11 More Drivers with Epilepsy Cleared for Commercial Roads
Published Date: 2/25/2026
Notice
Summary
The FMCSA is renewing special permissions for 11 drivers with epilepsy or seizure disorders to keep driving commercial trucks across state lines while on medication. This means these drivers can continue working safely without losing their jobs. These exemptions have specific start and end dates, so affected drivers should keep an eye on their renewal timelines.
Analyzed Economic Effects
4 provisions identified: 2 benefits, 2 costs, 0 mixed.
11 Truck Drivers Kept on the Road
FMCSA renewed exemptions allowing 11 named drivers with epilepsy or seizure disorders to continue operating interstate commercial motor vehicles while on anti-seizure medication. Nine exemptions became effective September 10, 2025 and expire September 10, 2027; two became effective September 30, 2025 and expire September 30, 2027.
Annual Medical and Reporting Rules
Each exempt driver must remain seizure-free, submit annual physician reports and an annual medical exam, and provide certified driving records to FMCSA. Each exemption is issued for a 2-year period and must be accompanied by a copy of the exemption while driving.
Seizure and Crash Reporting Timelines
Drivers with an exemption must report any seizure to FMCSA within 24 hours and must report crashes, citations, and convictions within 7 days. FMCSA may rescind the exemption if the driver fails to comply or if safety declines.
Federal Preemption While Exemption Active
While an exemption is in effect, no State may enforce a law or regulation that conflicts with that exemption for the person operating under it. This protects the exempt drivers from state-level conflicts during their 2-year exemption periods.
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Key Dates
Department and Agencies
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