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Urgent: CDL medical certification integration guidance for states that do NOT transition by June 23rd
2025-06-20T05:00:00Z
As of June 19, 2025, 14 states had not yet connected to the National Registry of Certified Medical Examiners, which is also called NRII. Some states have said they will not meet the Federal Motor Carrier Safety Administration (FMCSA) June 23rd deadline and some plan to be connected in time. This news is making carriers, drivers, and medical examiners justifiably nervous. Fortunately, FMCSA communicated guidance outlined below that should help.
What to do for states that do not connect to the National Registry by June 23, 2025
Drivers:
- Drivers licensed in states that have not implemented must continue to submit a paper copy of their Medical Examiner’s Certificate, MCSA-5876, to their State Driver’s Licensing Agencies (SDLA). Contact the appropriate SDLA if there are questions.
- Regardless of the state in which the examination is performed, the driver must receive an original/paper Medical Examiner’s Certificate, MCSA-5876.
- Drivers may print the informational page that FMCSA posted at the link below to show the examiner if they do not want to issue a medical certificate:
Certified medical examiners (CMEs):
- CMEs should verify the driver’s state of licensure prior to the exam against the list of states that have not implemented NRII. See the National Registry link below.
- If a driver is licensed in a state that has not yet implemented NRII, a CME must issue the driver a paper Medical Examiner’s Certificate, MCSA-5876 AND submit the examination result to the National Registry by midnight (local time) of the next calendar day.
- FMCSA will notify CMEs by e-mail once a state has implemented NRII.
State Driver Licensing Authorities (SDLAs):
- (SDLAs) that have not implemented National Registry II (NRII) must continue the manual process of requiring commercial learners permit (CLP)/commercial driver’s license (CDL) holders to submit a copy of their original/paper Medical Examiner’s Certificate, MCSA-5876, as proof of medical certification.
- If a driver fails to submit their Medical Examiner’s Certificate, MCSA-5876, to the SDLA, the State must continue to update the medical certification status of a driver as “not certified” within 10 calendar days of the driver's medical examiner's certificate or medical variance expiring, the medical variance being rescinded, or the medical examiner's certificate being voided by FMCSA. The State must then initiate downgrading procedures within 60 days of the driver’s record being marked as “not certified.”
- The list of states that have not yet implemented NRII can be found at the bottom of the following web page:
Closing
Keys to remember: Follow the FMCSA guidance published to the NRII Learning Center Website (Link is above). If the state has not transitioned by June 23, 2025, continue to follow the manual update process.