Twelve Drivers With Epilepsy Win Rare Truck Permits
Published Date: 6/23/2026
Notice
Summary
The FMCSA is giving 12 drivers with epilepsy or seizure disorders a green light to drive commercial trucks across state lines while on medication. These special permissions started on January 25, 2026, and last until January 25, 2028, helping qualified folks keep their wheels turning without breaking the bank. This change opens doors for drivers who play by the rules and manage their health responsibly.
Analyzed Economic Effects
4 provisions identified: 2 benefits, 2 costs, 0 mixed.
12 Drivers Cleared to Drive Interstate
FMCSA exempted 12 named individuals from the rule that bars drivers with epilepsy or seizure disorders, allowing them to operate commercial motor vehicles in interstate commerce while taking anti-seizure medication. The exemptions are effective January 25, 2026 and expire January 25, 2028.
Ongoing Medical Reporting and Exams Required
Each exempt driver must remain seizure-free, maintain a stable treatment, and report any seizure to FMCSA within 24 hours. They must also submit annual treating-physician reports, undergo an annual medical exam by a certified medical examiner, provide a copy of medical certification to their employer or retain it if self-employed, and carry a copy of the exemption while driving.
Two-Year Exemption Period and Revocation Triggers
Each exemption is valid for two years from the effective date (January 25, 2026 through January 25, 2028) unless revoked earlier. FMCSA may revoke an exemption if the driver fails to comply with the terms, the exemption results in a lower level of safety, or continuation would be inconsistent with Title 49 objectives.
Federal Preemption for Exempt Drivers
While the exemptions are in effect (January 25, 2026 to January 25, 2028), no State may enforce a law or regulation that conflicts with the exemption for a person operating under it. This protects the exempt drivers from state rules that would otherwise bar their interstate operation during the exemption period.
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Key Dates
Department and Agencies
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