New waiver grants CDL drivers 15 days to use paper medical cards
The Federal Motor Carrier Safety Administration (FMCSA) granted a waiver on July 14 to allow a paper copy of the medical examiner’s certificate to serve as proof of certification for up to 15 days after issue, through October 12, 2025.
There are two key impacts of this waiver:
- Commercial driver’s license (CDL) drivers can use paper medical cards as proof of medical certification for up to 15 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 15 days. This waiver applies to commercial learner’s permit (CLP) holders, as well. Non-CDL drivers are not affected by this waiver since they already are required to be issued a paper medical card.
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 feels that this waiver is in the best interest of the public and will provide the same, if not a greater, level of safety.
Background
As of June 23, all SDLAs were expected to 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 was also expected to switch to the new process once their system was ready to receive CDL driver medical certification information, which would then appear on the MVR and mean that CDL holders would not need physical proof of certification.
A copy of a CDL driver’s MVR was expected to 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 meant that:
- CDL drivers wouldn’t need to self-certify their medical cards with the SDLA because it would be done through the NRCME to SDLA connection, and
- Carriers wouldn’t need to note that the examiner was on the NRCME on the date of the exam.
As of July, 38 states and the District of Columbia have implemented the Medical Examiner’s Certification Integration (NRII) while 12 states are still relying on the paper certificate.
The waiver’s terms and conditions
The waiver does not apply to:
- A driver who doesn’t have a copy of their current, valid medical examiner’s certificate that was issued by a certified examiner 15 days prior; or
- A motor carrier that doesn’t have a copy of its driver’s current, valid medical examiner’s certificate that was issued 15 days prior.
Additionally, the FMCSA reserves the right to revoke the waiver if safety conditions are negatively impacted in terms of the goals and objectives of the original order.