                        Consequently, FMCSA finds that in                    Lou M. Cain (TX)
                                              requested comments from the public (83
                                                                                                      each case exempting these applicants                   Brayden S. Carothers (UT)
                                              FR 15202). The public comment period
                                                                                                      from the diabetes requirement in 49 CFR                William E. Carr (MA)
                                              ended on May 9, 2018, and no
                                                                                                      391.41(b)(3) is likely to achieve a level              Ebon T. Christian (CA)
                                              comments were received.
                                                                                                      of safety equal to that existing without               Yasser A. Daadour (WA)
                                                 FMCSA has evaluated the eligibility
                                                                                                      the exemption.                                         Michael C. Elliott (KY)
                                              of these applicants and determined that
                                              granting the exemptions to these                        V. Conditions and Requirements                         Michael A. Fowler (OH)
                                              individuals would achieve a level of                                                                           Corey J. Gillard (TN)
                                                                                                         The terms and conditions of the                     John D. Goodrich (NE)
                                              safety equivalent to or greater than the                exemption are provided to the
                                              level that would be achieved by                                                                                Mike Gordon (CA)
                                                                                                      applicants in the exemption document                   Daniel W. Greene (IN)
                                              complying with the current regulation                   and includes the following: (1) Each
                                              49 CFR 391.41(b)(3).                                                                                           Rodney K. Hammond (IN)
                                                                                                      driver must submit a quarterly                         Kasey D. Hardie (WA)
                                                 The physical qualification standard                  monitoring checklist completed by the
                                              for drivers regarding diabetes found in                                                                        Donald F. Higgins (IN)
                                                                                                      treating endocrinologist as well as an                 Raymond O. Hill (IL)
                                              49 CFR 391.41(b)(3) states that a person                annual checklist with a comprehensive
                                              is physically qualified to drive a CMV                                                                         Peter M. Hluchaniuk (FL)
                                                                                                      medical evaluation; (2) each driver must               Phillip G. Hortin (IN)
                                              if that person has no established                       report within two business days of
                                              medical history or clinical diagnosis of                                                                       Robert C. Hosfelt (PA)
                                                                                                      occurrence, all episodes of severe                     Benjirman A. Hufstedler (NE)
                                              diabetes mellitus currently requiring                   hypoglycemia, significant
                                              insulin for control.                                                                                           Terry A. Jeralds (IL)
                                                                                                      complications, or inability to manage                  Nicholas L. Judd (KS)
                                              III. Discussion of Comments                             diabetes; also, any involvement in an                  Joseph Kohorst (TX)
                                                                                                      accident or any other adverse event in                 Matthew J. Lacey, Sr. (IL)
                                                FMCSA received no comments in this
                                                                                                      a CMV or personal vehicle, whether or                  Douglas B. Lampela (MI)
                                              proceeding.
                                                                                                      not it is related to an episode of                     Timothy Leroux (MA)
                                              IV. Basis for Exemption Determination                   hypoglycemia; (3) each driver must                     Robert A. Lukasavage (PA)
                                                Under 49 U.S.C. 31136(e) and 31315,                   provide a copy of the ophthalmologist’s                Elias Martinez-Medina (ID)
                                              FMCSA may grant an exemption from                       or optometrist’s report to the Medical                 Michael E. Maxcy (MS)
                                              the diabetes standard in 49 CFR                         Examiner at the time of the annual                     Edwin P. McNamara (SD)
                                              391.41(b)(3) if the exemption is likely to              medical examination; and (4) each                      Barbara J. McNew (IN)
                                              achieve an equivalent or greater level of               driver must provide a copy of the                      William A. Mejia (MA)
                                              safety than would be achieved without                   annual medical certification to the                    David L. Mitchell (IA)
                                              the exemption. The exemption allows                     employer for retention in the driver’s                 Ibrahim Moussa (IN)
                                              the applicants to operate CMVs in                       qualification file, or keeping a copy in               Steven E. Nixon (CO)
                                              interstate commerce.                                    his/her driver’s qualification file if he/             Kendrick D. Northan (VA)
                                                The Agency’s decision regarding these                 she is self-employed. The driver must                  Robert L. Pae, Jr. (NJ)
                                              exemption applications is based on the                  also have a copy of the exemption when                 James A. Parnell (SC)
                                              program eligibility criteria and an                     driving, for presentation to a duly                    Tyler D. Pittsley (ND)
                                              individualized assessment of                            authorized Federal, State, or local                    Austin L. Powell (TX)
                                              information submitted by each                           enforcement official.                                  Randolph L. Saunders (PA)
                                              applicant. The qualifications,                          VI. Preemption                                         Thomas J. Scholten (MI)
                                              experience, and medical condition of                                                                           Gerod M. Scott (SC)
                                                                                                         During the period the exemption is in               Patty A. Sealy (AL)
                                              each applicant were stated and                          effect, no State shall enforce any law or
                                              discussed in detail in the April 9, 2018,                                                                      Elvin L. Shaum (OH)
                                                                                                      regulation that conflicts with this                    Joseph A. Snyder (OH)
                                              Federal Register notice (83 FR 15202)                   exemption with respect to a person
                                              and will not be repeated in this notice.                                                                       Brandon T. Staebler (OR)
                                                                                                      operating under the exemption.                         Max H. Swartz, Jr. (PA)
                                                These 72 applicants have had ITDM
                                              over a range of 1 to 32 years. These                    VII. Conclusion                                        Brian J. Tegeler (IL)
                                              applicants report no severe                                                                                    Tony L. Tracy (IN)
                                                                                                        Based upon its evaluation of the 72
                                              hypoglycemic reactions resulting in loss                                                                       Jonathan P. Tschannen (IL)
                                                                                                      exemption applications, FMCSA
                                              of consciousness or seizure, requiring                                                                         Philip C. Vanderiet (TX)
                                                                                                      exempts the following drivers from the
                                              the assistance of another person, or                                                                           David W. Vickmark (MN)
                                                                                                      diabetes requirement in 49 CFR
                                              resulting in impaired cognitive function                                                                       Aaron A. Ward (IL)
                                                                                                      391.41(b)(10), subject to the
                                              that occurred without warning                                                                                  Jerry C. Ward (LA)
                                                                                                      requirements cited above:
                                              symptoms, in the past 12 months and no                                                                         Michael A. Wells (GA)
amozie on DSK3GDR082PROD with NOTICES1




                                                                                                      Anthony R. Adamo (NY)                                  Kennie O. Williams (NC)
                                              recurrent (two or more) severe                          Waleid M. Aly (NJ)
                                              hypoglycemic episodes in the past five                                                                         Robert V. Woodrup (NC)
                                                                                                      Danny T. Anderson (GA)
                                              years. In each case, an endocrinologist                 Robert F. Araway, II (MI)                              Joseph H. Woods (OH)
                                              verified that the driver has                            Roger M. Aschan (IA)                                      In accordance with 49 U.S.C. 31136(e)
                                              demonstrated a willingness to properly                  James V. Azzarello (PA)                                and 31315, each exemption will be valid
                                              monitor and manage his/her diabetes                     Curtis B. Baker (DE)                                   for two years from the effective date
                                              mellitus, received education related to                 Keith L. Banitt (MN)                                   unless revoked earlier by FMCSA. The


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                                                                             Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices                                             28339

                                              exemption will be revoked if the                        West Building, 1200 New Jersey Avenue                     These 40 applicants have had ITDM
                                              following occurs: (1) The person fails to               SE, Washington, DC, between 9 a.m. and                 over a range of 1 to 37 years. These
                                              comply with the terms and conditions                    5 p.m., e.t., Monday through Friday,                   applicants report no severe
                                              of the exemption; (2) the exemption has                 except Federal holidays.                               hypoglycemic reactions resulting in loss
                                              resulted in a lower level of safety than                   Privacy Act: In accordance with 5                   of consciousness or seizure, requiring
                                              was maintained prior to being granted;                  U.S.C. 553(c), DOT solicits comments                   the assistance of another person, or
                                              or (3) continuation of the exemption                    from the public to better inform its                   resulting in impaired cognitive function
                                              would not be consistent with the goals                  rulemaking process. DOT posts these                    that occurred without warning
                                              and objectives of 49 U.S.C. 31136(e) and                comments, without edit, including any                  symptoms, in the past 12 months and no
                                              31315.                                                  personal information the commenter                     recurrent (two or more) severe
                                                Issued on: June 11, 2018.                             provides, to http://www.regulations.gov,               hypoglycemic episodes in the past five
                                                                                                      as described in the system of records                  years. In each case, an endocrinologist
                                              Larry W. Minor,
                                                                                                      notice (DOT/ALL–14 FDMS), which can                    verified that the driver has
                                              Associate Administrator for Policy.                                                                            demonstrated a willingness to properly
                                                                                                      be reviewed at http://www.dot.gov/
                                              [FR Doc. 2018–13011 Filed 6–15–18; 8:45 am]             privacy.                                               monitor and manage his/her diabetes
                                              BILLING CODE 4910–EX–P                                                                                         mellitus, received education related to
                                                                                                      II. Background                                         diabetes management, and is on a stable
                                                                                                         On April 27, 2018, FMCSA published                  insulin regimen. These drivers report no
                                              DEPARTMENT OF TRANSPORTATION                            a notice announcing receipt of                         other disqualifying conditions,
                                                                                                      applications from 40 individuals                       including diabetes related
                                              Federal Motor Carrier Safety                            requesting an exemption from diabetes                  complications. Each meets the vision
                                              Administration                                          requirement in 49 CFR 391.41(b)(3) and                 requirement at 49 CFR 391.41(b)(10).
                                              [FMCSA Docket No. FMCSA–2018–0025]                      requested comments from the public (83                    Consequently, FMCSA finds that in
                                                                                                      FR 18627). The public comment period                   each case exempting these applicants
                                              Qualification of Drivers; Exemption                     ended on May 29, 2018, and no                          from the diabetes requirement in 49 CFR
                                              Applications; Diabetes Mellitus                         comments were received.                                391.41(b)(3) is likely to achieve a level
                                                                                                         FMCSA has evaluated the eligibility                 of safety equal to that existing without
                                              AGENCY: Federal Motor Carrier Safety
                                                                                                      of these applicants and determined that                the exemption.
                                              Administration (FMCSA), DOT.
                                                                                                      granting the exemptions to these
                                              ACTION: Notice of final disposition.                                                                           V. Conditions and Requirements
                                                                                                      individuals would achieve a level of
                                                                                                      safety equivalent to or greater than the                  The terms and conditions of the
                                              SUMMARY:   FMCSA announces its
                                                                                                      level that would be achieved by                        exemption are provided to the
                                              decision to exempt 40 individuals from
                                                                                                      complying with the current regulation                  applicants in the exemption document
                                              the prohibition in the Federal Motor
                                                                                                      49 CFR 391.41(b)(3).                                   and includes the following: (1) Each
                                              Carrier Safety Regulations (FMCSRs)
                                                                                                         The physical qualification standard                 driver must submit a quarterly
                                              against persons with insulin-treated
                                                                                                      for drivers regarding diabetes found in                monitoring checklist completed by the
                                              diabetes mellitus (ITDM) from operating                                                                        treating endocrinologist as well as an
                                              a commercial motor vehicle (CMV) in                     49 CFR 391.41(b)(3) states that a person
                                                                                                      is physically qualified to drive a CMV                 annual checklist with a comprehensive
                                              interstate commerce. The exemptions                                                                            medical evaluation; (2) each driver must
                                              enable these individuals with ITDM to                   if that person has no established
                                                                                                      medical history or clinical diagnosis of               report within two business days of
                                              operate CMVs in interstate commerce.                                                                           occurrence, all episodes of severe
                                                                                                      diabetes mellitus currently requiring
                                              DATES: The exemptions were applicable                                                                          hypoglycemia, significant
                                                                                                      insulin for control.
                                              on May 30, 2018. The exemptions                                                                                complications, or inability to manage
                                              expire on May 30, 2020.                                 III. Discussion of Comments                            diabetes; also, any involvement in an
                                              FOR FURTHER INFORMATION CONTACT: Ms.                       FMCSA received no comments in this                  accident or any other adverse event in
                                              Christine A. Hydock, Chief, Medical                     proceeding.                                            a CMV or personal vehicle, whether or
                                              Programs Division, (202) 366–4001,                                                                             not it is related to an episode of
                                              fmcsamedical@dot.gov, FMCSA,                            IV. Basis for Exemption Determination
                                                                                                                                                             hypoglycemia; (3) each driver must
                                              Department of Transportation, 1200                        Under 49 U.S.C. 31136(e) and 31315,                  provide a copy of the ophthalmologist’s
                                              New Jersey Avenue SE, Room W64–224,                     FMCSA may grant an exemption from                      or optometrist’s report to the Medical
                                              Washington, DC 20590–0001. Office                       the diabetes standard in 49 CFR                        Examiner at the time of the annual
                                              hours are from 8:30 a.m. to 5 p.m., e.t.,               391.41(b)(3) if the exemption is likely to             medical examination; and (4) each
                                              Monday through Friday, except Federal                   achieve an equivalent or greater level of              driver must provide a copy of the
                                              holidays. If you have questions                         safety than would be achieved without                  annual medical certification to the
                                              regarding viewing or submitting                         the exemption. The exemption allows                    employer for retention in the driver’s
                                              material to the docket, contact Docket                  the applicants to operate CMVs in                      qualification file, or keeping a copy in
                                              Services, telephone (202) 366–9826.                     interstate commerce.                                   his/her driver’s qualification file if he/
                                              SUPPLEMENTARY INFORMATION:                                The Agency’s decision regarding these                she is self-employed. The driver must
                                                                                                      exemption applications is based on the                 also have a copy of the exemption when
                                              I. Electronic Access                                    program eligibility criteria and an                    driving, for presentation to a duly
                                                 You may see all the comments online                  individualized assessment of                           authorized Federal, State, or local
                                              through the Federal Document                            information submitted by each                          enforcement official.
amozie on DSK3GDR082PROD with NOTICES1




                                              Management System (FDMS) at: http://                    applicant. The qualifications,
                                              www.regulations.gov.                                    experience, and medical condition of                   VI. Preemption
                                                 Docket: For access to the docket to                  each applicant were stated and                            During the period the exemption is in
                                              read background documents or                            discussed in detail in the April 27,                   effect, no State shall enforce any law or
                                              comments, go to http://                                 2018, Federal Register notice (83 FR                   regulation that conflicts with this
                                              www.regulations.gov and/or Room                         18627) and will not be repeated in this                exemption with respect to a person
                                              W12–140 on the ground level of the                      notice.                                                operating under the exemption.


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Document Created: 2018-06-18 15:50:30
Document Modified: 2018-06-18 15:50:30
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of final disposition.
DatesThe exemptions were applicable on May 10, 2018. The exemptions expire on May 10, 2020.
ContactMs. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are from 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826.
FR Citation83 FR 28337 

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