• Due to the Medical Examiner’s Certification Integration, CDL and CLP drivers’ medical certificates will be sent to state licensing agencies automatically.

On June 23, 2025, the medical certification process will change due to the “Medical Examiner’s Certification Integration” final rule published on April 23, 2015. The biggest change is that commercial driver’s license (CDL) and commercial learner’s permit (CLP) holders will no longer have to provide their medical certificates to the state licensing agencies because that information will be transmitted automatically. The following is an overview of the changes expected to arrive in June 2025:

• After an exam, the medical examiner (ME) will need to upload the exam results to the Federal Motor Carrier Safety Administration (FMCSA) by midnight of the next calendar day. The FMCSA will upload these results to the driver’s licensing agency, which then must post the information to the CDL/CLP driver’s motor vehicle record (MVR) within one business day.
• For CDL/CLP drivers, the MVR will be the only official proof of medical certification. Drivers and their employers will not need the paper medical card, but because the 15-day window will no longer exist, employers must promptly obtain a new MVR after each new medical exam.
• Because the CDL/CLP driver exam results will be transmitted through the National Registry of Certified Medical Examiners, there will be no need for employers to show separate proof that their MEs are listed on the National Registry.
• Non-CDL drivers will need to continue always carrying their paper medical cards, and their employers must keep a copy file and verify the National Registry listing of their MEs.
• Examiners will need to inform drivers when they are deemed medically unqualified, and that this information will be reported to the FMCSA. When the FMCSA receives the report, it will invalidate any medical cards previously issued to the driver and will electronically transmit this report to the driver’s state licensing agency.