Epileptic Truckers Get FMCSA Nod to Keep Hauling Cargo
Published Date: 5/7/2026
Notice
Summary
The FMCSA is renewing special permissions for 20 truck drivers who have epilepsy or seizure disorders, letting them keep driving big trucks across state lines while on medication. This means these drivers can continue working safely without losing their jobs. If you want to share your thoughts, make sure to comment by June 8, 2026!
Analyzed Economic Effects
5 provisions identified: 2 benefits, 3 costs, 0 mixed.
20 Drivers Kept on the Road
FMCSA renewed exemptions for 20 named truck drivers with epilepsy or seizure disorders so they may continue operating interstate commercial motor vehicles. The renewals became effective May 6, 2026 (7 drivers), May 15, 2026 (9 drivers), and May 22, 2026 (4 drivers) and each exemption expires two years later on May 6, 2028; May 15, 2028; and May 22, 2028.
Two-Year Renewal And Revocation Risk
Each exemption is issued for a renewable 2-year period to match the medical certificate and will be revoked if the driver fails to comply with terms, if safety declines, or if continuation would conflict with Title 49 objectives. FMCSA may revoke an exemption immediately upon adverse evidence.
Mandatory Medical Monitoring And Reporting
Each exempt driver must remain seizure-free, report any seizure to FMCSA within 24 hours, submit annual treating-physician reports, undergo an annual medical exam by a certified medical examiner, and provide annual certified driving records. Drivers must also carry a copy of the exemption and meet all commercial driver's license testing requirements.
Crash/Citation Reporting Deadlines
Exempt drivers must report the date, time, and location of any crashes within 7 days and must report any citations and convictions for disqualifying offenses under 49 CFR parts 383 and 391 within 7 days to FMCSA.
State Laws Preempted During Exemptions
While an exemption is in effect, no State may enforce any law or regulation that conflicts with that exemption for a person operating under it. This protects exempt drivers from state-level rules that would otherwise prevent them from driving interstate under the FMCSA exemption.
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Department and Agencies
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