83 FR 56899 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 220 (November 14, 2018)

Page Range		56899-56900
FR Document		2018-24859

FMCSA announces its decision to exempt 57 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 220 (Wednesday, November 14, 2018)

[Federal Register Volume 83, Number 220 (Wednesday, November 14, 2018)]
[Notices]
[Pages 56899-56900]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-24859]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[FMCSA Docket No. FMCSA-2018-0205]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

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

ACTION: Notice of final disposition.

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SUMMARY: FMCSA announces its decision to exempt 57 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 October 20, 2018. The 
exemptions expire on October 20, 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.

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-2018-0205, 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 September 19, 2018, FMCSA published a notice announcing receipt 
of applications from 57 individuals requesting an exemption from 
diabetes requirement in 49 CFR 391.41(b)(3) and requested comments from 
the public (83 FR 47399). The public comment period ended on October 
19, 2018, and one comment was 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 one comment in this proceeding. Mr. Jeremy Na noted, 
that people on insulin should be able to drive CMV's especially if its 
controlled with no problems. This would open up a bunch of driving 
opportunities for those who love to drive but can't because of a rule. 
On September 19, 2018, FMCSA published the Qualifications of Drivers; 
Diabetes Standard final rule, removing the blanket prohibition of 
insulin use and adopting a revised physical qualification standard for 
operators of CMV with ITDM (83 FR 47448). The effective date of this 
final rule is November 19, 2018.

Basis for Exemption Determination

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
for up to five years 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. FMCSA 
grants exemptions from the FMCSRs for a two-year period to align with 
the maximum duration of a driver's medical certification.
    The Agency's decision regarding these exemption applications is 
based on the program eligibility criteria and an individualized 
assessment of

[[Page 56900]]

information submitted by each applicant. The qualifications, 
experience, and medical condition of each applicant were stated and 
discussed in detail in the September 19, 2018, Federal Register notice 
(83 FR 47399) and will not be repeated in this notice.
    These 57 applicants have had ITDM over a range of 1 to 51 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.

IV. 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.

V. Preemption

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

VI. Conclusion

    Based upon its evaluation of the 57 exemption applications, FMCSA 
exempts the following drivers from the diabetes requirement in 49 CFR 
391.41(b)(10), subject to the requirements cited above:

Joseph J. Arena, Jr. (PA)
Daniel C. Avants (WA)
Danny Bailey (TX)
Ryan P. Bankert (PA)
Jordan D. Braun (MN)
David W. Buckley (CT)
Travis R. Capesius (IA)
Delqaun S. Carter (AL)
Christopher J. Epplin (IL)
Eugenio Ezparza, Jr. (TX)
Brian L. Fairchild (ID)
Stephen A. Fleming (MN)
Luigi Forcellati (NJ)
Daniel J. Garcia (CA)
Derek A. Garibay (CO)
Caleb K. George (RI)
Dylan M. Graham (MI)
Donald D. Gueiss (NC)
Michael W. Hammarsten (MN)
Robert L. Howell (IL)
Mitchell M. Huston (CO)
Daniel J. Hutt (NY)
Curtis C. Jacobs (NC)
Steven M. Johnson (IN)
Dwyanne E. Johnson (CO)
Christopher L. Johnston (GA)
Gregory E. Jondle (IA)
Steven Kinkead (MO)
Alexander P. Laatz (VA)
David L. Lennie (MI)
Philip J. Linn (OH)
Raul Martinez (TX)
Lance E. May (PA)
Terry A. McCoy (GA)
Brian K. McGowan (AR)
Michael D. Mervenne (MI)
Kendrick D. Miller (NC)
William D. Murphy (WV)
Babykutty Oommen (IL)
Miguel A. Orozco (NJ)
Arthur W. Pahmeier (IN)
Dale W. Paul (CA)
Jason J. Phillips (NM)
Robert E. Piernik (FL)
Luc R. Poirier (MI)
Rick M. Provo (IN)
David W. Pywell (ID)
Nicholas A. Quairoli (FL)
Robert A. Raymond (IA)
Robert A. Rock, Jr. (RI)
Hector R. Rodriguez (WA)
Samuel J. Shriver (WV)
Bradley A. Sundby (SD)
Clayton A. Szydel (WI)
Jeremy R. Tatro (OH)
Imelda Y. Tolentino (AR)
Birt F. Wilkerson, Jr. (TX)

    In accordance with 49 U.S.C. 31136(e) and 31315, each exemption 
will be valid for two years from the effective date unless revoked 
earlier by FMCSA. The exemption will be revoked if the following 
occurs: (1) The person fails to comply with the terms and conditions of 
the exemption; (2) the exemption has resulted in a lower level of 
safety than was maintained prior to being granted; or (3) continuation 
of the exemption would not be consistent with the goals and objectives 
of 49 U.S.C. 31136(e) and 31315.

    Issued on: November 5, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-24859 Filed 11-13-18; 8:45 am]
 BILLING CODE 4910-EX-P

56900 Federal Register / Vol. 83, No. 220 / Wednesday, November 14, 2018 / Notices

information submitted by each authorized Federal, State, or local Bradley A. Sundby (SD)
applicant. The qualifications, enforcement official. Clayton A. Szydel (WI)
experience, and medical condition of Jeremy R. Tatro (OH)
V. Preemption Imelda Y. Tolentino (AR)
each applicant were stated and
discussed in detail in the September 19, During the period the exemption is in Birt F. Wilkerson, Jr. (TX)
2018, Federal Register notice (83 FR effect, no State shall enforce any law or In accordance with 49 U.S.C. 31136(e)
47399) and will not be repeated in this regulation that conflicts with this and 31315, each exemption will be valid
notice. exemption with respect to a person for two years from the effective date
These 57 applicants have had ITDM operating under the exemption. unless revoked earlier by FMCSA. The
over a range of 1 to 51 years. These VI. Conclusion exemption will be revoked if the
applicants report no severe following occurs: (1) The person fails to
hypoglycemic reactions resulting in loss Based upon its evaluation of the 57 comply with the terms and conditions
of consciousness or seizure, requiring exemption applications, FMCSA of the exemption; (2) the exemption has
the assistance of another person, or exempts the following drivers from the resulted in a lower level of safety than
resulting in impaired cognitive function diabetes requirement in 49 CFR was maintained prior to being granted;
that occurred without warning 391.41(b)(10), subject to the or (3) continuation of the exemption
symptoms, in the past 12 months and no requirements cited above: would not be consistent with the goals
recurrent (two or more) severe Joseph J. Arena, Jr. (PA) and objectives of 49 U.S.C. 31136(e) and
hypoglycemic episodes in the past five Daniel C. Avants (WA) 31315.
years. In each case, an endocrinologist Danny Bailey (TX) Issued on: November 5, 2018.
verified that the driver has Ryan P. Bankert (PA)
Larry W. Minor,
demonstrated a willingness to properly Jordan D. Braun (MN)
David W. Buckley (CT) Associate Administrator for Policy.
monitor and manage his/her diabetes
Travis R. Capesius (IA) [FR Doc. 2018–24859 Filed 11–13–18; 8:45 am]
mellitus, received education related to
diabetes management, and is on a stable Delqaun S. Carter (AL) BILLING CODE 4910–EX–P

insulin regimen. These drivers report no Christopher J. Epplin (IL)
other disqualifying conditions, Eugenio Ezparza, Jr. (TX)
Brian L. Fairchild (ID) DEPARTMENT OF TRANSPORTATION
including diabetes related
complications. Each meets the vision Stephen A. Fleming (MN)
Luigi Forcellati (NJ) Federal Motor Carrier Safety
requirement at 49 CFR 391.41(b)(10). Administration
Daniel J. Garcia (CA)
Consequently, FMCSA finds that in
Derek A. Garibay (CO) [FMCSA Docket No. FMCSA–2018–0054]
each case exempting these applicants Caleb K. George (RI)
from the diabetes requirement in 49 CFR Dylan M. Graham (MI) Qualification of Drivers; Exemption
391.41(b)(3) is likely to achieve a level Donald D. Gueiss (NC) Applications; Epilepsy and Seizure
of safety equal to that existing without Michael W. Hammarsten (MN) Disorders
the exemption. Robert L. Howell (IL)
AGENCY: Federal Motor Carrier Safety
IV. Conditions and Requirements Mitchell M. Huston (CO)
Daniel J. Hutt (NY) Administration (FMCSA), DOT.
The terms and conditions of the Curtis C. Jacobs (NC) ACTION: Notice of final disposition.
exemption are provided to the Steven M. Johnson (IN)
applicants in the exemption document SUMMARY: FMCSA announces its
Dwyanne E. Johnson (CO) decision to exempt 11 individuals from
and includes the following: (1) Each Christopher L. Johnston (GA)
driver must submit a quarterly the requirement in the Federal Motor
Gregory E. Jondle (IA)
monitoring checklist completed by the Carrier Safety Regulations (FMCSRs)
Steven Kinkead (MO)
treating endocrinologist as well as an that interstate commercial motor vehicle
Alexander P. Laatz (VA)
annual checklist with a comprehensive (CMV) drivers have ‘‘no established
David L. Lennie (MI)
medical evaluation; (2) each driver must medical history or clinical diagnosis of
Philip J. Linn (OH)
report within two business days of epilepsy or any other condition which
Raul Martinez (TX)
occurrence, all episodes of severe is likely to cause loss of consciousness
Lance E. May (PA)
hypoglycemia, significant or any loss of ability to control a CMV.’’
Terry A. McCoy (GA)
complications, or inability to manage The exemptions enable these
Brian K. McGowan (AR)
diabetes; also, any involvement in an individuals who have had one or more
Michael D. Mervenne (MI)
accident or any other adverse event in Kendrick D. Miller (NC) seizures and are taking anti-seizure
a CMV or personal vehicle, whether or William D. Murphy (WV) medication to operate CMVs in
not it is related to an episode of Babykutty Oommen (IL) interstate commerce.
hypoglycemia; (3) each driver must Miguel A. Orozco (NJ) DATES: The exemptions were applicable
provide a copy of the ophthalmologist’s Arthur W. Pahmeier (IN) on October 17, 2018. The exemptions
or optometrist’s report to the Medical Dale W. Paul (CA) expire on October 17, 2020.
Examiner at the time of the annual Jason J. Phillips (NM) FOR FURTHER INFORMATION CONTACT: Ms.
medical examination; and (4) each Robert E. Piernik (FL) Christine A. Hydock, Chief, Medical
driver must provide a copy of the Luc R. Poirier (MI) Programs Division, (202) 366–4001,
annual medical certification to the Rick M. Provo (IN) fmcsamedical@dot.gov, FMCSA,
employer for retention in the driver’s David W. Pywell (ID) Department of Transportation, 1200
qualification file, or keeping a copy in Nicholas A. Quairoli (FL) New Jersey Avenue SE, Room W64–224,
his/her driver’s qualification file if he/ Robert A. Raymond (IA) Washington, DC 20590–0001. Office
she is self-employed. The driver must Robert A. Rock, Jr. (RI) hours are from 8:30 a.m. to 5 p.m., ET,
also have a copy of the exemption when Hector R. Rodriguez (WA) Monday through Friday, except Federal
driving, for presentation to a duly Samuel J. Shriver (WV) holidays. If you have questions

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Document Created: 2018-11-14 03:31:27
Document Modified: 2018-11-14 03:31:27

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice of final disposition.
Dates		The exemptions were applicable on October 20, 2018. The exemptions expire on October 20, 2020.
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.
FR Citation		83 FR 56899

83 FR 56899 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATIONFederal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 220 (November 14, 2018)

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration