Cardiovascular Conditions

Information per the FMCSA courtesy of Breio Health Solutions, referencing: Cardiovascular Conditions

A person who has cerebral vascular insufficiency or cardiovascular disease which, within the preceding 6 months, has resulted in syncopal attack or loss of consciousness, vertigo, paralysis or loss of qualifying visual fields will not be qualified to drive. A provider may recommend a license recall if a person has cerebral vascular insufficiency or cardiovascular disease which, within the preceding 6 months, has resulted in lack of coordination, confusion, loss of awareness, dyspnea upon mild exertion or any other sign or symptom, which impairs the ability to control and safely operate a motor vehicle.

Drug/Substance Abuse

Information per the FMCSA courtesy of Breio Health Solutions, referencing: Substance Use

A provider can disqualify someone from driving if the provider feels the individual's use of any drug or substance, including alcohol, which is known to impair skill or functions, regardless whether the drug or substance is medically prescribed, is likely to impair their ability to safely operate a motor vehicle.

Diabetes

Information per the FMCSA courtesy of Breio Health Solutions, referencing:

A person who has unstable diabetes mellitus leading to severe hypoglycemic reactions or symptomatic hyperglycemia will not be qualified to drive, unless there has been a continuous period of at least 6 months free from a disqualifying episode.

Individuals who have had a disqualifying episode and are eligible for restoration must submit to follow-up diabetic examinations, which include an HbA1C test as well as a vision screening at 6, 12, 24, and finally 48-month intervals. diabetic examinations may be required more frequently if recommended by the treating health care provider.

However, a waiver from disqualification may be granted if an individual has been previously free from severe hypoglycemic reactions or symptomatic hyperglycemia for the preceding 6 months and the subsequent severe hypoglycemic reaction or symptomatic hyperglycemia occurred:

• while the individual was under the treating health care provider's care,

• during or concurrent with a nonrecurring transient illness, or toxic ingestion or metabolic imbalance.

The above waiver will only be granted if the treating health care provider submits written certification indicating it is a temporary condition or isolated incident not likely to recur.

Seizure Disorders

Information per the FMCSA courtesy of Breio Health Solutions, referencing: Seizure Disorder/Epilepsy

A person who has a seizure disorder will not be qualified to drive unless a licensed physician reports that the person has been free from seizure for at least 6 months immediately preceding, with or without medication. A person will not be disqualified if the person has experienced only auras during that period. In addition, § 83.4(b) allows a physician to request a waiver if the individual has a strictly nocturnal pattern of seizures or a pattern of seizures occurring only immediately upon awakening and has been established over a period of at least 2 years immediately preceding, with or without medication; a specific prolonged aura accompanied by sufficient warning has been established over a period of at least 2 years immediately preceding, with or without medication; the individual previously had been free from seizure for a 6-month period and the subsequent seizure or seizures occurred as a result of a prescribed change in or removal from medication while under the supervision of a licensed physician. This waiver will only be provided upon re-institution of previous medication, or the person previously had been free from seizure for 6 months and the subsequent seizure or seizures occurred during or concurrent with a nonrecurring transient illness, toxic ingestion, or metabolic imbalance. § 83.4(c) also requires providers who treat a person who has experienced a single seizure to also report that individual to the department.

Other conditions that affect safe driving

Information per the FMCSA courtesy of Breio Health Solutions, referencing: Other conditions that affect safe driving

A provider can disqualify someone from driving if the provider feels the individual has any condition(s) which, in the opinion of a provider, is likely to impair the ability to control and safely operate a motor vehicle.