Medical Review Board (MRB) Meeting: Public Meeting, 43809-43810 [2017-19906]

Download as PDF Federal Register / Vol. 82, No. 180 / Tuesday, September 19, 2017 / Notices the assistance of another person, or resulting in impaired cognitive function that occurred without warning symptoms, in the past 12 months and no recurrent (two or more) severe hypoglycemic episodes in the past five years. In each case, an endocrinologist verified that the driver has demonstrated a willingness to properly monitor and manage his/her diabetes mellitus, received education related to diabetes management, and is on a stable insulin regimen. These drivers report no other disqualifying conditions, including diabetes related complications. Each meets the vision requirement at 49 CFR 391.41(b)(10). The qualifications, experience, and medical condition of each applicant were stated and discussed in detail in the June 6, 2017, Federal Register notice (82 FR 26226) and will not be repeated in this notice. Consequently, FMCSA finds that in each case exempting these applicants from the diabetes requirement in 49 CFR 391.41(b)(3) is likely to achieve a level of safety equal to that existing without the exemption. asabaliauskas on DSKBBXCHB2PROD with NOTICES V. Conditions and Requirements The terms and conditions of the exemption are provided to the applicants in the exemption document and includes the following: (1) Each driver must submit a quarterly monitoring checklist completed by the treating endocrinologist as well as an annual checklist with a comprehensive medical evaluation; (2) each driver must report within two business days of occurrence, all episodes of severe hypoglycemia, significant complications, or inability to manage diabetes; also, any involvement in an accident or any other adverse event in a CMV or personal vehicle, whether or not it is related to an episode of hypoglycemia; (3) each driver must provide a copy of the ophthalmologist’s or optometrist’s report to the Medical Examiner at the time of the annual medical examination; and (4) each driver must provide a copy of the annual medical certification to the employer for retention in the driver’s qualification file, or keeping a copy in his/her driver’s qualification file if he/ she is self-employed. The driver must also have a copy of the exemption when driving, for presentation to a duly authorized Federal, State, or local enforcement official. VI. Preemption During the period the exemption is in effect, no State shall enforce any law or regulation that conflicts with this VerDate Sep<11>2014 17:12 Sep 18, 2017 Jkt 241001 43809 exemption with respect to a person operating under the exemption. DEPARTMENT OF TRANSPORTATION VII. Conclusion Federal Motor Carrier Safety Administration Based upon its evaluation of the 29 exemption applications, FMCSA exempts the following drivers from the diabetes requirement in 49 CFR 391.41(b)(10), subject to the requirements cited above: Tyler J. Bren (ND) Charlie H. Brown, Jr. (GA) Ajax A. Castro (FL) Robert J. Conklin (PA) Luke S. Davidson (CA) Joseph R. DePra (IN) Joseph P. Finan (RI) Luis Garcia (NJ) Eric E.T. Gheen (OH) Aron A. Hanson (IL) Tyler J. Hanson (ID) Antonio K. Hoes (MD) Ronald O. Knighten (WA) Stephen P. Koons (PA) Angel Luna (PA) David Mills (NH) Kenneth J. Moe (MN) James L. Pearson (NY) Walter R. Rentsch (SD) Richard D. Revere (PA) Redmond L. Riley (NC) James H. Roth, Jr. (PA) Stephen R. Shaffer (KS) Matthew J. Thornton (OR) Michael H. Trayah (VT) William Wagstaff, 3rd (MD) Craig A. Wildenberg (WI) Ronald E. Wulf (MN) Samuel K. Zeweldie (GA) [Docket No. FMCSA–2006–26367] Medical Review Board (MRB) Meeting: Public Meeting Federal Motor Carrier Safety Administration (FMCSA), DOT. AGENCY: Announcement of advisory committee public meeting. ACTION: FMCSA announces a meeting of its Medical Review Board (MRB) on Tuesday and Wednesday, September 26–27, 2017. The MRB will make recommendations to the Agency on the revision of the Agency’s handbook for medical examiners (ME) who are on the National Registry of Certified Medical Examiners (National Registry), for their use in evaluating interstate commercial motor vehicle (CMV) drivers for a medical qualification determination. Additionally, the MRB will review the Agency’s current advisory and exemption program criteria concerning individuals taking anti-seizure medication and identify factors the Agency should consider for potential regulatory actions that would eliminate the need for granting exemptions. The meeting is open to the public for its entirety. The public will be allowed to comment during the proceedings. SUMMARY: The meeting will be held on Tuesday and Wednesday, September 26–27, 2017, from 9:15 a.m. to 4:30 p.m., Eastern Daylight Time (E.T.), at the FMCSA National Training Center, 1310 N. Courthouse Road, Arlington, VA, 6th Floor. Copies of the task statement and an agenda for the entire meeting will be made available in advance of the meeting at www.fmcsa.dot.gov/mrb. DATES: In accordance with 49 U.S.C. 31136(e) and 31315, each exemption will be valid for two years from the effective date unless revoked earlier by FMCSA. The exemption will be revoked if the following occurs: (1) The person fails to comply with the terms and conditions of the exemption; (2) the exemption has resulted in a lower level of safety than was maintained prior to being granted; or (3) continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136(e) and 31315. Ms. Shannon L. Watson, Senior Advisor to the Associate Administrator for Policy, Federal Motor Carrier Safety Administration, U.S. Department of Transportation, 1200 New Jersey Avenue SE., Washington, DC 20590, (202) 366–5221, mrb@dot.gov. FOR FURTHER INFORMATION CONTACT: Services for Individuals With Disabilities [FR Doc. 2017–19907 Filed 9–18–17; 8:45 am] For information on facilities or services for individuals with disabilities or to request special assistance at the meeting, contact Eran Segev at (617) 494–3174, eran.segev@dot.gov, by Wednesday, September 20. BILLING CODE 4910–EX–P SUPPLEMENTARY INFORMATION: Issued on: September 13, 2017. Larry W. Minor, Associate Administrator for Policy. PO 00000 Frm 00072 Fmt 4703 Sfmt 4703 E:\FR\FM\19SEN1.SGM 19SEN1 asabaliauskas on DSKBBXCHB2PROD with NOTICES 43810 Federal Register / Vol. 82, No. 180 / Tuesday, September 19, 2017 / Notices I. Background The MRB is composed of five medical experts who each serve two-year terms. Section 4116 of SAFETEA–LU requires the Secretary of Transportation, with the advice of the MRB and the chief medical examiner, to establish, review, and revise ‘‘medical standards for operators of commercial motor vehicles that will ensure that the physical condition of operators of commercial motor vehicles is adequate to enable them to operate the vehicles safely.’’ The MRB operates in accordance with FACA under the terms of its charter, filed November 25, 2015. On January 15, 2013, FMCSA announced in a Notice of Final Disposition entitled, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, (78 FR 3069), its decision to grant requests from 22 individuals for exemptions from the regulatory requirement that interstate CMV drivers have ‘‘no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause loss of consciousness or any loss of ability to control a CMV.’’ Since the January 15, 2013, notice, the Agency has published additional notices granting requests from individuals for exemptions from the regulatory requirement regarding epilepsy found in 49 CFR 391.41(b)(8). In reaching the decision to grant exemption requests, FMCSA considers the 2007 recommendations of the Agency’s Medical Expert Panel (MEP). The January 15, 2013, Federal Register notice (78 FR 3069) provides the current MEP recommendations, which is the criteria the Agency uses to grant seizure exemptions. The Agency’s decision regarding exemption applications is based on an individualized assessment of each applicant’s medical information, including the following: The root cause of the respective seizure(s) and medical information about the applicant’s seizure history; the length of time that has elapsed since the individual’s last seizure; the stability of each individual’s treatment regimen; and the duration of time on or off anti-seizure medication. In addition, the Agency reviews the treating clinician’s medical opinion related to the ability of the driver to operate a CMV safely with a history of seizure and each applicant’s driving record found in the Commercial Driver’s License Information System (CDLIS) for commercial driver’s license (CDL) holders, and interstate and intrastate inspections recorded in the Motor Carrier Management Information System (MCMIS). For non-CDL holders, the VerDate Sep<11>2014 17:12 Sep 18, 2017 Jkt 241001 Agency reviews the driving records from the State Driver’s Licensing Agencies (SDLAs). II. Meeting Participation Oral comments from the public will be heard during the meeting, at the discretion of the Chairman. Members of the public may submit written comments on the topics to be considered during the meeting by Wednesday, September 20, to Federal Docket Management System (FDMC) Docket Number FMCSA–2008–0362 for the MRB using any of the following methods: • Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting comments. • Fax: 202–493–2251. • Mail: Docket Management Facility; U.S. Department of Transportation, 1200 New Jersey Avenue SE., West Building, Room W12–140, Washington, DC 20590. • Hand Delivery: U.S. Department of Transportation, 1200 New Jersey Avenue SE., Room W12–140, Washington, DC, between 9 a.m. and 5 p.m., E.T. Monday through Friday, except Federal holidays. Issued on: September 13, 2017. Larry W. Minor, Associate Administrator for Policy. [FR Doc. 2017–19906 Filed 9–18–17; 8:45 am] BILLING CODE 4910–EX–P DEPARTMENT OF TRANSPORTATION Federal Motor Carrier Safety Administration [Docket No. FMCSA–2017–0043] Qualification of Drivers; Exemption Applications; Diabetes Mellitus Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of applications for exemption; request for comments. AGENCY: FMCSA announces receipt of applications from 31 individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with insulin-treated diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these individuals with ITDM to operate CMVs in interstate commerce. DATES: Comments must be received on or before October 19, 2017. ADDRESSES: You may submit comments bearing the Federal Docket Management System (FDMS) Docket No. FMCSA– SUMMARY: PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 2017–0043 using any of the following methods: • Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting comments. • Mail: Docket Management Facility; U.S. Department of Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor, Room W12–140, Washington, DC 20590–0001. • Hand Delivery: West Building Ground Floor, Room W12–140, 1200 New Jersey Avenue SE., Washington, DC, between 9 a.m. and 5 p.m., e.t., Monday through Friday, except Federal Holidays. • Fax: 1–202–493–2251. Instructions: Each submission must include the Agency name and the docket number(s) for this notice. Note that all comments received will be posted without change to http:// www.regulations.gov, including any personal information provided. Please see the Privacy Act heading below for further information. Docket: For access to the docket to read background documents or comments, go to http:// www.regulations.gov at any time or Room W12–140 on the ground level of the West Building, 1200 New Jersey Avenue SE., Washington, DC, between 9 a.m. and 5 p.m., e.t., Monday through Friday, except Federal holidays. The FDMS is available 24 hours each day e.t., 365 days each year. If you want acknowledgment that we received your comments, please include a selfaddressed, stamped envelope or postcard or print the acknowledgement page that appears after submitting comments online. Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits comments from the public to better inform its rulemaking process. DOT posts these comments, without edit, including any personal information the commenter provides, to http://www.regulations.gov, as described in the system of records notice (DOT/ALL–14 FDMS), which can be reviewed at http://www.dot.gov/ privacy. Ms. Christine A. Hydock, Chief, Medical Programs Division, (202) 366–4001, fmcsamedical@dot.gov, FMCSA, Department of Transportation, 1200 New Jersey Avenue SE., Room W64– 224, Washington, DC 20590–0001. Office hours are 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366–9826. FOR FURTHER INFORMATION CONTACT: E:\FR\FM\19SEN1.SGM 19SEN1

Agencies

[Federal Register Volume 82, Number 180 (Tuesday, September 19, 2017)]
[Notices]
[Pages 43809-43810]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-19906]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2006-26367]


Medical Review Board (MRB) Meeting: Public Meeting

AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT.

ACTION: Announcement of advisory committee public meeting.

-----------------------------------------------------------------------

SUMMARY: FMCSA announces a meeting of its Medical Review Board (MRB) on 
Tuesday and Wednesday, September 26-27, 2017. The MRB will make 
recommendations to the Agency on the revision of the Agency's handbook 
for medical examiners (ME) who are on the National Registry of 
Certified Medical Examiners (National Registry), for their use in 
evaluating interstate commercial motor vehicle (CMV) drivers for a 
medical qualification determination. Additionally, the MRB will review 
the Agency's current advisory and exemption program criteria concerning 
individuals taking anti-seizure medication and identify factors the 
Agency should consider for potential regulatory actions that would 
eliminate the need for granting exemptions. The meeting is open to the 
public for its entirety. The public will be allowed to comment during 
the proceedings.

DATES: The meeting will be held on Tuesday and Wednesday, September 26-
27, 2017, from 9:15 a.m. to 4:30 p.m., Eastern Daylight Time (E.T.), at 
the FMCSA National Training Center, 1310 N. Courthouse Road, Arlington, 
VA, 6th Floor. Copies of the task statement and an agenda for the 
entire meeting will be made available in advance of the meeting at 
www.fmcsa.dot.gov/mrb.

FOR FURTHER INFORMATION CONTACT: Ms. Shannon L. Watson, Senior Advisor 
to the Associate Administrator for Policy, Federal Motor Carrier Safety 
Administration, U.S. Department of Transportation, 1200 New Jersey 
Avenue SE., Washington, DC 20590, (202) 366-5221, mrb@dot.gov.

Services for Individuals With Disabilities

    For information on facilities or services for individuals with 
disabilities or to request special assistance at the meeting, contact 
Eran Segev at (617) 494-3174, eran.segev@dot.gov, by Wednesday, 
September 20.

SUPPLEMENTARY INFORMATION: 

[[Page 43810]]

I. Background

    The MRB is composed of five medical experts who each serve two-year 
terms. Section 4116 of SAFETEA-LU requires the Secretary of 
Transportation, with the advice of the MRB and the chief medical 
examiner, to establish, review, and revise ``medical standards for 
operators of commercial motor vehicles that will ensure that the 
physical condition of operators of commercial motor vehicles is 
adequate to enable them to operate the vehicles safely.'' The MRB 
operates in accordance with FACA under the terms of its charter, filed 
November 25, 2015.
    On January 15, 2013, FMCSA announced in a Notice of Final 
Disposition entitled, Qualification of Drivers; Exemption Applications; 
Epilepsy and Seizure Disorders, (78 FR 3069), its decision to grant 
requests from 22 individuals for exemptions from the regulatory 
requirement that interstate CMV drivers have ``no established medical 
history or clinical diagnosis of epilepsy or any other condition which 
is likely to cause loss of consciousness or any loss of ability to 
control a CMV.'' Since the January 15, 2013, notice, the Agency has 
published additional notices granting requests from individuals for 
exemptions from the regulatory requirement regarding epilepsy found in 
49 CFR 391.41(b)(8).
    In reaching the decision to grant exemption requests, FMCSA 
considers the 2007 recommendations of the Agency's Medical Expert Panel 
(MEP). The January 15, 2013, Federal Register notice (78 FR 3069) 
provides the current MEP recommendations, which is the criteria the 
Agency uses to grant seizure exemptions.
    The Agency's decision regarding exemption applications is based on 
an individualized assessment of each applicant's medical information, 
including the following: The root cause of the respective seizure(s) 
and medical information about the applicant's seizure history; the 
length of time that has elapsed since the individual's last seizure; 
the stability of each individual's treatment regimen; and the duration 
of time on or off anti-seizure medication. In addition, the Agency 
reviews the treating clinician's medical opinion related to the ability 
of the driver to operate a CMV safely with a history of seizure and 
each applicant's driving record found in the Commercial Driver's 
License Information System (CDLIS) for commercial driver's license 
(CDL) holders, and interstate and intrastate inspections recorded in 
the Motor Carrier Management Information System (MCMIS). For non-CDL 
holders, the Agency reviews the driving records from the State Driver's 
Licensing Agencies (SDLAs).

II. Meeting Participation

    Oral comments from the public will be heard during the meeting, at 
the discretion of the Chairman. Members of the public may submit 
written comments on the topics to be considered during the meeting by 
Wednesday, September 20, to Federal Docket Management System (FDMC) 
Docket Number FMCSA-2008-0362 for the MRB using any of the following 
methods:
     Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting 
comments.
     Fax: 202-493-2251.
     Mail: Docket Management Facility; U.S. Department of 
Transportation, 1200 New Jersey Avenue SE., West Building, Room W12-
140, Washington, DC 20590.
     Hand Delivery: U.S. Department of Transportation, 1200 New 
Jersey Avenue SE., Room W12-140, Washington, DC, between 9 a.m. and 5 
p.m., E.T. Monday through Friday, except Federal holidays.

    Issued on: September 13, 2017.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2017-19906 Filed 9-18-17; 8:45 am]
 BILLING CODE 4910-EX-P