# 2025-00749: Truckers With Robot Hearts Seek Permission to Cross State Lines

2025-00749, Qualification of Drivers; Exemption Applications; Implantable Cardioverter Defibrillators (ICDs), is a Federal Register notice from an unnamed agency published 2025-01-15, effective Comments must be received on or before February 14, 2025. (as of 2026-06-08).

- Canonical: https://policyrisk.com/federal-register/2025-00749
- As of: 2026-06-08
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2025-00749
- Title: Qualification of Drivers; Exemption Applications; Implantable Cardioverter Defibrillators (ICDs)
- Type: Notice
- Agencies: unknown
- Citation: unknown
- Published: 2025-01-15
- Effective: Comments must be received on or before February 14, 2025.
- Comments close: not stated
- Significant: no
- Touches household money: no
- Regulation identifier numbers: none
- Last updated: 2026-06-08

## In one line

Truckers With Robot Hearts Seek Permission to Cross State Lines

## Summary

The FMCSA got requests from two people with special heart devices called ICDs who want to drive big commercial trucks across state lines. Normally, folks with certain heart problems can’t drive these trucks, but if these exemptions are approved, these drivers could hit the road again. You’ve got until February 14, 2025, to share your thoughts—no money changes yet, just a chance to speak up!

## Abstract

FMCSA announces receipt of applications from two individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against operation of a commercial motor vehicle (CMV) by persons with a current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope (transient loss of consciousness), dyspnea (shortness of breath), collapse, or congestive heart failure. If granted, the exemptions would enable these individuals with ICDs to operate CMVs in interstate commerce.

## Effects PRIA read

- ICDs Currently Disqualify CMV Drivers: cost, medium. If you have an implantable cardioverter defibrillator (ICD), federal medical advisory criteria treat ICDs as disqualifying because of the risk of syncope. The physical qualification standard in Sec. 391.41(b)(4) bars people with certain cardiovascular diagnoses from operating commercial motor vehic…
- Two Drivers Seek Exemptions to Drive: benefit, high. FMCSA received exemption applications from two drivers with ICDs that, if granted, would let those individuals operate commercial motor vehicles in interstate commerce. The applicants are Micos Mims (Alabama, ICD implanted March 6, 2023) and Paul Siefker (Ohio, ICD/pacemaker implanted July 6, 2020)…

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## Sources
- [2025-00749 on federalregister.gov](https://www.federalregister.gov/documents/2025/01/15/2025-00749/qualification-of-drivers-exemption-applications-implantable-cardioverter-defibrillators-icds)
- [2025-00749 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2025-01-15/pdf/2025-00749.pdf)

## Related
- [Previous: 2025-00748, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders](https://policyrisk.com/federal-register/2025-00748)
- [Next: 2025-00750, Issuance of Priority Review Voucher; Rare Pediatric Disease Product; ALHEMO (co…](https://policyrisk.com/federal-register/2025-00750)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2025-00749 (as of 2026-06-08).