FMCSA: Driver Exemption Applications for Epilepsy and Seizure Disorders
Summary
The Federal Motor Carrier Safety Administration (FMCSA) has published a notice regarding applications for exemptions from regulations prohibiting individuals with epilepsy or seizure disorders from driving commercial motor vehicles. The agency is requesting public comments on these applications.
What changed
The Federal Motor Carrier Safety Administration (FMCSA) has issued a notice announcing the receipt of exemption applications from 14 individuals seeking to operate commercial motor vehicles (CMVs) in interstate commerce despite having a clinical diagnosis of epilepsy or a history of seizures while on anti-seizure medication. This action is a procedural step to gather public input before potentially granting these exemptions, which would waive a prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs).
Regulated entities, particularly employers of CMV drivers, should be aware of this notice and the potential for individuals with epilepsy to be granted exemptions. While this notice itself does not impose new requirements, it signals a review process for medical exemptions. Interested parties, including employers and medical professionals, have until April 16, 2026, to submit comments to the FMCSA regarding these specific applications. Failure to submit comments by the deadline may result in their exclusion from consideration.
What to do next
- Review the notice regarding exemption applications for drivers with epilepsy and seizure disorders.
- Submit comments to FMCSA by April 16, 2026, if relevant to your operations or expertise.
- Monitor the outcome of these exemption applications and any subsequent policy changes.
Source document (simplified)
Notice
Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders
A Notice by the Federal Motor Carrier Safety Administration on 03/17/2026
This document has a comment period that ends in 30 days.
(04/16/2026) View Comment InstructionsPDF
Document Details
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- Public Inspection Published Document: 2026-05180 (91 FR 12900) Document Headings ###### Department of Transportation
Federal Motor Carrier Safety Administration
- [Docket No. FMCSA-2026-0035]
AGENCY:
Federal Motor Carrier Safety Administration (FMCSA), Department of Transportation (DOT).
ACTION:
Notice of applications for exemption; request for comments.
SUMMARY:
FMCSA announces receipt of applications from 14 individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with a clinical diagnosis of epilepsy or any other condition that is likely to cause a loss of consciousness or any loss of ability to control a commercial motor vehicle (CMV) to drive in interstate commerce. If granted, the exemptions would enable these individuals who have had one or more seizures and are taking anti-seizure medication to operate CMVs in interstate commerce.
DATES:
Comments must be received on or before April 16, 2026.
ADDRESSES:
You may submit comments identified by Docket No. FMCSA-2026-0035 using any of the following methods:
- Federal eRulemaking Portal: Go to www.regulations.gov, insert the docket number (FMCSA-2026-0035) in the keyword box and click “Search.” Next, choose the only notice listed, and click on the “Comment” button. Follow the online instructions for submitting comments.
- Mail: Dockets Operations, U.S. Department of Transportation, 1200 New Jersey Avenue SE, W58-213, Washington, DC 20590-0001.
- Hand Delivery or Courier: Dockets Operations, U.S. Department of Transportation, 1200 New Jersey Avenue SE, W58-213, Washington, DC 20590-0001, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays.
- Fax: (202) 493-2251. To avoid duplication, please use only one of these four methods. See the “Public Participation” portion of the SUPPLEMENTARY INFORMATION section for instructions on submitting comments.
FOR FURTHER INFORMATION CONTACT:
Ms. Christine A. Hydock, Chief, Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, Washington, DC 20590-0001; (202) 366-4001; fmcsamedical@dot.gov. Office hours are 8:30 a.m. to 5 p.m. ET Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Dockets Operations, (202) 366-9826.
SUPPLEMENTARY INFORMATION:
I. Public Participation
A. Submitting Comments
If you submit a comment, please include the docket number for this notice (FMCSA-2026-0035), indicate the specific section of this document to which each comment applies, and provide a reason for each suggestion or recommendation. You may submit your comments and material online or by fax, mail, or hand delivery, but please use only one of these means. FMCSA recommends that you include your name and a mailing address, an email address, or a phone number in the body of your document so that FMCSA can contact you if there are questions regarding your submission.
To submit your comment online, go to https://www.regulations.gov/docket/FMCSA-2026-0035. Next, choose the only notice listed, click the “Comment” button, and type your comment into the text box on the following screen. Choose whether you are submitting your comment as an individual or on behalf of a third party and then submit.
If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8
1/2
by 11 inches, suitable for copying and electronic filing. FMCSA will consider all comments and material received during the comment period.
B. Confidential Business Information (CBI)
CBI is commercial or financial information that is both customarily and actually treated as private by its owner. Under the Freedom of Information Act (5 U.S.C. 552), CBI is exempt from public disclosure. If your comments responsive to the notice contain commercial or financial information that is customarily treated as private, that you actually treat as private, and that is relevant or responsive to the notice, it is important that you clearly designate the submitted comments as CBI. Please mark each page of your ( printed page 12901) submission that constitutes CBI as “PROPIN” to indicate it contains proprietary information. FMCSA will treat such marked submissions as confidential under the Freedom of Information Act, and they will not be placed in the public docket of the notice. Submissions containing CBI should be sent to Brian Dahlin, Chief, Regulatory Evaluation Division, Office of Policy, FMCSA, 1200 New Jersey Avenue SE, Washington, DC 20590-0001 or via email at brian.g.dahlin@dot.gov. At this time, you need not send a duplicate hardcopy of your electronic CBI submissions to FMCSA headquarters. Any comments FMCSA receives not specifically designated as CBI will be placed in the public docket for this notice.
C. Viewing Comments
To view comments, go to www.regulations.gov, insert the docket number (FMCSA-2026-0035) in the keyword box and click “Search.” Next, choose the only notice listed, and click “Browse Comments.” If you do not have access to the internet, you may view the docket online by visiting Dockets Operations in room W58-213 of the DOT West Building, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal holidays. To be sure someone is there to help you, please call (202) 366-9317 or (202) 366-9826 before visiting Dockets Operations.
D. Privacy Act
In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments from the public on the exemption request. DOT posts these comments, including any personal information the commenter provides, to www.regulations.gov, as described in the system of records notice DOT/ALL-14 FDMS (Federal Docket Management System), which can be reviewed under the “Department Wide System of Records Notices” link at https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices. The comments are posted without edit and are searchable by the name of the submitter.
II. Legal Basis
FMCSA has authority under 49 U.S.C. 31136(e) and 31315(b) to grant exemptions from the FMCSRs. FMCSA must publish a notice of each exemption request in the Federal Register (49 CFR 381.315(a)). The Agency must provide the public an opportunity to inspect the information relevant to the application, including the applicant's safety analysis. The Agency must provide an opportunity for public comment on the request.
The Agency reviews the application, safety analyses, and public comments submitted and determines whether granting the exemption would likely achieve a level of safety equivalent to, or greater than, the level that would be achieved absent such exemption, pursuant to the standard set forth 49 U.S.C. 31315(b)(1). The Agency must publish its decision in the Federal Register (49 CFR 381.315(b)). If granted, the notice will identify the regulatory provision from which the applicant will be exempt, the effective period, and all terms and conditions of the exemption (49 CFR 381.315(c)(1)). If the exemption is denied, the notice will explain the reason for the denial (49 CFR 381.315(c)(2)). The exemption may be renewed (49 CFR 381.300(b)). FMCSA grants medical exemptions from the FMCSRs for a 2-year period to align with the maximum duration of a driver's medical certification.
III. Background
The physical qualification standard for drivers regarding seizures and loss of consciousness provides that a person is physically qualified to drive a CMV if that person has “no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause the loss of consciousness or any loss of ability to control” a CMV (49 CFR 391.41(b)(8)). To assist in applying this standard, FMCSA publishes guidance for medical examiners (ME) in the form of medical advisory criteria in Appendix A to 49 CFR part 391. [1 ] In 2007, FMCSA published recommendations from a Medical Expert Panel (MEP) that FMCSA tasked to review the existing seizure disorder guidelines for MEs. [2 ] The MEP performed a comprehensive, systematic literature review, including evidence available at the time. The MEP issued recommended criteria to evaluate whether an individual with a history of epilepsy, a single unprovoked seizure, or a provoked seizure should be allowed to drive a CMV.
On January 15, 2013, FMCSA began granting exemptions, on a case-by-case basis, to individual drivers from the physical qualification standard regarding seizures and loss of consciousness in 49 CFR 391.41(b)(8) (78 FR 3069). The Agency considers the medical advisory criteria, the 2007 MEP recommendations, any public comments received, and each individual's medical information and driving record in deciding whether to grant the exemption.
The 14 individuals listed in this notice have requested an exemption from the epilepsy and seizure disorders prohibition in 49 CFR 391.41(b)(8). Accordingly, the Agency will evaluate the qualifications of each applicant to determine whether granting the exemption will achieve the required level of safety mandated by statute.
IV. Qualifications of Applicants
Walter Albaugh
Walter Albaugh is a 42-year-old class D license holder in Massachusetts. He has a history of seizure disorder and has been seizure free since September 2016. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2014. His physician states that they are supportive of him receiving an exemption.
Cadan Asterino
Cadan Asterino is a 25-year-old class D license holder in Arizona. He has a history of generalized epilepsy and has been seizure free since 2014. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2015. His physician states that they are supportive of him receiving an exemption.
Alexander Blakes
Alexander Blakes is a 41-year-old class A license holder in Maryland. He has a history of a single provoked seizure and has been seizure free since October 25, 2022. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2022. His physician states that they are supportive of him receiving an exemption.
Cooper Franklin
Cooper Franklin is a 23-year-old class C license holder in North Carolina. He has a history of a provoked seizure and has been seizure free since September 2018. He does not take an anti-seizure medication. His physician states that they are supportive of him receiving an exemption.
( printed page 12902)
Anthony Fertitta
Anthony Fertitta is a 31-year-old class D license holder in Massachusetts. He has a history of seizure disorder and has been seizure free since August 2016. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2016. His physician states that they are supportive of him receiving an exemption.
Cody Ford
Cody Ford is a 35-year-old class O license holder in Michigan. He has a history of seizures and has been seizure free since 2018. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2018. His physician states that they are supportive of him receiving an exemption.
Terry Gribbons
Terry Gribbons is a 32-year-old class DA license holder in Kentucky. He has a history of preoperative seizures and has been seizure free since September 24, 2017. He takes an anti-seizure medication with the dosage and frequency remaining the same since September 2017. His physician states that they are supportive of him receiving an exemption.
Andrew Horton
Andrew Horton is a 21-year-old enhanced license holder in Washington. He has a history of focal epilepsy and has been seizure free since September 2017. He takes an anti-seizure medication with the dosage and frequency remaining the same since September 2017. His physician states that they are supportive of him receiving an exemption.
Bryel Johnson
Bryel Johnson is a 37-year-old class A commercial driver's license (CDL) holder in Idaho. He has a history of epilepsy and has been seizure free since March 2011. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2015. His physician states that they are supportive of him receiving an exemption.
Stephen Kelley
Stephen Kelley is a 56-year-old class D and M2 license holder in Virginia. He has a history of non-intractable epilepsy and has been seizure free since 2004. He takes an anti-seizure medication with the dosage and frequency remaining the same since April 16, 2019. His physician states that they are supportive of him receiving an exemption.
Jacob McNally
Jacob McNally is a 32-year-old class A CDL holder in Connecticut. He has a history of seizure disorder and has been seizure free since 2015. He takes an anti-seizure medication with the dosage and frequency remaining the same since January 10, 2024. His physician states that they are supportive of him receiving an exemption.
Joshua Trainum
Joshua Trainum is a 51-year-old class A CDL holder in Pennsylvania. He has a history of seizure disorder and has been seizure free since January 2018. He takes an anti-seizure medication with the dosage and frequency remaining the same since April 4, 2018. His physician states that they are supportive of him receiving an exemption.
Shawn Tupick
Shawn Tupick is a 54-year-old class A CDL holder in New Hampshire. He has a history of oligodendroglioma and has been seizure free since October 19, 2017. He takes an anti-seizure medication with the dosage and frequency remaining the same since October 2017. His physician states that they are supportive of him receiving an exemption.
Velvel Zhivov
Velvel Zhivov is a 20-year-old class D license holder in New York. He has a history of epilepsy and has been seizure free since January 2017. He takes an anti-seizure medication with the dosage and frequency remaining the same since 2020. His physician states that they are supportive of him receiving an exemption.
V. Request for Comments
In accordance with 49 U.S.C. 31136(e) and 31315(b), FMCSA requests public comment from all interested persons on the exemption applications described in this notice. FMCSA will consider all comments received before the close of business on the closing date indicated under the DATES section of the notice.
Larry W. Minor,
Associate Administrator for Policy.
Footnotes
1.
Appendix A to Part 391, Title 49, available at *[https://www.ecfr.gov/current/title-49/part-391/appendix-Appendix](https://www.ecfr.gov/current/title-49/part-391/appendix-Appendix)* A to Part 391.
“Expert Panel Recommendations, Seizure Disorders and Commercial Motor Vehicle Driver Safety,” Medical Expert Panel (Oct. 15, 2007), available at *[https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2020-04/Seizure-Disorders-MEP-Recommendations-v2-prot%2010152007.pdf](https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2020-04/Seizure-Disorders-MEP-Recommendations-v2-prot%252010152007.pdf)*.
Back to Citation [FR Doc. 2026-05180 Filed 3-16-26; 8:45 am]
BILLING CODE 4910-EX-P
Published Document: 2026-05180 (91 FR 12900)
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