2 hot FMCSA medical news updates!
On April 1, 2025, the new versions of commercial driver medical certification forms, which now expire on March 31, 2028, were posted on the FMCSA website:
Those who work with commercial driver medical certifications have been waiting for an update from the Federal Motor Carrier Safety Administration (FMCSA) on these two important medical forms, which originally expired on March 31, 2025.
Changes to the forms
The Medical Examination Report (MER) MCSA-5875, also called the "Long Form," and the Medical Examiner’s Certification (MCSA-5876), or the "Fed Med" card, were approved by the Office of Management and Budget on March 27, 2025. However, they were not available on the FMCSA website until April 1, 2025.
The changes include the new expiration date of March 31, 2028, and a revision date of March 27, 2025. The address in the Public Burden Statement at the top of the form was also updated. FMCSA reviews and updates these forms regularly, and the Office of Management and Budget must approve the final versions.
FMCSA expects medical examiners to start using the new forms as soon as possible, but they can still use their old forms with the 3/31/2025 expiration date until they run out.
CDL driver medical certification update
Another important update affects commercial driver’s licensed (CDL) drivers. By June 23, 2025, the process for updating CDL drivers’ medical certifications will be easier. By this date, all State Driver Licensing Agencies (SDLAs) must be connected to the National Registry of Certified Medical Examiners (NRCME). This system is where examiners enter medical certification information after each exam.
Each state will switch to the new process once their system can receive CDL driver medical certification information, which will then appear on the motor vehicle record (MVR). A copy of a CDL driver’s MVR must be in the driver’s qualification file after each exam.
FMCSA still requires a copy of a non-CDL driver’s medical card to be in the driver qualification file. This process is not changing for non-CDL drivers.
What’s changing by June 23, 2025:
- CDL drivers won’t need to self-certify their medical cards with the SDLA because this will be done through the NRCME to SDLA connection.
- Carriers won’t need to note that the examiner was on the NRCME on the date of the exam.
CDL drivers and carriers should check the SDLA websites for their transition dates and instructions on CDL driver medical certification.
What’s not changing on June 23, 2025:
- CDL drivers need to verify their driving type when they get a new CDL or Commercial Learner’s Permit (CLP), or when they upgrade or renew their CDL. They must choose one of the following:
- Non-excepted Interstate (requires medical certification)
- Excepted Interstate (DOT exam not required)
- Non-excepted Intrastate (intrastate-only and medical certification required)
- Excepted Intrastate (intrastate-only and DOT exam not required)
- Carriers must place a CDL motor vehicle record (MVR) in the driver qualification file after each exam. The number of days allowed for this may decrease from the current limit of 15 days.
Overall, carriers, CDL drivers, and medical examiners must understand how the medical certification changes will impact keeping medically qualified drivers on the road.