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Motor carriers — whether they employ a handful of commercial drivers or thousands — often face an important question: If a driver is disqualified during a Department of Transportation (DOT) medical exam, is the driver allowed to seek a second opinion? For motor carriers, this situation can create uncertainty and raise concerns about compliance, safety, and legal risk.

FMCSA’s guidance on second opinions

According to the Federal Motor Carrier Safety Administration (FMCSA) guidance, a driver who receives a disqualified status may seek a second opinion from another National Registry Certified Medical Examiner.

However, the process has important requirements:

  • Drivers should obtain permission from their motor carrier before scheduling a second exam. Carrier that allow drivers to seek a second opinion may choose which Certified Medical Examiner drivers visit.
  • Carriers should maintain a list of approved medical vendors to ensure consistent and reliable examinations. Understanding these rules helps carriers manage risk and maintain compliance.
  • Carriers, however, should also watch out for these four areas of compliance that, if not followed, could steer them off course when it comes to driver medical exams.

Four watch-outs for motor carriers

1. Drivers must provide the same health information to every examiner

Drivers are required to give complete and truthful medical information at each exam. If a driver withholds or changes information to obtain a medical certificate from a second examiner, it can create serious problems:

  • Drivers can face civil penalties.
  • Motor carriers may also be liable if the driver is involved in a crash and was certified based on incomplete or inaccurate information.
  • Motor carriers could inadvertently place a medically unfit driver behind the wheel of a commercial motor vehicle .
  • Let’s say a driver previously reported severe fatigue that raised concerns about possible sleep apnea. That information must be shared with any second examiner. Withholding it in hopes of receiving a 2-year medical card creates significant compliance, legal, and safety risks to both the driver and motor carrier.

2. Carriers aren’t required to review the 'long form' medical report

Motor carriers aren’t required to obtain or review the driver’s DOT Medical Examination Report Form MCSA-5875 (long form). Without this information, it may be difficult for carriers to determine whether the driver disclosed accurate medical history during a second exam.

Carriers that choose to collect or review long form medical information must:

  • Obtain written consent from the driver.
  • Work closely with HR to ensure a consistent and compliant policy.
  • Use clear procedures for authorizing and storing medical information.

3. The FMCSA receives all exam results

All DOT medical exam results are submitted to the FMCSA National Registry. This means:

  • A disqualified exam will appear in the driver’s National Registry record.
  • If the driver quickly receives a second exam that results in a valid certification, the FMCSA may choose to review the situation more closely.

4. Carriers should watch for ‘doctor shopping’

Motor carriers should be alert for patterns that may indicate drivers are "doctor shopping.” Drivers who repeatedly seek new examiners that will overlook medical concerns pose risks for carriers. The FMCSA frowns upon “doctor shopping” because it undermines the integrity of the medical certification process. Carriers that allow drivers to do this will certainly raise red flags with the FMCSA if multiple exams occur within a short time frame.

Key to remember: Allowing a second opinion can be appropriate when handled correctly, but it must be managed carefully. Carriers should communicate clear guidelines to drivers, understand the FMCSA requirements, and maintain strong internal policies to protect both the company and the public.

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Most Recent Highlights In Environmental

2026-06-24T05:00:00Z

Indiana adds permanent underground carbon dioxide storage rules

Effective date: June 10, 2026

This applies to: Entities that seek to participate in carbon sequestration projects

Description of change: The Natural Resources Commission adopted rules for permanent underground carbon dioxide storage, establishing:

  • The rules for entities seeking to petition the Indiana Department of Natural Resources to issue involuntary integration orders for pore spaces, and
  • The rules for storage operators seeking to apply for certificates of project completion.

These regulations add options for entities; the requirements apply only if the options are utilized.

The rules impact entities seeking to participate in carbon sequestration projects. The regulations also affect pore space owners and surface owners.

2026-06-24T05:00:00Z

Virginia reinstates power plant CO2 budget program

Effective date: April 24, 2026

This applies to: Power plant owners

Description of change: The Virginia Department of Environmental Quality reinstated the Virginia CO2 Budget Trading Program Regulation, which implements the Regional Greenhouse Gas Initiative (RGGI). Participation in the RGGI was stopped in 2023, but the state will resume participation on July 1, 2026, the same date on which the compliance requirements take effect.

The regulation requires fossil fuel-fired units that serve an electricity generator with a capacity of 25 megawatts or more to obtain enough allowances to cover CO2 emissions, which they can purchase in the September and December RGGI auctions.

The department also adopted amendments to the regulations, including establishing a one-time 6-month control period from July 1, 2026, to December 31, 2026.

Related state info: Clean air operating permits state comparison

2026-06-24T05:00:00Z

New Hampshire updates sludge management rules

Effective date: May 15, 2026

This applies to: Owners and operators of drinking water and wastewater treatment plants that generate sludge; land application sites; and facilities that treat, manage, or dispose of sludge

Description of change: The New Hampshire Department of Environmental Services amended sludge management rules. Major changes include:

  • Reinstating 5-year site and facility permit renewals (instead of 10 years),
  • Adding annual reporting requirements for sludge haulers (which already apply to septage haulers), and
  • Requiring all applications to be submitted electronically.

The rule also codifies per- and polyfluoroalkyl substances (PFAS) sampling (implemented in 2019 for the sludge quality certificate program).

2026-06-24T05:00:00Z

New Jersey adopts permanent remediation standards for PFAS

Effective date: June 15, 2026

This applies to: Contaminated sites subject to the remediation regulations for contaminated groundwater, soil, and soil leachate

Description of change: The New Jersey Department of Environmental Protection (NJDEP) formally adopted its interim remediation standards for specific per- and polyfluoroalkyl substances (PFAS), including:

  • Groundwater quality standards for hexafluoropropylene oxide dimer acid and its ammonium salt (GenX chemicals); and
  • Soil and soil leachate remediation standards for:
    • Perfluorononanoic acid (PFNA);
    • Perfluorooctane sulfonate (PFOS);
    • Perfluorooctanoic acid (PFOA);
    • GenX chemicals; and
    • Methanol.

The interim standards have been in place since 2022 and 2023, requiring regulated entities to conduct remediation to ensure these PFAS are cleaned up.

Additionally, the NJDEP amended the technical requirements to mandate analyses of the following chemicals in all media when contaminants are unknown or not well documented at a contaminated site:

  • PFNA,
  • PFOS,
  • PFOA,
  • GenX chemicals, and
  • 2,3,7,8-tetrachlorodibenzo-p-dioxin.
2026-06-24T05:00:00Z

Indiana adds permanent underground carbon dioxide storage rules

Effective date: June 10, 2026

This applies to: Entities that seek to participate in carbon sequestration projects

Description of change: The Natural Resources Commission adopted rules for permanent underground carbon dioxide storage, establishing:

  • The applicability of carbon sequestration projects, and
  • The rules for the Department of Natural Resources issuing involuntary integration orders and certificates of project completion.

The rules impact entities seeking to participate in carbon sequestration projects under IC 14-39. The regulations also affect pore space owners and surface owners.

See More

Most Recent Highlights In Transportation

2026-06-24T05:00:00Z

Nevada adds requirements for hazardous waste recyclers

Effective date: June 8, 2026

This applies to: Hazardous waste recyclers

Description of change: The State Environmental Commission adopted regulations to add requirements for entities that recycle certain hazardous waste, including compliance with:

  • Certain federal requirements;
  • Local zoning requirements, if applicable;
  • Specific reporting and notification requirements; and
  • Other particular regulations of the commission.

The rules also:

  • Exempt owners and operators of certain facilities that recycle certain hazardous materials without storing those materials before they’re recycled from the above requirements, and
  • Add fees for written determinations (required to construct or operate a facility or mobile unit for hazardous waste recycling) and for the facilities that recycle certain hazardous materials without storing those materials before they’re recycled.
2026-06-24T05:00:00Z

Virginia reinstates power plant CO2 budget program

Effective date: April 24, 2026

This applies to: Power plant owners

Description of change: The Virginia Department of Environmental Quality reinstated the Virginia CO2 Budget Trading Program Regulation, which implements the Regional Greenhouse Gas Initiative (RGGI). Participation in the RGGI was stopped in 2023, but the state will resume participation on July 1, 2026, the same date on which the compliance requirements take effect.

The regulation requires fossil fuel-fired units that serve an electricity generator with a capacity of 25 megawatts or more to obtain enough allowances to cover CO2 emissions, which they can purchase in the September and December RGGI auctions.

The department also adopted amendments to the regulations, including establishing a one-time 6-month control period from July 1, 2026, to December 31, 2026.

Related state info: Clean air operating permits state comparison

2026-06-24T05:00:00Z

New Hampshire updates sludge management rules

Effective date: May 15, 2026

This applies to: Owners and operators of drinking water and wastewater treatment plants that generate sludge; land application sites; and facilities that treat, manage, or dispose of sludge

Description of change: The New Hampshire Department of Environmental Services amended sludge management rules. Major changes include:

  • Reinstating 5-year site and facility permit renewals (instead of 10 years),
  • Adding annual reporting requirements for sludge haulers (which already apply to septage haulers), and
  • Requiring all applications to be submitted electronically.

The rule also codifies per- and polyfluoroalkyl substances (PFAS) sampling (implemented in 2019 for the sludge quality certificate program).

2026-06-24T05:00:00Z

New Jersey adopts permanent remediation standards for PFAS

Effective date: June 15, 2026

This applies to: Contaminated sites subject to the remediation regulations for contaminated groundwater, soil, and soil leachate

Description of change: The New Jersey Department of Environmental Protection (NJDEP) formally adopted its interim remediation standards for specific per- and polyfluoroalkyl substances (PFAS), including:

  • Groundwater quality standards for hexafluoropropylene oxide dimer acid and its ammonium salt (GenX chemicals); and
  • Soil and soil leachate remediation standards for:
    • Perfluorononanoic acid (PFNA);
    • Perfluorooctane sulfonate (PFOS);
    • Perfluorooctanoic acid (PFOA);
    • GenX chemicals; and
    • Methanol.

The interim standards have been in place since 2022 and 2023, requiring regulated entities to conduct remediation to ensure these PFAS are cleaned up.

Additionally, the NJDEP amended the technical requirements to mandate analyses of the following chemicals in all media when contaminants are unknown or not well documented at a contaminated site:

  • PFNA,
  • PFOS,
  • PFOA,
  • GenX chemicals, and
  • 2,3,7,8-tetrachlorodibenzo-p-dioxin.
2026-06-24T05:00:00Z

Nevada adds requirements for hazardous waste recyclers

Effective date: June 8, 2026

This applies to: Hazardous waste recyclers

Description of change: The State Environmental Commission adopted regulations to add requirements for entities that recycle certain hazardous waste, including compliance with:

  • Certain federal requirements;
  • Local zoning requirements, if applicable;
  • Specific reporting and notification requirements; and
  • Other particular regulations of the commission.

The rules also:

  • Exempt owners and operators of certain facilities that recycle certain hazardous materials without storing those materials before they’re recycled from the above requirements, and
  • Add fees for written determinations (required to construct or operate a facility or mobile unit for hazardous waste recycling) and for the facilities that recycle certain hazardous materials without storing those materials before they’re recycled.
See More

Most Recent Highlights In Safety & Health

2026-06-24T05:00:00Z

Virginia reinstates power plant CO2 budget program

Effective date: April 24, 2026

This applies to: Power plant owners

Description of change: The Virginia Department of Environmental Quality reinstated the Virginia CO2 Budget Trading Program Regulation, which implements the Regional Greenhouse Gas Initiative (RGGI). Participation in the RGGI was stopped in 2023, but the state will resume participation on July 1, 2026, the same date on which the compliance requirements take effect.

The regulation requires fossil fuel-fired units that serve an electricity generator with a capacity of 25 megawatts or more to obtain enough allowances to cover CO2 emissions, which they can purchase in the September and December RGGI auctions.

The department also adopted amendments to the regulations, including establishing a one-time 6-month control period from July 1, 2026, to December 31, 2026.

Related state info: Clean air operating permits state comparison

2026-06-24T05:00:00Z

New Hampshire updates sludge management rules

Effective date: May 15, 2026

This applies to: Owners and operators of drinking water and wastewater treatment plants that generate sludge; land application sites; and facilities that treat, manage, or dispose of sludge

Description of change: The New Hampshire Department of Environmental Services amended sludge management rules. Major changes include:

  • Reinstating 5-year site and facility permit renewals (instead of 10 years),
  • Adding annual reporting requirements for sludge haulers (which already apply to septage haulers), and
  • Requiring all applications to be submitted electronically.

The rule also codifies per- and polyfluoroalkyl substances (PFAS) sampling (implemented in 2019 for the sludge quality certificate program).

2026-06-24T05:00:00Z

New Jersey adopts permanent remediation standards for PFAS

Effective date: June 15, 2026

This applies to: Contaminated sites subject to the remediation regulations for contaminated groundwater, soil, and soil leachate

Description of change: The New Jersey Department of Environmental Protection (NJDEP) formally adopted its interim remediation standards for specific per- and polyfluoroalkyl substances (PFAS), including:

  • Groundwater quality standards for hexafluoropropylene oxide dimer acid and its ammonium salt (GenX chemicals); and
  • Soil and soil leachate remediation standards for:
    • Perfluorononanoic acid (PFNA);
    • Perfluorooctane sulfonate (PFOS);
    • Perfluorooctanoic acid (PFOA);
    • GenX chemicals; and
    • Methanol.

The interim standards have been in place since 2022 and 2023, requiring regulated entities to conduct remediation to ensure these PFAS are cleaned up.

Additionally, the NJDEP amended the technical requirements to mandate analyses of the following chemicals in all media when contaminants are unknown or not well documented at a contaminated site:

  • PFNA,
  • PFOS,
  • PFOA,
  • GenX chemicals, and
  • 2,3,7,8-tetrachlorodibenzo-p-dioxin.
2026-06-24T05:00:00Z

Nevada adds requirements for hazardous waste recyclers

Effective date: June 8, 2026

This applies to: Hazardous waste recyclers

Description of change: The State Environmental Commission adopted regulations to add requirements for entities that recycle certain hazardous waste, including compliance with:

  • Certain federal requirements;
  • Local zoning requirements, if applicable;
  • Specific reporting and notification requirements; and
  • Other particular regulations of the commission.

The rules also:

  • Exempt owners and operators of certain facilities that recycle certain hazardous materials without storing those materials before they’re recycled from the above requirements, and
  • Add fees for written determinations (required to construct or operate a facility or mobile unit for hazardous waste recycling) and for the facilities that recycle certain hazardous materials without storing those materials before they’re recycled.
2026-06-24T05:00:00Z

Virginia reinstates power plant CO2 budget program

Effective date: April 24, 2026

This applies to: Power plant owners

Description of change: The Virginia Department of Environmental Quality reinstated the Virginia CO2 Budget Trading Program Regulation, which implements the Regional Greenhouse Gas Initiative (RGGI). Participation in the RGGI was stopped in 2023, but the state will resume participation on July 1, 2026, the same date on which the compliance requirements take effect.

The regulation requires fossil fuel-fired units that serve an electricity generator with a capacity of 25 megawatts or more to obtain enough allowances to cover CO2 emissions, which they can purchase in the September and December RGGI auctions.

The department also adopted amendments to the regulations, including establishing a one-time 6-month control period from July 1, 2026, to December 31, 2026.

Related state info: Clean air operating permits state comparison

See More

Most Recent Highlights In Human Resources

2026-06-24T05:00:00Z

North Carolina approved revisions to wastewater discharge rules

Effective date: May 1, 2026

This applies to: Facilities with domestic wastewater discharges up to 2 million gallons per day

Description of change: The North Carolina Department of Environmental Quality (DEQ) adopted a rule that adds a permitting option to the National Pollutant Discharge Elimination System (NPDES) program for facilities with domestic wastewater discharges of up to 2 million gallons per day.

DEQ removed the ban on new or expanded discharges of oxygen-consuming waste when the 7Q10 and 30Q2 flows are both 0 for these facilities. In other words, it allows systems to discharge domestic wastewater to zero-flow receiving streams, provided the system:

  • Meets qualifying criteria,
  • Complies with specific effluent limits, and
  • Uses low-energy methods before discharging wastewater to the receiving stream.

It’ll likely benefit areas where the cost of piping to a higher-flowing stream farther away is prohibitive.

2026-06-24T05:00:00Z

New Hampshire updates sludge management rules

Effective date: May 15, 2026

This applies to: Owners and operators of drinking water and wastewater treatment plants that generate sludge; land application sites; and facilities that treat, manage, or dispose of sludge

Description of change: The New Hampshire Department of Environmental Services amended sludge management rules. Major changes include:

  • Reinstating 5-year site and facility permit renewals (instead of 10 years),
  • Adding annual reporting requirements for sludge haulers (which already apply to septage haulers), and
  • Requiring all applications to be submitted electronically.

The rule also codifies per- and polyfluoroalkyl substances (PFAS) sampling (implemented in 2019 for the sludge quality certificate program).

2026-06-24T05:00:00Z

New Jersey adopts permanent remediation standards for PFAS

Effective date: June 15, 2026

This applies to: Contaminated sites subject to the remediation regulations for contaminated groundwater, soil, and soil leachate

Description of change: The New Jersey Department of Environmental Protection (NJDEP) formally adopted its interim remediation standards for specific per- and polyfluoroalkyl substances (PFAS), including:

  • Groundwater quality standards for hexafluoropropylene oxide dimer acid and its ammonium salt (GenX chemicals); and
  • Soil and soil leachate remediation standards for:
    • Perfluorononanoic acid (PFNA);
    • Perfluorooctane sulfonate (PFOS);
    • Perfluorooctanoic acid (PFOA);
    • GenX chemicals; and
    • Methanol.

The interim standards have been in place since 2022 and 2023, requiring regulated entities to conduct remediation to ensure these PFAS are cleaned up.

Additionally, the NJDEP amended the technical requirements to mandate analyses of the following chemicals in all media when contaminants are unknown or not well documented at a contaminated site:

  • PFNA,
  • PFOS,
  • PFOA,
  • GenX chemicals, and
  • 2,3,7,8-tetrachlorodibenzo-p-dioxin.
2026-06-24T05:00:00Z

Nevada adds requirements for hazardous waste recyclers

Effective date: June 8, 2026

This applies to: Hazardous waste recyclers

Description of change: The State Environmental Commission adopted regulations to add requirements for entities that recycle certain hazardous waste, including compliance with:

  • Certain federal requirements;
  • Local zoning requirements, if applicable;
  • Specific reporting and notification requirements; and
  • Other particular regulations of the commission.

The rules also:

  • Exempt owners and operators of certain facilities that recycle certain hazardous materials without storing those materials before they’re recycled from the above requirements, and
  • Add fees for written determinations (required to construct or operate a facility or mobile unit for hazardous waste recycling) and for the facilities that recycle certain hazardous materials without storing those materials before they’re recycled.
2026-06-24T05:00:00Z

California adds TPhP nail products to Priority Products list

Effective date: October 1, 2026

This applies to: Nail products containing triphenyl phosphate (TPhP) at concentrations greater than 250 parts per million (ppm)

Description of change: The California Department of Toxic Substances Control added nail products with concentrations of 250 ppm or more of TPhP to the Priority Product list, making the substance subject to the Safer Consumer Products (SCP) Regulations.

By November 30, 2026, manufacturers must submit a Priority Product Notification. By March 30, 2027, manufacturers must submit:

  • A Chemical Removal Intent/Confirmation Notification,
  • A Product Removal Intent/Confirmation Notification,
  • A Product-Chemical Replacement Intent/Confirmation Notification, or
  • A Preliminary Alternatives Analysis Report or alternate reporting options.
See More
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