# 2025-00748: Feds Let Drivers With Seizure Disorders Operate Big Rigs

2025-00748, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, is a Federal Register notice from an unnamed agency published 2025-01-15, effective 2024-12-31 (as of 2026-06-08).

- Canonical: https://policyrisk.com/federal-register/2025-00748
- As of: 2026-06-08
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2025-00748
- Title: Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders
- Type: Notice
- Agencies: unknown
- Citation: unknown
- Published: 2025-01-15
- Effective: 2024-12-31
- Comments close: not stated
- Significant: no
- Touches household money: no
- Regulation identifier numbers: none
- Last updated: 2026-06-08

## In one line

Feds Let Drivers With Seizure Disorders Operate Big Rigs

## Summary

The FMCSA is giving 13 drivers with epilepsy or seizure disorders a green light to drive commercial trucks across state lines, as long as they take their medication and stay safe. These special permissions started on December 31, 2024, and last until the end of 2026. This change helps skilled drivers keep working without risking safety or breaking rules.

## Abstract

FMCSA announces its decision to exempt 13 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 operate CMVs in interstate commerce.

## Effects PRIA read

- 13 Drivers Granted Interstate Driving Exemptions: benefit, high. FMCSA exempted 13 named commercial drivers with epilepsy or seizure disorders from the FMCSR prohibition so they may operate interstate commercial motor vehicles beginning December 31, 2024 through December 31, 2026. Each granted driver has been seizure-free for between 21 years while on anti-seizu…
- Exemptions Require Ongoing Medical Compliance: cost, low. Each exempted driver must remain seizure-free, maintain a stable treatment, report any seizure to FMCSA within 24 hours, submit annual treating-physician reports and annual medical examinations, provide annual certified driving records, report crashes within 7 days, and carry a copy of the exemptio…
- Federal Preemption Protects Exempt Drivers From Conflicting State Laws: benefit, medium. While these exemptions are in effect (December 31, 2024 to December 31, 2026), no State may enforce a law or regulation that conflicts with the federal exemption with respect to an exempted person operating under the exemption. This prevents state-level enforcement from interfering with the exempt…

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## Sources
- [2025-00748 on federalregister.gov](https://www.federalregister.gov/documents/2025/01/15/2025-00748/qualification-of-drivers-exemption-applications-epilepsy-and-seizure-disorders)
- [2025-00748 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2025-01-15/pdf/2025-00748.pdf)

## Related
- [Previous: 2025-00747, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders](https://policyrisk.com/federal-register/2025-00747)
- [Next: 2025-00749, Qualification of Drivers; Exemption Applications; Implantable Cardioverter Defi…](https://policyrisk.com/federal-register/2025-00749)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2025-00748 (as of 2026-06-08).