FMCSA Lets Drivers with Epilepsy Operate Big Rigs
Published Date: 6/18/2026
Notice
Summary
The FMCSA is giving 63 drivers with epilepsy or seizure disorders a green light to drive commercial trucks across state lines while on medication. These special permissions started on March 4, 2026, and last until March 4, 2028, helping skilled drivers keep rolling without risking safety. This move balances safety with opportunity, showing that having seizures doesn’t automatically mean you can’t drive big rigs.
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
63 Drivers Cleared to Drive Interstate
FMCSA granted exemptions to 63 named individuals with epilepsy or seizure disorders allowing them to operate commercial motor vehicles (CMVs) in interstate commerce while taking anti-seizure medication. The exemptions became effective March 4, 2026 and expire March 4, 2028.
Mandatory Medical and Reporting Conditions
Each exempted driver must remain seizure-free, maintain a stable treatment regimen, report any seizure to FMCSA within 24 hours, submit annual physician reports and an annual medical exam by a certified medical examiner, and provide certified driving records and copies of medical certification. The exemption is valid for 2 years but may be revoked for noncompliance, safety decline, or inconsistency with Title 49 goals.
Federal Preemption of Conflicting State Laws
While each exemption is in effect (March 4, 2026 to March 4, 2028), no State may enforce laws or regulations that conflict with the exemption as to a person operating under it. Exempted drivers must carry a copy of the exemption for presentation to law enforcement.
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Key Dates
Department and Agencies
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