# 2026-22507: Twelve Drivers With Epilepsy Get Approval to Drive Commercial Trucks

2026-22507, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, is a Federal Register notice from Transportation Department, Federal Motor Carrier Safety Administration published 2026-11-04, effective 2026-07-04; PRIA reads it as touching household money (as of 2026-11-04).

- Canonical: https://policyrisk.com/federal-register/2026-22507
- As of: 2026-11-04
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2026-22507
- Title: Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders
- Type: Notice
- Agencies: Transportation Department; Federal Motor Carrier Safety Administration
- Citation: 91 FR 69638
- Published: 2026-11-04
- Effective: 2026-07-04
- Comments close: not stated
- Significant: no
- Touches household money: yes
- Regulation identifier numbers: none
- Last updated: 2026-11-04

## In one line

Twelve Drivers With Epilepsy Get Approval to Drive Commercial Trucks

## Summary

The FMCSA is giving 12 drivers with epilepsy or seizure disorders a green light to drive commercial trucks across state lines, as long as they take their medication and stay safe. These special exemptions started on July 4, 2026, and last until July 4, 2028. This move helps skilled drivers keep working without risking safety or breaking rules.

## Abstract

FMCSA announces its decision to exempt 12 individuals from the requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) that interstate commercial motor vehicle (CMV) drivers have "no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause loss of consciousness or any loss of ability to control a CMV." The exemptions enable these individuals who have had one or more seizures and are taking anti- seizure medication to operate CMVs in interstate commerce.

## Effects PRIA read

- 12 Drivers Cleared to Drive Interstate: benefit, high. FMCSA exempted 12 named individuals from the rule that bars drivers with epilepsy or seizure disorders from operating interstate commercial motor vehicles. The exemptions are effective July 4, 2026 and expire July 4, 2028, allowing those drivers to continue working in interstate commerce while the…
- Annual Medical and Reporting Conditions: cost, low. Each exempted driver must remain seizure-free, maintain a stable treatment regimen, and report a seizure or treatment change to FMCSA within 24 hours. They must provide annual treating-physician reports and undergo an annual medical exam by a certified medical examiner, report crashes and disqualif…
- Federal Exemption Preempts Conflicting State Law: benefit, low. While the exemptions are in effect (July 4, 2026 through July 4, 2028), no State may enforce any law or regulation that conflicts with the FMCSA exemption with respect to a person operating under it. This ensures the exempted drivers may operate interstate without state-level interference during th…
- Eligibility Indicators Used for Exemptions: benefit, low. FMCSA granted these exemptions after individualized review; the 12 applicants had been seizure-free for a range of 4 to 24 years while on anti-seizure medication and had maintained a stable medication regimen for the last 2 years. FMCSA considered seizure history, time since last seizure, treatment…

## Related documents

- [2026-08144](https://policyrisk.com/federal-register/2026-08144): Administrative Rulemaking, Guidance, and Enforcement Procedures, 2026-04-27
- [2026-22510](https://policyrisk.com/federal-register/2026-22510): Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, 2026-11-04
- [2026-22508](https://policyrisk.com/federal-register/2026-22508): Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, 2026-11-04
- [2026-22277](https://policyrisk.com/federal-register/2026-22277): Agency Information Collection Activities; Renewal of an Approved Information Collection Request: Hazardous Materials Safety Permits, 2026-11-02
- [2026-21950](https://policyrisk.com/federal-register/2026-21950): Parts and Accessories Necessary for Safe Operation; Application for Exemption Renewal From Loomis Armored US, LLC, 2026-10-28
- [2026-21906](https://policyrisk.com/federal-register/2026-21906): Commercial Driver's License: PAM Transport, Inc.; Application for Exemption, 2026-10-27

## Sources
- [2026-22507 on federalregister.gov](https://www.federalregister.gov/documents/2026/11/04/2026-22507/qualification-of-drivers-exemption-applications-epilepsy-and-seizure-disorders)
- [2026-22507 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2026-11-04/pdf/2026-22507.pdf)

## Related
- [Previous: 2026-22503, Change in Bank Control Notices; Acquisitions of Shares of a Bank or Bank Holdin…](https://policyrisk.com/federal-register/2026-22503)
- [Next: 2026-22508, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders](https://policyrisk.com/federal-register/2026-22508)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2026-22507 (as of 2026-11-04).