Uncle Sam Eyes Letting Seizure-Prone Drivers Pilot Big Rigs
Published Date: 9/8/2026
Notice
Summary
The FMCSA is considering special permission for four people with epilepsy or seizure disorders to drive big trucks across state lines. These folks have had seizures but are on medicine that controls them well. If approved, this could open new job opportunities without risking safety, and the public can share their thoughts by October 8, 2026.
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Exemptions Could Let Drivers Work
FMCSA received applications from four individuals who have a history of seizures asking to be exempted from the rule that bars people with epilepsy or conditions likely to cause loss of consciousness from driving commercial motor vehicles in interstate commerce. If granted, these exemptions would let those individuals operate CMVs in interstate commerce despite prior seizures (applicants include drivers in North Dakota, New Jersey, California, and Alabama with seizure-free dates ranging from October 30, 2020 to May 25, 2025).
Medical Exemptions Last Two Years
FMCSA grants medical exemptions from the physical qualification standards for a 2-year period to align with the maximum duration of a driver's medical certification. That means if an exemption is granted, it would typically be effective for two years before expiration.
Exemptions Can Be Renewed
The notice states that FMCSA may renew exemptions (per 49 CFR 381.300(b)). That means drivers who receive a medical exemption could apply to have it extended beyond the initial period.
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