CDL medical certification 6-month exemption - The essential information
Effective April 11, 2026, through October 11, 2026, the FMCSA exemption allows a paper copy of the medical examiner’s certificate (MEC) to be carried by commercial driver's license/commercial learner's permit (CDL/CLP) drivers and carriers to use the medical card in the driver qualification (DQ) file for up to 60 days after issue, but must be replaced by an updated motor vehicle record (MVR) in that timeframe. The previous waiver, effective from January 11, 2026, through April 10, 2026, allowed the paper copy to be carried by drivers for 60 days as well.
Details of the paper med card exemption
This exemption applies to both CDL and CLP holders. Non-CDL drivers aren't affected by this since they're already required to be issued and to carry a paper medical card, which must be in the non-CDL driver's DQ file after each exam.
As a reminder, the two key impacts of this exemption include:
- CDL drivers can use paper medical cards as proof of medical certification for up to 60 days after the certificate has been issued (following the DOT exam) while operating a commercial motor vehicle (CMV).
- Carriers can use the medical card in the DQ file to be replaced by the CDL motor vehicle record (MVR) with the latest medical certification within 60 days.
The exemption's terms and conditions The exemption does not apply to:
- A driver who doesn’t have a copy of their current, valid MEC that was issued by a certified examiner 60 days prior; or
- A motor carrier that doesn’t have a copy of its driver’s current, valid MEC that was issued 60 days prior.
Additionally, the FMCSA reserves the right to revoke the exemption if safety conditions are negatively impacted in terms of the goals and objectives of the original order.
Other important information
The FMCSA continues to give carriers and drivers support while medical examiners and states transition to the secure electronic transmission to medical certification data update. The FMCSA decided drivers should not be punished for delays that may occur while medical examiners and State Driver’s Licensing Agencies (SDLAs) transition to the new system.
The agency strongly recommends, but does not require, that certified medical examiners (CMEs) continue to issue paper MECs (Form MCSA-5876) along with the required submission of examination results electronically, until further notice.
CDL drivers licensed in the following states must still submit their medical cards to their state of licensing until the state transitions to direct updates from the National Registry:
- Alaska
- California
- Kentucky
- Louisiana
- New Hampshire
This exemption does not affect non-CDL drivers who continue to receive medical cards that must be carried in their commercial motor vehicle and must be in the DQ file.
Key to remember: The use of the exemption does not relieve carriers of the requirement to replace the medical card in a CDL/CLP driver’s DQ file with an updated MVR within 60 days of the day of the medical exam.





















































