Can Epileptics Steer Big Rigs? Feds Weigh Exemptions
Published Date: 3/17/2026
Notice
Summary
The FMCSA is considering allowing 17 people with epilepsy or seizure disorders, who take medication and have controlled symptoms, to drive commercial trucks across state lines. This is a big deal because current rules usually stop anyone with these conditions from driving big rigs. You can share your thoughts by April 16, 2026, so don’t miss your chance to weigh in!
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
17 drivers seek interstate exemptions
FMCSA received applications from 17 named individuals with a clinical diagnosis of epilepsy or seizure disorders asking to be exempted from the prohibition in 49 CFR 391.41(b)(8). If granted, the exemptions would enable these individuals — some taking anti-seizure medication and some not — to operate commercial motor vehicles (CMVs) in interstate commerce.
Exemptions issued for two-year terms
FMCSA states that medical exemptions from the physical qualification standard are granted for a 2-year period to align with the maximum duration of a driver's medical certification. If an exemption is granted to any applicant, it would generally be issued for a 2-year term and may be renewed.
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