83_FR_53939 83 FR 53733 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

83 FR 53733 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 206 (October 24, 2018)

Page Range53733-53734
FR Document2018-23235

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

Federal Register, Volume 83 Issue 206 (Wednesday, October 24, 2018)
[Federal Register Volume 83, Number 206 (Wednesday, October 24, 2018)]
[Notices]
[Pages 53733-53734]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-23235]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2013-0443]


Qualification of Drivers; Exemption Applications; Epilepsy and 
Seizure Disorders

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

ACTION: Notice of final disposition.

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

DATES: The exemptions were applicable on May 19, 2018. The exemptions 
expire on May 19, 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., 
ET, 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.

[[Page 53734]]


SUPPLEMENTARY INFORMATION: 

I. Public Participation

A. Viewing Documents and Comments

    To view comments, as well as any documents mentioned in this notice 
as being available in the docket, go to http://www.regulations.gov. 
Insert the docket number, FMCSA-2013-0443, in the keyword box, and 
click ``Search.'' Next, click the ``Open Docket Folder'' button and 
choose the document to review. If you do not have access to the 
internet, you may view the docket online by visiting the Docket 
Management Facility in Room W12-140 on the Ground Floor of the DOT West 
Building, 1200 New Jersey Avenue SE, Washington, DC 20590, between 9 
a.m. and 5 p.m., ET, Monday through Friday, except Federal holidays.

B. 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 www.regulations.gov, as described in the system 
of records notice (DOT/ALL-14 FDMS), which can be reviewed at 
www.dot.gov/privacy.

II. Background

    On July 20, 2018, FMCSA published a notice announcing its decision 
to renew exemptions for five individuals from the epilepsy and seizure 
disorders prohibition in 49 CFR 391.41(b)(8) to operate a CMV in 
interstate commerce and requested comments from the public (83 FR 
34670). The public comment period ended on August 20, 2018, and no 
comments were received.
    As stated in the previous notice, FMCSA has evaluated the 
eligibility of these applicants and determined that renewing these 
exemptions 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)(8).
    The physical qualification standard for drivers regarding epilepsy 
found in 49 CFR 391.41(b)(8) states that a person is physically 
qualified to drive a CMV if that person has no established medical 
history or clinical diagnosis of epilepsy or any other condition which 
is likely to cause the loss of consciousness or any loss of ability to 
control a CMV.
    In addition to the regulations, FMCSA has published advisory 
criteria to assist Medical Examiners in determining whether drivers 
with certain medical conditions are qualified to operate a CMV in 
interstate commerce. [49 CFR part 391, APPENDIX A TO PART 391--MEDICAL 
ADVISORY CRITERIA, section H. Epilepsy: Sec.  391.41(b)(8), paragraphs 
3, 4, and 5.]

III. Discussion of Comments

    FMCSA received no comments in this proceeding.

IV. Conclusion

    Based on its evaluation of the five renewal exemption applications, 
FMCSA announces its' decision to exempt the following drivers from the 
epilepsy and seizure disorders prohibition in 49 CFR 391.41(b)(8):

Thomas Bynum (NC)
Ronald A. Hartl (WI)
Craig Hoisington (NH)
Michael W. Miller (WI)
Peter M. Thompson (FL)

    The drivers were included in docket number FMCSA-2013-0443. Their 
exemptions are applicable as of May 19, 2018, and will expire on May 
19, 2020.
    In accordance with 49 U.S.C. 31315, each exemption will be valid 
for two years from the effective date unless revoked earlier by FMCSA. 
The exemption will be revoked if the following occurs: (1) The person 
fails to comply with the terms and conditions of the exemption; (2) the 
exemption has resulted in a lower level of safety than was maintained 
prior to being granted; or (3) continuation of the exemption would not 
be consistent with the goals and objectives of 49 U.S.C. 31136 and 
31315.

    Issued on: October 15, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-23235 Filed 10-23-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                        Federal Register / Vol. 83, No. 206 / Wednesday, October 24, 2018 / Notices                                                53733

                                              and experience driving with the vision                  record of safety while driving with their               In accordance with 49 U.S.C. 31136(e)
                                              deficiency. The qualifications,                         vision impairment, demonstrating the                  and 31315, each exemption will be valid
                                              experience, and medical condition of                    likelihood that they have adapted their               for two years from the effective date
                                              each applicant were stated and                          driving skills to accommodate their                   unless revoked earlier by FMCSA. The
                                              discussed in detail in the July 20, 2018,               condition. As the applicants’ ample                   exemption will be revoked if the
                                              Federal Register notice (83 FR 34667)                   driving histories with their vision                   following occurs: (1) The person fails to
                                              and will not be repeated in this notice.                deficiencies are good predictors of                   comply with the terms and conditions
                                                 FMCSA recognizes that some drivers                   future performance, FMCSA concludes                   of the exemption; (2) the exemption has
                                              do not meet the vision requirement but                  their ability to drive safely can be                  resulted in a lower level of safety than
                                              have adapted their driving to                           projected into the future.                            was maintained prior to being granted;
                                              accommodate their limitation and                           Consequently, FMCSA finds that in                  or (3) continuation of the exemption
                                              demonstrated their ability to drive                     each case exempting these applicants                  would not be consistent with the goals
                                              safely. The nine exemption applicants                   from the vision requirement in 49 CFR                 and objectives of 49 U.S.C. 31136 and
                                              listed in this notice are in this category.             391.41(b)(10) is likely to achieve a level            31315.
                                              They are unable to meet the vision                      of safety equal to that existing without
                                              requirement in one eye for various                      the exemption.                                          Issued on: October 15, 2018.
                                              reasons, including amblyopia, aphakia,
                                                                                                      V. Conditions and Requirements                        Larry W. Minor,
                                              cataract, glaucoma, optic nerve
                                              hypoplasia, prosthesis, and retinal                        The terms and conditions of the                    Associate Administrator for Policy.
                                              detachment. In most cases, their eye                    exemption are provided to the                         [FR Doc. 2018–23233 Filed 10–23–18; 8:45 am]
                                              conditions were not recently developed.                 applicants in the exemption document                  BILLING CODE 4910–EX–P
                                              Five of the applicants were either born                 and includes the following: (1) Each
                                              with their vision impairments or have                   driver must be physically examined
                                              had them since childhood. The four                      every year (a) by an ophthalmologist or               DEPARTMENT OF TRANSPORTATION
                                              individuals that sustained their vision                 optometrist who attests that the vision
                                              conditions as adults have had it for a                                                                        Federal Motor Carrier Safety
                                                                                                      in the better eye continues to meet the
                                              range of four to nine years. Although                                                                         Administration
                                                                                                      standard in 49 CFR 391.41(b)(10) and (b)
                                              each applicant has one eye which does                   by a certified Medical Examiner who                   [Docket No. FMCSA–2013–0443]
                                              not meet the vision requirement in 49                   attests that the individual is otherwise
                                              CFR 391.41(b)(10), each has at least 20/                physically qualified under 49 CFR                     Qualification of Drivers; Exemption
                                              40 corrected vision in the other eye, and               391.41; (2) each driver must provide a                Applications; Epilepsy and Seizure
                                              in a doctor’s opinion, has sufficient                   copy of the ophthalmologist’s or                      Disorders
                                              vision to perform all the tasks necessary               optometrist’s report to the Medical                   AGENCY: Federal Motor Carrier Safety
                                              to operate a CMV.                                       Examiner at the time of the annual                    Administration (FMCSA), DOT.
                                                 Doctors’ opinions are supported by                   medical examination; and (3) each
                                              the applicants’ possession of a valid                                                                         ACTION: Notice of final disposition.
                                                                                                      driver must provide a copy of the
                                              license to operate a CMV. By meeting                    annual medical certification to the                   SUMMARY:   FMCSA announces its
                                              State licensing requirements, the                       employer for retention in the driver’s                decision to renew exemptions for five
                                              applicants demonstrated their ability to                qualification file, or keep a copy in his/            individuals from the requirement in the
                                              operate a CMV, with their limited vision                her driver’s qualification file if he/she is          Federal Motor Carrier Safety
                                              in intrastate commerce, even though                     self-employed. The driver must also                   Regulations (FMCSRs) that interstate
                                              their vision disqualified them from                     have a copy of the exemption when                     commercial motor vehicle (CMV)
                                              driving in interstate commerce. We                      driving, for presentation to a duly                   drivers have ‘‘no established medical
                                              believe that the applicants’ intrastate                 authorized Federal, State, or local                   history or clinical diagnosis of epilepsy
                                              driving experience and history provide                  enforcement official.                                 or any other condition which is likely
                                              an adequate basis for predicting their
                                                                                                      VI. Preemption                                        to cause loss of consciousness or any
                                              ability to drive safely in interstate
                                                                                                                                                            loss of ability to control a CMV.’’ The
                                              commerce. Intrastate driving, like                         During the period the exemption is in              exemptions enable these individuals
                                              interstate operations, involves                         effect, no State shall enforce any law or             who have had one or more seizures and
                                              substantial driving on highways on the                  regulation that conflicts with this                   are taking anti-seizure medication to
                                              interstate system and on other roads                    exemption with respect to a person                    continue to operate CMVs in interstate
                                              built to interstate standards. Moreover,                operating under the exemption.                        commerce.
                                              driving in congested urban areas
                                              exposes the driver to more pedestrian                   VII. Conclusion                                       DATES: The exemptions were applicable
                                              and vehicular traffic than exists on                       Based upon its evaluation of the nine              on May 19, 2018. The exemptions
                                              interstate highways. Faster reaction to                 exemption applications, FMCSA                         expire on May 19, 2020.
                                              traffic and traffic signals is generally                exempts the following drivers from the                FOR FURTHER INFORMATION CONTACT:
                                              required because distances between                      vision requirement, 49 CFR                            Ms. Christine A. Hydock, Chief, Medical
                                              them are more compact. These                            391.41(b)(10), subject to the                         Programs Division, (202) 366–4001,
                                              conditions tax visual capacity and                      requirements cited above:                             fmcsamedical@dot.gov, FMCSA,
                                              driver response just as intensely as                    Paulo G. Clemente (NC)                                Department of Transportation, 1200
                                              interstate driving conditions.                          Ronald W. Doskocil (TX)                               New Jersey Avenue SE, Room W64–224,
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                                                 The applicants in this notice have                   Loren D. Estad (ND)                                   Washington, DC 20590–0001. Office
                                              driven CMVs with their limited vision                   Ryan P. Garner (MT)                                   hours are from 8:30 a.m. to 5 p.m., ET,
                                              in careers ranging for 9 to 73 years. In                Kody D. Gleckler (OH)                                 Monday through Friday, except Federal
                                              the past three years, no drivers were                   Jeffrey W. Hawkins (NC)                               holidays. If you have questions
                                              involved in crashes, and one driver was                 Timothy D. Lundvall (NE)                              regarding viewing or submitting
                                              convicted of a moving violation in a                    Eric D. Smith (GA)                                    material to the docket, contact Docket
                                              CMV. All the applicants achieved a                      Mark E. Thesing (MN)                                  Services, telephone (202) 366–9826.


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                                              53734                     Federal Register / Vol. 83, No. 206 / Wednesday, October 24, 2018 / Notices

                                              SUPPLEMENTARY INFORMATION:                              CMV in interstate commerce. [49 CFR                   enable these individuals with ITDM to
                                                                                                      part 391, APPENDIX A TO PART 391—                     operate CMVs in interstate commerce.
                                              I. Public Participation
                                                                                                      MEDICAL ADVISORY CRITERIA,                            DATES: The exemptions were applicable
                                              A. Viewing Documents and Comments                       section H. Epilepsy: § 391.41(b)(8),                  on July 12, 2018. The exemptions expire
                                                To view comments, as well as any                      paragraphs 3, 4, and 5.]                              on July 12, 2020.
                                              documents mentioned in this notice as                   III. Discussion of Comments                           FOR FURTHER INFORMATION CONTACT: Ms.
                                              being available in the docket, go to                                                                          Christine A. Hydock, Chief, Medical
                                                                                                        FMCSA received no comments in this                  Programs Division, (202) 366–4001,
                                              http://www.regulations.gov. Insert the
                                                                                                      proceeding.                                           fmcsamedical@dot.gov, FMCSA,
                                              docket number, FMCSA–2013–0443, in
                                              the keyword box, and click ‘‘Search.’’                  IV. Conclusion                                        Department of Transportation, 1200
                                              Next, click the ‘‘Open Docket Folder’’                                                                        New Jersey Avenue SE, Room W64–224,
                                                                                                        Based on its evaluation of the five
                                              button and choose the document to                                                                             Washington, DC 20590–0001. Office
                                                                                                      renewal exemption applications,
                                              review. If you do not have access to the                                                                      hours are from 8:30 a.m. to 5 p.m., ET,
                                                                                                      FMCSA announces its’ decision to
                                              internet, you may view the docket                                                                             Monday through Friday, except Federal
                                                                                                      exempt the following drivers from the
                                              online by visiting the Docket                                                                                 holidays. If you have questions
                                                                                                      epilepsy and seizure disorders
                                              Management Facility in Room W12–140                                                                           regarding viewing or submitting
                                                                                                      prohibition in 49 CFR 391.41(b)(8):
                                              on the Ground Floor of the DOT West                                                                           material to the docket, contact Docket
                                              Building, 1200 New Jersey Avenue SE,                    Thomas Bynum (NC)                                     Services, telephone (202) 366–9826.
                                              Washington, DC 20590, between 9 a.m.                    Ronald A. Hartl (WI)                                  SUPPLEMENTARY INFORMATION:
                                                                                                      Craig Hoisington (NH)
                                              and 5 p.m., ET, Monday through Friday,
                                                                                                      Michael W. Miller (WI)                                I. Public Participation
                                              except Federal holidays.
                                                                                                      Peter M. Thompson (FL)                                A. Viewing Documents and Comments
                                              B. Privacy Act                                            The drivers were included in docket
                                                                                                                                                              To view comments, as well as any
                                                In accordance with 5 U.S.C. 553(c),                   number FMCSA–2013–0443. Their
                                                                                                                                                            documents mentioned in this notice as
                                              DOT solicits comments from the public                   exemptions are applicable as of May 19,
                                                                                                                                                            being available in the docket, go to
                                              to better inform its rulemaking process.                2018, and will expire on May 19, 2020.
                                                                                                        In accordance with 49 U.S.C. 31315,                 http://www.regulations.gov. Insert the
                                              DOT posts these comments, without                                                                             docket number, FMCSA–2018–0030, in
                                              edit, including any personal information                each exemption will be valid for two
                                                                                                      years from the effective date unless                  the keyword box, and click ‘‘Search.’’
                                              the commenter provides, to                                                                                    Next, click the ‘‘Open Docket Folder’’
                                              www.regulations.gov, as described in                    revoked earlier by FMCSA. The
                                                                                                      exemption will be revoked if the                      button and choose the document to
                                              the system of records notice (DOT/ALL–                                                                        review. If you do not have access to the
                                              14 FDMS), which can be reviewed at                      following occurs: (1) The person fails to
                                                                                                      comply with the terms and conditions                  internet, you may view the docket
                                              www.dot.gov/privacy.                                                                                          online by visiting the Docket
                                                                                                      of the exemption; (2) the exemption has
                                              II. Background                                          resulted in a lower level of safety than              Management Facility in Room W12–140
                                                                                                      was maintained prior to being granted;                on the ground floor of the DOT West
                                                 On July 20, 2018, FMCSA published
                                                                                                      or (3) continuation of the exemption                  Building, 1200 New Jersey Avenue SE,
                                              a notice announcing its decision to
                                                                                                      would not be consistent with the goals                Washington, DC 20590, between 9 a.m.
                                              renew exemptions for five individuals
                                                                                                      and objectives of 49 U.S.C. 31136 and                 and 5 p.m., ET., Monday through
                                              from the epilepsy and seizure disorders
                                                                                                      31315.                                                Friday, except Federal holidays.
                                              prohibition in 49 CFR 391.41(b)(8) to
                                              operate a CMV in interstate commerce                      Issued on: October 15, 2018.                        B. Privacy Act
                                              and requested comments from the                         Larry W. Minor,                                         In accordance with 5 U.S.C. 553(c),
                                              public (83 FR 34670). The public                        Associate Administrator for Policy.                   DOT solicits comments from the public
                                              comment period ended on August 20,                                                                            to better inform its rulemaking process.
                                                                                                      [FR Doc. 2018–23235 Filed 10–23–18; 8:45 am]
                                              2018, and no comments were received.                                                                          DOT posts these comments, without
                                                                                                      BILLING CODE 4910–EX–P
                                                 As stated in the previous notice,                                                                          edit, including any personal information
                                              FMCSA has evaluated the eligibility of                                                                        the commenter provides, to
                                              these applicants and determined that                    DEPARTMENT OF TRANSPORTATION                          www.regulations.gov, as described in
                                              renewing these exemptions would                                                                               the system of records notice (DOT/ALL–
                                              achieve a level of safety equivalent to or              Federal Motor Carrier Safety                          14 FDMS), which can be reviewed at
                                              greater than the level that would be                    Administration                                        www.dot.gov/privacy.
                                              achieved by complying with the current
                                              regulation 49 CFR 391.41(b)(8).                         [FMCSA Docket No. FMCSA–2018–0030]                    II. Background
                                                 The physical qualification standard                                                                           On June 11, 2018, FMCSA published
                                                                                                      Qualification of Drivers; Exemption
                                              for drivers regarding epilepsy found in                                                                       a notice announcing receipt of
                                                                                                      Applications; Diabetes Mellitus
                                              49 CFR 391.41(b)(8) states that a person                                                                      applications from 41 individuals
                                              is physically qualified to drive a CMV                  AGENCY: Federal Motor Carrier Safety                  requesting an exemption from diabetes
                                              if that person has no established                       Administration (FMCSA), DOT.                          requirement in 49 CFR 391.41(b)(3) and
                                              medical history or clinical diagnosis of                ACTION: Notice of final disposition.                  requested comments from the public (83
                                              epilepsy or any other condition which                                                                         FR 27070). The public comment period
                                              is likely to cause the loss of                          SUMMARY:   FMCSA announces its                        ended on July 11, 2018, and 1 comment
amozie on DSK3GDR082PROD with NOTICES1




                                              consciousness or any loss of ability to                 decision to exempt 41 individuals from                was received.
                                              control a CMV.                                          the prohibition in the Federal Motor                     FMCSA has evaluated the eligibility
                                                 In addition to the regulations, FMCSA                Carrier Safety Regulations (FMCSRs)                   of these applicants and determined that
                                              has published advisory criteria to assist               against persons with insulin-treated                  granting the exemptions to these
                                              Medical Examiners in determining                        diabetes mellitus (ITDM) from operating               individuals would achieve a level of
                                              whether drivers with certain medical                    a commercial motor vehicle (CMV) in                   safety equivalent to or greater than the
                                              conditions are qualified to operate a                   interstate commerce. The exemptions                   level that would be achieved by


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Document Created: 2018-10-24 00:23:05
Document Modified: 2018-10-24 00:23:05
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 19, 2018. The exemptions expire on May 19, 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., ET, 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 53733 

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