83_FR_6760 83 FR 6729 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

83 FR 6729 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 31 (February 14, 2018)

Page Range6729-6730
FR Document2018-03058

FMCSA announces its decision to renew exemptions for six 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 31 (Wednesday, February 14, 2018)
[Federal Register Volume 83, Number 31 (Wednesday, February 14, 2018)]
[Notices]
[Pages 6729-6730]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-03058]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2011-0389; FMCSA-2012-0094; FMCSA-2013-0107; FMCSA-
2014-0381; FMCSA-2015-0116]


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 six 
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 November 6, 2017. The 
exemptions expire on November 6, 2019.

FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, 
Medical Programs Division, (202) 366-4001, fmcsamedical@dot.gov, FMCSA,

[[Page 6730]]

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.

II. Background

    On December 13, 2017, FMCSA published a notice announcing its 
decision to renew exemptions for six 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 (82 FR 
58681). The public comment period ended on January 12, 2018 and one 
comment was 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 one comment in this proceeding. The author wrote 
that exemptions to driving qualification tests should not be granted 
and that drivers should prove their ability to drive despite medical 
conditions. FMCSA interprets this comment as referring to necessity of 
drivers being required to demonstrate their ability to safely operate a 
commercial motor vehicle despite not meeting the physical qualification 
standards. The Agency only issues exemptions if the driver is likely to 
achieve a level of highway safety that is equivalent to, or granter 
than, the level if none were granted. Additionally, interstate 
commercial motor vehicle drivers who are granted medical exemptions 
must undergo the same driver qualification process as other interstate 
commercial motor vehicle operators.

IV. Conclusion

    Based upon its evaluation of the six renewal exemption applications 
and the comment received, FMCSA announces its' decision to exempt the 
following drivers from the epilepsy and seizure disorders prohibition 
in 49 CFR 391.41 (b)(8):
    As of November 6, 2017, and in accordance with 49 U.S.C. 31136(e) 
and 31315, the following six individuals have satisfied the renewal 
conditions for obtaining an exemption from the epilepsy and seizure 
disorders prohibition in the FMCSRs for interstate CMV drivers. (82 FR 
58681):
Christopher Bird, (OH)
Ronald Bohr, (IA)
Michael Breitbach, (IA)
William H. Brown, (NC)
Joseph D'Angelo, (NY)
Stephen Stawinsky, (PA)
    The drivers were included in docket number FMCSA-2011-0389; FMCSA-
2012-0094; FMCSA-2013-0107; FMCSA-2014-0381; FMCSA-2015-0116. Their 
exemptions are applicable as of November 6, 2017, and will expire on 
November 6, 2019.
    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: February 7, 2018.
Larry W. Minor,
Associate Administrator for Policy .
[FR Doc. 2018-03058 Filed 2-13-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                         Federal Register / Vol. 83, No. 31 / Wednesday, February 14, 2018 / Notices                                                  6729

                                               49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   submit them in an unbound format, no
                                               examined him in 2017 and certified that                 safely. Mr. Trussell meets the                        larger than 81⁄2 by 11 inches, suitable for
                                               he does not have diabetic retinopathy.                  requirements of the vision standard at                copying and electronic filing. If you
                                               He holds a Class B CDL from Oklahoma.                   49 CFR 391.41(b)(10). His optometrist                 submit comments by mail and would
                                                                                                       examined him in 2017 and certified that               like to know that they reached the
                                               John W. Olenczak
                                                                                                       he does not have diabetic retinopathy.                facility, please enclose a stamped, self-
                                                 Mr. Olenczak, 75, has had ITDM since                  He holds a Class A CDL from Texas.                    addressed postcard or envelope.
                                               2016. His endocrinologist examined him                                                                           We will consider all comments and
                                               in 2017 and certified that he has had no                Raymond L. Underwood, Jr.
                                                                                                                                                             materials received during the comment
                                               severe hypoglycemic reactions resulting                   Mr. Underwood, 64, has had ITDM                     period. FMCSA may issue a final
                                               in loss of consciousness, requiring the                 since 2006. His endocrinologist                       determination at any time after the close
                                               assistance of another person, or                        examined him in 2017 and certified that               of the comment period.
                                               resulting in impaired cognitive function                he has had no severe hypoglycemic
                                               that occurred without warning in the                    reactions resulting in loss of                        V. Viewing Comments and Documents
                                               past 12 months and no recurrent (two or                 consciousness, requiring the assistance                 To view comments, as well as any
                                               more) severe hypoglycemic episodes in                   of another person, or resulting in                    documents mentioned in this preamble,
                                               the last five years. His endocrinologist                impaired cognitive function that                      go to http://www.regulations.gov and in
                                               certifies that Mr. Olenczak understands                 occurred without warning in the past 12               the search box insert the docket number
                                               diabetes management and monitoring,                     months and no recurrent (two or more)                 FMCSA–2017–0289 and click ‘‘Search.’’
                                               has stable control of his diabetes using                severe hypoglycemic episodes in the                   Next, click ‘‘Open Docket Folder’’ and
                                               insulin, and is able to drive a CMV                     last five years. His endocrinologist                  you will find all documents and
                                               safely. Mr. Olenczak meets the                          certifies that Mr. Underwood                          comments related to this notice.
                                               requirements of the vision standard at                  understands diabetes management and
                                                                                                                                                               Issued on: February 7, 2018.
                                               49 CFR 391.41(b)(10). His optometrist                   monitoring, has stable control of his
                                               examined him in 2017 and certified that                 diabetes using insulin, and is able to                Larry W. Minor,
                                               he does not have diabetic retinopathy.                  drive a CMV safely. Mr. Underwood                     Associate Administrator for Policy.
                                               He holds a Class A CDL from New                         meets the requirements of the vision                  [FR Doc. 2018–03068 Filed 2–13–18; 8:45 am]
                                               Jersey.                                                 standard at 49 CFR 391.41(b)(10). His                 BILLING CODE 4910–EX–P

                                               Michael A. Randazzo                                     ophthalmologist examined him in 2017
                                                                                                       and certified that he has stable
                                                 Mr. Randazzo, 28, has had ITDM                        proliferative diabetic retinopathy. He                DEPARTMENT OF TRANSPORTATION
                                               since 2013. His endocrinologist                         holds an operator’s license from
                                               examined him in 2017 and certified that                 Connecticut.                                          Federal Motor Carrier Safety
                                               he has had no severe hypoglycemic                                                                             Administration
                                               reactions resulting in loss of                          III. Request for Comments
                                                                                                                                                             [Docket No. FMCSA–2011–0389; FMCSA–
                                               consciousness, requiring the assistance                    In accordance with 49 U.S.C. 31136(e)              2012–0094; FMCSA–2013–0107; FMCSA–
                                               of another person, or resulting in                      and 31315, FMCSA requests public                      2014–0381; FMCSA–2015–0116]
                                               impaired cognitive function that                        comment from all interested persons on
                                               occurred without warning in the past 12                 the exemption petitions described in                  Qualification of Drivers; Exemption
                                               months and no recurrent (two or more)                   this notice. We will consider all                     Applications; Epilepsy and Seizure
                                               severe hypoglycemic episodes in the                     comments received before the close of                 Disorders
                                               last five years. His endocrinologist                    business on the closing date indicated                AGENCY: Federal Motor Carrier Safety
                                               certifies that Mr. Randazzo understands                 in the dates section of the notice.                   Administration (FMCSA), DOT.
                                               diabetes management and monitoring,
                                               has stable control of his diabetes using                IV. Submitting Comments                               ACTION: Notice of final disposition.
                                               insulin, and is able to drive a CMV                        You may submit your comments and
                                                                                                                                                             SUMMARY:   FMCSA announces its
                                               safely. Mr. Randazzo meets the                          material online or by fax, mail, or hand
                                                                                                                                                             decision to renew exemptions for six
                                               requirements of the vision standard at                  delivery, but please use only one of
                                                                                                                                                             individuals from the requirement in the
                                               49 CFR 391.41(b)(10). His optometrist                   these means. FMCSA recommends that
                                                                                                                                                             Federal Motor Carrier Safety
                                               examined him in 2017 and certified that                 you include your name and a mailing
                                                                                                                                                             Regulations (FMCSRs) that interstate
                                               he does not have diabetic retinopathy.                  address, an email address, or a phone
                                                                                                                                                             commercial motor vehicle (CMV)
                                               He holds an operator’s license from                     number in the body of your document
                                                                                                                                                             drivers have ‘‘no established medical
                                               Pennsylvania.                                           so that FMCSA can contact you if there
                                                                                                                                                             history or clinical diagnosis of epilepsy
                                                                                                       are questions regarding your
                                               Jonathan M. Trussell                                                                                          or any other condition which is likely
                                                                                                       submission.
                                                 Mr. Trussell, 30, has had ITDM since                     To submit your comment online, go to               to cause loss of consciousness or any
                                               2010. His endocrinologist examined him                  http://www.regulations.gov and in the                 loss of ability to control a CMV.’’ The
                                               in 2017 and certified that he has had no                search box insert the docket number                   exemptions enable these individuals
                                               severe hypoglycemic reactions resulting                 FMCSA–2017–0289 and click the search                  who have had one or more seizures and
                                               in loss of consciousness, requiring the                 button. When the new screen appears,                  are taking anti-seizure medication to
                                               assistance of another person, or                        click on the blue ‘‘Comment Now!’’                    continue to operate CMVs in interstate
                                               resulting in impaired cognitive function                button on the right hand side of the                  commerce.
daltland on DSKBBV9HB2PROD with NOTICES




                                               that occurred without warning in the                    page. On the new page, enter                          DATES: The exemptions were applicable
                                               past 12 months and no recurrent (two or                 information required including the                    on November 6, 2017. The exemptions
                                               more) severe hypoglycemic episodes in                   specific section of this document to                  expire on November 6, 2019.
                                               the last five years. His endocrinologist                which each comment applies, and                       FOR FURTHER INFORMATION CONTACT: Ms.
                                               certifies that Mr. Trussell understands                 provide a reason for each suggestion or               Christine A. Hydock, Chief, Medical
                                               diabetes management and monitoring,                     recommendation. If you submit your                    Programs Division, (202) 366–4001,
                                               has stable control of his diabetes using                comments by mail or hand delivery,                    fmcsamedical@dot.gov, FMCSA,


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                                               6730                      Federal Register / Vol. 83, No. 31 / Wednesday, February 14, 2018 / Notices

                                               Department of Transportation, 1200                      Medical Examiners in determining                      of the exemption; (2) the exemption has
                                               New Jersey Avenue SE, Room W64–224,                     whether drivers with certain medical                  resulted in a lower level of safety than
                                               Washington, DC 20590–0001. Office                       conditions are qualified to operate a                 was maintained prior to being granted;
                                               hours are from 8:30 a.m. to 5 p.m., e.t.,               CMV in interstate commerce. [49 CFR                   or (3) continuation of the exemption
                                               Monday through Friday, except Federal                   part 391, APPENDIX A TO PART 391—                     would not be consistent with the goals
                                               holidays. If you have questions                         MEDICAL ADVISORY CRITERIA,                            and objectives of 49 U.S.C. 31136 and
                                               regarding viewing or submitting                         section H. Epilepsy: § 391.41(b)(8),                  31315.
                                               material to the docket, contact Docket                  paragraphs 3, 4, and 5.]                                Issued on: February 7, 2018.
                                               Services, telephone (202) 366–9826.                                                                           Larry W. Minor,
                                                                                                       III. Discussion of Comments
                                               SUPPLEMENTARY INFORMATION:
                                                                                                          FMCSA received one comment in this                 Associate Administrator for Policy .
                                               I. Electronic Access                                    proceeding. The author wrote that                     [FR Doc. 2018–03058 Filed 2–13–18; 8:45 am]
                                                  You may see all the comments online                  exemptions to driving qualification tests             BILLING CODE 4910–EX–P

                                               through the Federal Document                            should not be granted and that drivers
                                               Management System (FDMS) at: http://                    should prove their ability to drive
                                               www.regulations.gov.                                    despite medical conditions. FMCSA                     DEPARTMENT OF TRANSPORTATION
                                                  Docket: For access to the docket to                  interprets this comment as referring to               National Highway Traffic Safety
                                               read background documents or                            necessity of drivers being required to                Administration
                                               comments, go to http://                                 demonstrate their ability to safely
                                               www.regulations.gov and/or Room                         operate a commercial motor vehicle                    [Docket No. NHTSA–2017–2014]
                                               W12–140 on the ground level of the                      despite not meeting the physical
                                               West Building, 1200 New Jersey Avenue                   qualification standards. The Agency                   Reports, Forms, and Record Keeping
                                               SE, Washington, DC, between 9 a.m. and                  only issues exemptions if the driver is               Requirements Agency Information
                                               5 p.m., e.t., Monday through Friday,                    likely to achieve a level of highway                  Collection Activity Under OMB Review
                                               except Federal holidays.                                safety that is equivalent to, or granter              AGENCY: National Highway Traffic
                                                  Privacy Act: In accordance with 5                    than, the level if none were granted.                 Safety Administration (NHTSA),
                                               U.S.C. 553(c), DOT solicits comments                    Additionally, interstate commercial                   Department of Transportation.
                                               from the public to better inform its                    motor vehicle drivers who are granted                 ACTION: Notice and request for
                                               rulemaking process. DOT posts these                     medical exemptions must undergo the                   comments.
                                               comments, without edit, including any                   same driver qualification process as
                                               personal information the commenter                      other interstate commercial motor                     SUMMARY:   In compliance with the
                                               provides, to http://www.regulations.gov,                vehicle operators.                                    Paperwork Reduction Act of 1995, this
                                               as described in the system of records                                                                         notice announces that the Information
                                               notice (DOT/ALL–14 FDMS), which can                     IV. Conclusion                                        Collection Request (ICR) abstracted
                                               be reviewed at http://www.dot.gov/                         Based upon its evaluation of the six               below is being forwarded to the Office
                                               privacy.                                                renewal exemption applications and the                of Management and Budget (OMB) for
                                               II. Background                                          comment received, FMCSA announces                     review and comments. A Federal
                                                                                                       its’ decision to exempt the following                 Register Notice with a 60-day comment
                                                  On December 13, 2017, FMCSA                          drivers from the epilepsy and seizure                 period soliciting comments on the
                                               published a notice announcing its                       disorders prohibition in 49 CFR 391.41                following information collection was
                                               decision to renew exemptions for six                    (b)(8):                                               published on October 20, 2017 (82 FR
                                               individuals from the epilepsy and                          As of November 6, 2017, and in                     48891). Two comments were received.
                                               seizure disorders prohibition in 49 CFR                 accordance with 49 U.S.C. 31136(e) and                The content of neither comment related
                                               391.41(b)(8) to operate a CMV in                        31315, the following six individuals                  to the proposed data collection.
                                               interstate commerce and requested                       have satisfied the renewal conditions for             DATES: Comments must be submitted on
                                               comments from the public (82 FR                         obtaining an exemption from the                       or before March 16, 2018.
                                               58681). The public comment period                       epilepsy and seizure disorders                        ADDRESSES: Send comments, within 30
                                               ended on January 12, 2018 and one                       prohibition in the FMCSRs for interstate              days, regarding the burden estimate,
                                               comment was received.                                   CMV drivers. (82 FR 58681):
                                                  As stated in the previous notice,                                                                          including suggestions for reducing the
                                                                                                       Christopher Bird, (OH)                                burden, to the Office of Management
                                               FMCSA has evaluated the eligibility of                  Ronald Bohr, (IA)
                                               these applicants and determined that                                                                          and Budget, Attention: Desk Officer for
                                                                                                       Michael Breitbach, (IA)
                                               renewing these exemptions would                         William H. Brown, (NC)                                the Office of the Secretary of
                                               achieve a level of safety equivalent to or              Joseph D’Angelo, (NY)                                 Transportation, 725 17th Street NW,
                                               greater than the level that would be                    Stephen Stawinsky, (PA)                               Washington, DC 20503.
                                               achieved by complying with the current                     The drivers were included in docket                FOR FURTHER INFORMATION CONTACT: Ms.
                                               regulation 49 CFR 391.41(b)(8).                         number FMCSA–2011–0389; FMCSA–                        Laurie Flaherty, Coordinator, National
                                                  The physical qualification standard                  2012–0094; FMCSA–2013–0107;                           911 Program, Office of Emergency
                                               for drivers regarding epilepsy found in                 FMCSA–2014–0381; FMCSA–2015–                          Medical Services (NPD–400), National
                                               49 CFR 391.41(b)(8) states that a person                0116. Their exemptions are applicable                 Highway Traffic Safety Administration,
                                               is physically qualified to drive a CMV                  as of November 6, 2017, and will expire               U.S. Department of Transportation, 1200
                                               if that person has no established                       on November 6, 2019.                                  New Jersey Avenue SE, Room W44–322,
daltland on DSKBBV9HB2PROD with NOTICES




                                               medical history or clinical diagnosis of                   In accordance with 49 U.S.C. 31315,                Washington, DC 20590. Ms. Flaherty’s
                                               epilepsy or any other condition which                   each exemption will be valid for two                  phone number is 202–366–2705 and her
                                               is likely to cause the loss of                          years from the effective date unless                  email address is Laurie.Flaherty@
                                               consciousness or any loss of ability to                 revoked earlier by FMCSA. The                         dot.gov. Please identify the relevant
                                               control a CMV.                                          exemption will be revoked if the                      collection of information by referring to
                                                  In addition to the regulations, FMCSA                following occurs: (1) The person fails to             its OMB Control Number.
                                               has published advisory criteria to assist               comply with the terms and conditions                  SUPPLEMENTARY INFORMATION:



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Document Created: 2018-02-14 03:59:45
Document Modified: 2018-02-14 03:59:45
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 November 6, 2017. The exemptions expire on November 6, 2019.
ContactMs. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are from 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826.
FR Citation83 FR 6729 

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