[Federal Register Volume 91, Number 37 (Wednesday, February 25, 2026)]
[Notices]
[Pages 9330-9332]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2026-03769]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2014-0381; FMCSA-2019-0031; FMCSA-2023-0033; FMCSA-
2023-0035]


Qualification of Drivers; Exemption Applications; Epilepsy and 
Seizure Disorders

AGENCY: Federal Motor Carrier Safety Administration (FMCSA), Department 
of Transportation (DOT).

ACTION: Notice of final disposition.

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SUMMARY: FMCSA announces its decision to renew exemptions for 11 
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 continue to operate CMVs in 
interstate commerce.

DATES: Each group of renewed exemptions were applicable on the

[[Page 9331]]

dates stated in the discussions below and will expire on the dates 
provided below.

FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, 
Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, 
Washington, DC 20590-0001; (202) 366-4001; [email protected]. Office 
hours are from 8:30 a.m. to 5 p.m. ET Monday through Friday, except 
Federal holidays. If you have questions regarding viewing or submitting 
material to the docket, contact Dockets Operations, (202) 366-9826.

SUPPLEMENTARY INFORMATION:

I. Public Participation

A. Viewing Comments

    To view comments, go to www.regulations.gov. Insert the docket 
number (FMCSA-2014-0381, FMCSA-2019-0031, FMCSA-2023-0033, or FMCSA-
2023-0035, as appropriate) in the keyword box and click ``Search.'' 
Next, sort the results by ``Posted (Newer-Older),'' choose the first 
notice listed, and click ``Browse Comments.'' If you do not have access 
to the internet, you may view the docket online by visiting Dockets 
Operations in room W58-213 of the DOT West Building, 1200 New Jersey 
Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET 
Monday through Friday, except Federal holidays. To be sure someone is 
there to help you, please call (202) 366-9317 or (202) 366-9826 before 
visiting Dockets Operations.

B. Privacy Act

    In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments 
from the public on the exemption request. DOT posts these comments, 
including any personal information the commenter provides, to 
www.regulations.gov, as described in the system of records notice DOT/
ALL-14 FDMS (Federal Docket Management System), which can be reviewed 
under the ``Department Wide System of Records Notices'' link at https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices. The comments are posted without edit and are searchable by the 
name of the submitter.

II. Legal Basis

    FMCSA has authority under 49 U.S.C. 31136(e) and 31315(b) to grant 
exemptions from the FMCSRs. FMCSA must publish a notice of each 
exemption request in the Federal Register (49 CFR 381.315(a)). The 
Agency must provide the public an opportunity to inspect the 
information relevant to the application, including the applicant's 
safety analysis. The Agency must provide an opportunity for public 
comment on the request.
    The Agency reviews the application, safety analyses, and public 
comments submitted and determines whether granting the exemption would 
likely achieve a level of safety equivalent to, or greater than, the 
level that would be achieved absent such exemption, pursuant to the 
standard set forth in 49 U.S.C. 31315(b)(1). The Agency must publish 
its decision in the Federal Register (49 CFR 381.315(b)). If granted, 
the notice will identify the regulatory provision from which the 
applicant will be exempt, the effective period, and all terms and 
conditions of the exemption (49 CFR 381.315(c)(1)). If the exemption is 
denied, the notice will explain the reason for the denial (49 CFR 
381.315(c)(2)). The exemption may be renewed (49 CFR 381.300(b)).

III. Background

    The physical qualification standard for drivers regarding seizures 
and loss of consciousness provides that a person is physically 
qualified to drive a CMV if that person has ``no established medical 
history or clinical diagnosis of epilepsy or any other condition which 
is likely to cause the loss of consciousness or any loss of ability to 
control'' a CMV (49 CFR 391.41(b)(8)). To assist in applying this 
standard, FMCSA publishes guidance for medical examiners (MEs) in the 
form of medical advisory criteria in Appendix A to 49 CFR part 391.\1\ 
In 2007, FMCSA published recommendations from a Medical Expert Panel 
(MEP) that FMCSA tasked to review the existing seizure disorder 
guidelines for MEs.\2\ The MEP performed a comprehensive, systematic 
literature review, including evidence available at the time. The MEP 
issued recommended criteria to evaluate whether an individual with a 
history of epilepsy, a single unprovoked seizure, or a provoked seizure 
should be allowed to drive a CMV.
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    \1\ Appendix A to Part 391, Title 49, available at https://www.ecfr.gov/current/title-49/part-391/appendix-Appendix A to Part 
391.
    \2\ ``Expert Panel Recommendations, Seizure Disorders and 
Commercial Motor Vehicle Driver Safety,'' Medical Expert Panel (Oct. 
15, 2007), available at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2020-04/Seizure-Disorders-MEP-Recommendations-v2-prot%2010152007.pdf.
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    On January 15, 2013, FMCSA began granting exemptions, on a case-by-
case basis, to individual drivers from the physical qualification 
standard regarding seizures and loss of consciousness in 49 CFR 
391.41(b)(8) (78 FR 3069). The Agency considers the medical advisory 
criteria, the 2007 MEP recommendations, any public comments received, 
and each individual's medical information and driving record in 
deciding whether to grant the exemption.
    On December 5, 2025, FMCSA published a notice announcing its 
decision to renew exemptions for 11 individuals from the epilepsy and 
seizure disorders prohibition in 49 CFR 391.41(b)(8) to operate a CMV 
in interstate commerce and requested comments from the public (90 FR 
56257). The public comment period ended on January 5, 2026, and no 
comments were received.
    The Agency had evaluated the eligibility and determined that 
renewing these applicants' exemptions would likely achieve a level of 
safety that is equivalent to, or greater than, the level that would be 
achieved by complying with 49 CFR 391.41(b)(8).

IV. Discussion of Comments

    FMCSA received no comments in this proceeding.

V. Basis for Renewing Exemptions

    In accordance with 49 U.S.C. 31136(e) and 31315(b), each of the 11 
applicants have satisfied the renewal conditions for obtaining an 
exemption from the epilepsy and seizure disorders prohibition. The 11 
drivers in this notice remain in good standing with the Agency, have 
maintained their medical monitoring and have not exhibited any medical 
issues that would compromise their ability to safely operate a CMV 
during the previous 2-year exemption period. In addition, the Agency 
has reviewed each applicant's certified driving record from their State 
Driver's Licensing Agency (SDLA). The information obtained from each 
applicant's driving record provides the Agency with details regarding 
any moving violations or reported crash data, which demonstrates 
whether the driver has a safe driving history and is an indicator of 
future driving performance. If the driving record revealed a crash, 
FMCSA requested and reviewed the related police reports and other 
relevant documents, such as the citation and conviction information. 
These factors provide an adequate basis for predicting each driver's 
ability to continue to safely operate a CMV in interstate commerce. 
Accordingly, FMCSA concludes that extending the exemption for each 
renewal applicant for a period of 2 years is likely to achieve a level 
of safety equivalent to the level of safety that would be achieved 
without the exemption.

[[Page 9332]]

VI. Terms and Conditions

    The exemptions are extended subject to the following conditions: 
each driver must (1) remain seizure-free, maintain a stable treatment, 
and report to FMCSA within 24 hours if they experience a seizure during 
the 2-year exemption period; (2) submit to FMCSA annual reports from 
their treating physicians attesting to the stability of treatment and 
that the driver has remained seizure-free; (3) undergo an annual 
medical examination by a certified medical examiner, as defined by 49 
CFR 390.5T; (4) provide a copy of the annual medical certification to 
the employer for retention in the driver's qualification file, or keep 
a copy in their driver's qualification file if they are self-employed; 
(5) report to FMCSA the date, time, and location of any crashes, as 
defined in 49 CFR 390.5T, within 7 days of the crash; (6) report to 
FMCSA any citations and convictions for disqualifying offenses under 49 
CFR parts 383 and 391 to FMCSA within 7 days of the citation and 
conviction; and (7) submit to FMCSA annual certified driving records 
from their SDLA. The driver must also have a copy of the exemption when 
driving, for presentation to a duly authorized Federal, State, or local 
law enforcement official. In addition, the driver must meet all the 
applicable commercial driver's license testing requirements. Each 
exemption will be valid for 2 years unless rescinded earlier by FMCSA. 
The exemption will be rescinded if: (1) the person fails to comply with 
the terms and conditions of the exemption, as set forth above and also 
in the initial renewal notice (see 90 FR 56259); (2) the exemption has 
resulted in a lower level of safety than was maintained before it was 
granted; or (3) continuation of the exemption would not be consistent 
with the goals and objectives of Title 49 chapter 313 or section 31136.

VII. Preemption

    During the period the exemption is in effect, no State shall 
enforce any law or regulation that conflicts with this exemption with 
respect to a person operating under the exemption.

VIII. Conclusion

    Based on its evaluation of the 11 renewal exemption applications 
and no comments received, FMCSA announces its decision to grant a 2-
year exemption to each of the following drivers from the epilepsy and 
seizure disorders prohibition in 49 CFR 391.41(b)(8).
    As of September 10, 2025, and in accordance with 49 U.S.C. 31136(e) 
and 31315(b), the following nine individuals have satisfied the renewal 
conditions for obtaining an exemption from the epilepsy and seizure 
disorders prohibition in the FMCSRs for interstate CMV drivers:

Jon Bandy (AR)
Christopher Beaver (PA)
Timothy Brinkman (NE)
Alexander Carestia (NC)
Kelly Craft (MN)
Thomas Kepler (MO)
Brian Manning (NJ)
Shawn Springer (MN)
Ryan Webb (MI)

    The drivers were included in docket numbers FMCSA-2023-0033 or 
FMCSA-2023-0035. Their exemptions were applicable as of September 10, 
2025, and will expire on September 10, 2027.
    As of September 30, 2025, and in accordance with 49 U.S.C. 31136(e) 
and 31315(b), the following two individuals have satisfied the renewal 
conditions for obtaining an exemption from the epilepsy and seizure 
disorders prohibition in the FMCSRs for interstate CMV drivers:
    Ronald Boogay (NJ); and Tina Farmer (MD).
    The drivers were included in docket numbers FMCSA-2014-0381 or 
FMCSA-2019-0031. Their exemptions were applicable as of September 30, 
2025, and will expire on September 30, 2027.
    In accordance with 49 U.S.C. 31315(b), and FMCSA's policy of 
issuing medical exemptions for a 2-year period to correspond with the 
medical certificate, each exemption will be valid for 2 years from the 
effective date unless revoked earlier by FMCSA. The exemption will be 
revoked if the following occurs: (1) the person fails to comply with 
the terms and conditions of the exemption, as set forth above and also 
in the initial renewal notice (see 90 FR 56257); (2) the exemption has 
resulted in a lower level of safety than was maintained prior to being 
granted; or (3) continuation of the exemption would not be consistent 
with the goals and objectives of Title 49 chapter 313 or section 31136.

Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2026-03769 Filed 2-24-26; 8:45 am]
BILLING CODE 4910-EX-P