Did you know these three fed med finer points?
Imagine lawsuit demands if one of your commercial drivers was medically unqualified before causing a serious crash. Reduce the risk of using a medically disqualified driver by gaining a deeper understanding of medical certification regulations and exceptions.
Below are three medical qualification finer points that you may not have known:
1. Cross-border medical reciprocity does not apply when using a waiver:
Canada and the United States have medical reciprocity, which means that a driver who meets the medical standards in the licensing country can operate a commercial motor vehicle (CMV) in the other country. However, a little-known fact could strand a driver at the respective border and not be allowed to enter the other country.
“Drivers from any of the countries who have received a medical authorization that deviates from the mutually accepted compatible medical standards of the resident country are not qualified to drive a CMV in the other countries. For example, Canadian drivers who do not meet the medical fitness provisions of the Canadian National Safety Code for Motor Carriers but are issued a waiver by one of the Canadian Provinces or Territories, are not qualified to drive a CMV in the United States. In addition, U.S. drivers who received a medical variance from FMCSA are not qualified to drive a CMV in Canada.”
The above regulatory excerpt found in 391.41(a)(1)(i) means that if your driver has a Federal Motor Carrier Safety Administration (FMCSA) exemption for a seizure, hearing deficit, or a missing limb or limb disorder, they are not medically qualified to enter Canada if licensed in the U.S., and vice versa.
2. “Determination pending” status does not extend the medical certification date:
During a medical exam, if a Certified Medical Examiner (CME) requires more information to make a certification decision, the regulations allow a CME to put the exam in "determination pending status" for not more than 45 days per 391.43(g)(4). The information, for example, may need to come from the driver's treating provider or a specialist, such as sleep study results.
The finer point is that if the driver's current card expiration date comes before the last date of the determination pending status, the driver cannot operate a CMV until the medical certification decision is final. There is no extension of the medical certification date if the exam in progress is in “determination pending” status.
3. A medical provider release does not mean a driver is still medically certified:
Suppose a driver is injured or has a medical condition that requires time away from the job. After treatment, the driver receives a release to return to work. That release does not automatically mean that the driver still meets the medical standards in 391.41(b).
FMCSA requires a CME to examine a driver if there is a medical concern that may make them unsafe to operate a CMV per 391.45(g). If a carrier doubts a driver’s medical certification status regarding safety behind the wheel, send the driver for a medical exam. A CME is the best-trained medical professional to verify that the driver meets the standards and is safe to operate a CMV.
Key to remember: Carriers must understand the finer points of medical certification to avoid unqualified drivers operating their CMVs.