Feds consider epilepsy exemptions for big-rig truck drivers
Published Date: 9/8/2026
Notice
Summary
FMCSA announces receipt of applications from four individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with a clinical diagnosis of epilepsy or any other condition that is likely to cause a loss of consciousness or any loss of ability to control a commercial motor vehicle (CMV) to drive in interstate commerce. If granted, the exemptions would enable these individuals who have had one or more seizures and are taking anti-seizure medication to operate CMVs in interstate commerce.
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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