Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, 17287-17289 [2023-05853]
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lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 55 / Wednesday, March 22, 2023 / Notices
17287
information the commenter provides, to
www.regulations.gov. As described in
the system of records notice DOT/ALL
14 (Federal Docket Management
System), which can be reviewed at
https://www.transportation.gov/
individuals/privacy/privacy-act-systemrecords-notices, the comments are
searchable by the name of the submitter.
exemptions from the Agency’s physical
qualification standard concerning
hearing for interstate CMV drivers.
Amin Ali, 21, holds a class D driver’s
license in Ohio.
Qualification of Drivers; Exemption
Applications; Epilepsy and Seizure
Disorders
II. Background
Under 49 U.S.C. 31136(e) and
31315(b), FMCSA may grant an
exemption from the FMCSRs for no
longer than a 5-year period if it finds
such exemption would likely achieve a
level of safety that is equivalent to, or
greater than, the level that would be
achieved absent such exemption. The
statutes also allow the Agency to renew
exemptions at the end of the 5-year
period. FMCSA grants medical
exemptions from the FMCSRs for a 2year period to align with the maximum
duration of a driver’s medical
certification.
The 10 individuals listed in this
notice have requested an exemption
from the hearing requirement in 49 CFR
391.41(b)(11). 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.
The physical qualification standard
for drivers regarding hearing found in
§ 391.41(b)(11) states that a person is
physically qualified to drive a CMV if
that person first perceives a forced
whispered voice in the better ear at not
less than 5 feet with or without the use
of a hearing aid or, if tested by use of
an audiometric device, does not have an
average hearing loss in the better ear
greater than 40 decibels at 500 Hz, 1,000
Hz, and 2,000 Hz with or without a
hearing aid when the audiometric
device is calibrated to American
National Standard (formerly ASA
Standard) Z24.5—1951.
This standard was adopted in 1970
and was revised in 1971 to allow drivers
to be qualified under this standard
while wearing a hearing aid, (35 FR
6458, 6463 (Apr. 22, 1970) and 36 FR
12857 (July 8, 1971), respectively).
On February 1, 2013, FMCSA
announced in a Notice of Final
Disposition titled, ‘‘Qualification of
Drivers; Application for Exemptions;
National Association of the Deaf,’’ (78
FR 7479), its decision to grant requests
from 40 individuals for exemptions
from the Agency’s physical qualification
standard concerning hearing for
interstate CMV drivers. Since that time
the Agency has published additional
notices granting requests from hard of
hearing and deaf individuals for
Guled Ali
AGENCY:
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16:52 Mar 21, 2023
Jkt 259001
III. Qualifications of Applicants
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety
Administration
[Docket No. FMCSA–2023–0030]
Amin Ali
Guled Ali, 22, holds a class D driver’s
license in Ohio.
Joey Dickinson
Joey Dickinson, 36, holds a class D
driver’s license in Tennessee.
Samantha Gatpo
Samantha Gatpo, 26, holds a class D
driver’s license in California.
Freddy Lopez Hernandez
Freddy Lopez Hernandez, 30, holds a
class C driver’s license in Texas.
Shane Rowland
Shane Rowland, 35, holds a class C
driver’s license in Texas.
Timothy Smith
Timothy Smith, 28, holds a class A
commercial driver’s license (CDL) in
Virginia.
Daniel Vollertsen
Daniel Vollertsen, 35, holds a class D
driver’s license in New York.
Martin Vorpahl
Martin Vorpahl, 49, holds a class
ABCDM CDL in Wisconsin.
Irven Wade
Irven Wade, 49, holds a class CM
driver’s license in Nevada.
IV. 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 petitions described in
this notice. We 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.
[FR Doc. 2023–05855 Filed 3–21–23; 8:45 am]
BILLING CODE 4910–EX–P
PO 00000
Frm 00111
Fmt 4703
Sfmt 4703
Federal Motor Carrier Safety
Administration (FMCSA), Department
of Transportation (DOT).
ACTION: Notice of applications for
exemption; request for comments.
FMCSA announces receipt of
applications from 11 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 21, 2023.
ADDRESSES: You may submit comments
identified by the Federal Docket
Management System Docket No.
FMCSA–2023–0030 using any of the
following methods:
• Federal eRulemaking Portal: Go to
www.regulations.gov/, insert the docket
number (FMCSA–2023–0030) in the
keyword box and click ‘‘Search.’’ Next,
sort the results by ‘‘Posted (NewerOlder),’’ choose the first 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, 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
20590–0001 between 9 a.m. and 5 p.m.
ET 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, Room W64–224,
SUMMARY:
E:\FR\FM\22MRN1.SGM
22MRN1
17288
Federal Register / Vol. 88, No. 55 / Wednesday, March 22, 2023 / Notices
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 (Docket No. FMCSA–2023–0030),
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
www.regulations.gov/docket?D=FMCSA2023-0030. Next, sort the results by
‘‘Posted (Newer-Older),’’ choose the first
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 81⁄2 by
11 inches, suitable for copying and
electronic filing. FMCSA will consider
all comments and material received
during the comment period.
lotter on DSK11XQN23PROD with NOTICES1
B. Viewing Comments
To view comments go to
www.regulations.gov. Insert the docket
number (FMCSA–2023–0030) in the
keyword box and click ‘‘Search.’’ Next,
sort the results by ‘‘Posted (NewerOlder),’’ choose the first 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 W12–140
on the ground floor 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.
VerDate Sep<11>2014
16:52 Mar 21, 2023
Jkt 259001
C. 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,
without edit, including any personal
information the commenter provides, to
www.regulations.gov. As described in
the system of records notice DOT/ALL
14 (Federal Docket Management
System), which can be reviewed at
https://www.transportation.gov/
individuals/privacy/privacy-act-systemrecords-notices, the comments are
searchable by the name of the submitter.
II. Background
Under 49 U.S.C. 31136(e) and
31315(b), FMCSA may grant an
exemption from the FMCSRs for no
longer than a 5-year period if it finds
such exemption would likely achieve a
level of safety that is equivalent to, or
greater than, the level that would be
achieved absent such exemption. The
statutes also allow the Agency to renew
exemptions at the end of the 5-year
period. FMCSA grants medical
exemptions from the FMCSRs for a 2year period to align with the maximum
duration of a driver’s medical
certification.
The 11 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.
The physical qualification standard
for drivers regarding epilepsy found in
§ 391.41(b)(8) states 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.
In addition to the regulations, FMCSA
has published advisory criteria 1 to
assist medical examiners (MEs) in
determining whether drivers with
certain medical conditions are qualified
to operate a CMV in interstate
commerce.
The criteria states that if an individual
has had a sudden episode of a nonepileptic seizure or loss of
consciousness of unknown cause that
did not require anti-seizure medication,
1 These criteria may be found in APPENDIX A TO
PART 391—MEDICAL ADVISORY CRITERIA,
section H. Epilepsy: § 391.41(b)(8), paragraphs 3, 4,
and 5, which is available on the internet at https://
www.gpo.gov/fdsys/pkg/CFR-2015-title49-vol5/pdf/
CFR-2015-title49-vol5-part391-appA.pdf.
PO 00000
Frm 00112
Fmt 4703
Sfmt 4703
the decision whether that person’s
condition is likely to cause the loss of
consciousness or loss of ability to
control a CMV should be made on an
individual basis by the ME in
consultation with the treating physician.
Before certification is considered, it is
suggested that a 6-month waiting period
elapse from the time of the episode.
Following the waiting period, it is
suggested that the individual have a
complete neurological examination. If
the results of the examination are
negative and anti-seizure medication is
not required, then the driver may be
qualified.
In those individual cases where a
driver has had a seizure or an episode
of loss of consciousness that resulted
from a known medical condition (e.g.,
drug reaction, high temperature, acute
infectious disease, dehydration, or acute
metabolic disturbance), certification
should be deferred until the driver has
recovered fully from that condition, has
no existing residual complications, and
is not taking anti-seizure medication.
Drivers who have a history of
epilepsy/seizures, off anti-seizure
medication, and seizure-free for 10
years, may be qualified to operate a
CMV in interstate commerce. Interstate
drivers with a history of a single
unprovoked seizure may be qualified to
drive a CMV in interstate commerce if
seizure-free and off anti-seizure
medication for a 5-year period or more.
As a result of MEs misinterpreting
advisory criteria as regulation,
numerous drivers have been prohibited
from operating a CMV in interstate
commerce based on the fact that they
have had one or more seizures and are
taking anti-seizure medication, rather
than an individual analysis of their
circumstances by a qualified ME based
on the physical qualification standards
and medical best practices.
On January 15, 2013, FMCSA
announced in a notice of final
disposition titled, ‘‘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 that time, the Agency has
published additional notices granting
requests from individuals for
exemptions from the regulatory
requirement regarding epilepsy found in
§ 391.41(b)(8).
To be considered for an exemption
from the epilepsy and seizure disorders
E:\FR\FM\22MRN1.SGM
22MRN1
Federal Register / Vol. 88, No. 55 / Wednesday, March 22, 2023 / Notices
prohibition in § 391.41(b)(8), applicants
must meet the criteria in the 2007
recommendations of the Agency’s
Medical Expert Panel (78 FR 3069).
III. Qualifications of Applicants
Keith Dohrmann
Keith Dohrmann is a 38-year-old class
D license holder in Minnesota. They
have a history of epilepsy and have been
seizure free since January 2012. They
take anti-seizure medication with the
dosage and frequency remaining the
same since October 2018. Their
physician states that they are supportive
of Keith Dohrmann receiving an
exemption.
Wallace Ferguson
Wallace Ferguson is a 61-year-old
class R license holder in Colorado. They
have a history of partial onset epilepsy
and have been seizure free since 2011.
They take anti-seizure medication with
the dosage and frequency remaining the
same since 2012. Their physician states
that they are supportive of Wallace
Ferguson receiving an exemption.
Derek Jazdzewski
Derek Jazdzewski is a 33-year-old
class D license holder in Wisconsin.
They have a history of seizure disorder
and have been seizure free since
September 2013. They take anti-seizure
medication with the dosage and
frequency remaining the same since
2016. Their physician states that they
are supportive of Derek Jazdzewski
receiving an exemption.
lotter on DSK11XQN23PROD with NOTICES1
Charles E. Johnson
Charles E. Johnson is a 47-year-old
class A license holder in Kansas. They
have a history of non-intractable
absence epilepsy and have been seizure
free since 2011. They take anti-seizure
medication with the dosage and
frequency remaining the same since
2015. Their physician states that they
are supportive of Charles E. Johnson
receiving an exemption.
Michael Littleton
Michael Littleton is a 47-year-old
class R license holder in Colorado. They
have a history of epilepsy and have been
seizure free since January 2014. They
take anti-seizure medication with the
dosage and frequency remaining the
same since January 2014. Their
physician states that they are supportive
of Michael Littleton receiving an
exemption.
Robert Newhand
Robert Newhand is a 32-year-old class
D license holder in New York. They
have a history of partial symptomatic
VerDate Sep<11>2014
16:52 Mar 21, 2023
Jkt 259001
epilepsy and have been seizure free
since 2015. They take anti-seizure
medication with the dosage and
frequency remaining the same since
2015. Their physician states that they
are supportive of Robert Newhand
receiving an exemption.
Kristopher Pettitt
Taylor Ramey
Taylor Ramey is a 32-year-old class C
license holder in Texas. They have a
history of epilepsy and have been
seizure free since 2013. They take antiseizure medication with the dosage and
frequency remaining the same since
May 2013. Their physician states that
they are supportive of Taylor Ramey
receiving an exemption.
Herbert Spike
Herbert Spike is a 49-year-old class D
license holder in Connecticut. They
have a history of generalized epilepsy
and have been seizure free since 2009.
They take anti-seizure medication with
the dosage and frequency remaining the
same since 2014. Their physician states
that they are supportive of Herbert
Spike receiving an exemption.
Scott Stone
Scott Stone is a 50-year-old class BM
commercial driver’s license holder in
Wyoming. They have a history of
epilepsy and have been seizure free
since 2004. They take anti-seizure
medication with the dosage and
frequency remaining the same since
2004. Their physician states that they
are supportive of Scott Stone receiving
an exemption.
Andrew Toler
Andrew Toler is a 33-year-old class D
license holder in Virginia. They have a
history of a single unprovoked seizure
and have been seizure free since 2012.
They have not taken anti-seizure
medication. Their physician states that
they are supportive of Andrew Toler
receiving an exemption.
IV. 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 petitions described in
Frm 00113
Fmt 4703
this notice. We 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.
[FR Doc. 2023–05853 Filed 3–21–23; 8:45 am]
BILLING CODE 4910–EX–P
Kristopher Pettitt is a 42-year-old
class C license holder in California.
They have a history of epilepsy and
have been seizure free since November
2011. They take anti-seizure medication
with the dosage and frequency
remaining the same since 2011. Their
physician states that they are supportive
of Kristopher Pettitt receiving an
exemption.
PO 00000
17289
Sfmt 4703
DEPARTMENT OF TRANSPORTATION
Federal Railroad Administration
[Docket No. FRA–2022–0084]
Advancing High-Speed Rail Projects
Intended for Operations Over 160 Miles
Per Hour Through Domestic Sourcing
Plans and Buy America Compliance
Federal Railroad
Administration (FRA), Department of
Transportation (DOT).
ACTION: Notice.
AGENCY:
The Federal Railroad
Administration (FRA) is issuing this
notice to encourage development of
high-speed rail (HSR) system projects
intended for operations over 160 miles
per hour by establishing a streamlined
process for reviewing domestic sourcing
and workforce plans. Specifically, this
notice summarizes FRA’s intent to
invite HSR project sponsors to
voluntarily submit for review, in
advance of receipt of DOT funding, their
domestic sourcing and workforce plans.
This notice provides further
clarification to the December 7, 2022,
Notice of Funding Opportunity for the
Federal-State Partnership for Intercity
Passenger Rail Program, which stated
that FRA expects all applicants to
comply with Buy America requirements
without needing a waiver. However, to
obtain a waiver, an applicant must be
prepared to demonstrate how they will
maximize the use of domestic goods,
products, and materials in constructing
their project.
If an applicant anticipates it may need
a waiver, the applicant should indicate
the need in its application and submit
materials necessary for such requests
together with its application. This
notice provides further detail on the
recommended content of these
materials. This notice also serves as an
RFI to assist with planning a U.S.
domestic content High Speed Rail
Industry Exchange Day (Industry Day).
DATES: Applicable on March 22, 2023.
ADDRESSES: Comments should refer to
docket number FRA–2022–0084 and be
submitted at https://
www.regulations.gov. Search by using
SUMMARY:
E:\FR\FM\22MRN1.SGM
22MRN1
Agencies
[Federal Register Volume 88, Number 55 (Wednesday, March 22, 2023)]
[Notices]
[Pages 17287-17289]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-05853]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration
[Docket No. FMCSA-2023-0030]
Qualification of Drivers; Exemption Applications; Epilepsy and
Seizure Disorders
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 11 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 21, 2023.
ADDRESSES: You may submit comments identified by the Federal Docket
Management System Docket No. FMCSA-2023-0030 using any of the following
methods:
Federal eRulemaking Portal: Go to www.regulations.gov/,
insert the docket number (FMCSA-2023-0030) in the keyword box and click
``Search.'' Next, sort the results by ``Posted (Newer-Older),'' choose
the first 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, 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 20590-0001 between 9 a.m. and
5 p.m. ET 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, Room
W64-224,
[[Page 17288]]
Washington, DC 20590-0001, (202) 366-4001, [email protected]. 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 (Docket No. FMCSA-2023-0030), 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 www.regulations.gov/docket?D=FMCSA-2023-0030. Next, sort the results by ``Posted (Newer-
Older),'' choose the first 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. Viewing Comments
To view comments go to www.regulations.gov. Insert the docket
number (FMCSA-2023-0030) in the keyword box and click ``Search.'' Next,
sort the results by ``Posted (Newer-Older),'' choose the first 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 W12-140 on the ground floor 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.
C. 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,
without edit, including any personal information the commenter
provides, to www.regulations.gov. As described in the system of records
notice DOT/ALL 14 (Federal Docket Management System), which can be
reviewed at https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices, the comments are searchable by the name of
the submitter.
II. Background
Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant an exemption
from the FMCSRs for no longer than a 5-year period if it finds such
exemption would likely achieve a level of safety that is equivalent to,
or greater than, the level that would be achieved absent such
exemption. The statutes also allow the Agency to renew exemptions at
the end of the 5-year period. FMCSA grants medical exemptions from the
FMCSRs for a 2-year period to align with the maximum duration of a
driver's medical certification.
The 11 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.
The physical qualification standard for drivers regarding epilepsy
found in Sec. 391.41(b)(8) states 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.
In addition to the regulations, FMCSA has published advisory
criteria \1\ to assist medical examiners (MEs) in determining whether
drivers with certain medical conditions are qualified to operate a CMV
in interstate commerce.
---------------------------------------------------------------------------
\1\ These criteria may be found in APPENDIX A TO PART 391--
MEDICAL ADVISORY CRITERIA, section H. Epilepsy: Sec. 391.41(b)(8),
paragraphs 3, 4, and 5, which is available on the internet at
https://www.gpo.gov/fdsys/pkg/CFR-2015-title49-vol5/pdf/CFR-2015-title49-vol5-part391-appA.pdf.
---------------------------------------------------------------------------
The criteria states that if an individual has had a sudden episode
of a non-epileptic seizure or loss of consciousness of unknown cause
that did not require anti-seizure medication, the decision whether that
person's condition is likely to cause the loss of consciousness or loss
of ability to control a CMV should be made on an individual basis by
the ME in consultation with the treating physician. Before
certification is considered, it is suggested that a 6-month waiting
period elapse from the time of the episode. Following the waiting
period, it is suggested that the individual have a complete
neurological examination. If the results of the examination are
negative and anti-seizure medication is not required, then the driver
may be qualified.
In those individual cases where a driver has had a seizure or an
episode of loss of consciousness that resulted from a known medical
condition (e.g., drug reaction, high temperature, acute infectious
disease, dehydration, or acute metabolic disturbance), certification
should be deferred until the driver has recovered fully from that
condition, has no existing residual complications, and is not taking
anti-seizure medication.
Drivers who have a history of epilepsy/seizures, off anti-seizure
medication, and seizure-free for 10 years, may be qualified to operate
a CMV in interstate commerce. Interstate drivers with a history of a
single unprovoked seizure may be qualified to drive a CMV in interstate
commerce if seizure-free and off anti-seizure medication for a 5-year
period or more.
As a result of MEs misinterpreting advisory criteria as regulation,
numerous drivers have been prohibited from operating a CMV in
interstate commerce based on the fact that they have had one or more
seizures and are taking anti-seizure medication, rather than an
individual analysis of their circumstances by a qualified ME based on
the physical qualification standards and medical best practices.
On January 15, 2013, FMCSA announced in a notice of final
disposition titled, ``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 that time, the Agency has published additional
notices granting requests from individuals for exemptions from the
regulatory requirement regarding epilepsy found in Sec. 391.41(b)(8).
To be considered for an exemption from the epilepsy and seizure
disorders
[[Page 17289]]
prohibition in Sec. 391.41(b)(8), applicants must meet the criteria in
the 2007 recommendations of the Agency's Medical Expert Panel (78 FR
3069).
III. Qualifications of Applicants
Keith Dohrmann
Keith Dohrmann is a 38-year-old class D license holder in
Minnesota. They have a history of epilepsy and have been seizure free
since January 2012. They take anti-seizure medication with the dosage
and frequency remaining the same since October 2018. Their physician
states that they are supportive of Keith Dohrmann receiving an
exemption.
Wallace Ferguson
Wallace Ferguson is a 61-year-old class R license holder in
Colorado. They have a history of partial onset epilepsy and have been
seizure free since 2011. They take anti-seizure medication with the
dosage and frequency remaining the same since 2012. Their physician
states that they are supportive of Wallace Ferguson receiving an
exemption.
Derek Jazdzewski
Derek Jazdzewski is a 33-year-old class D license holder in
Wisconsin. They have a history of seizure disorder and have been
seizure free since September 2013. They take anti-seizure medication
with the dosage and frequency remaining the same since 2016. Their
physician states that they are supportive of Derek Jazdzewski receiving
an exemption.
Charles E. Johnson
Charles E. Johnson is a 47-year-old class A license holder in
Kansas. They have a history of non-intractable absence epilepsy and
have been seizure free since 2011. They take anti-seizure medication
with the dosage and frequency remaining the same since 2015. Their
physician states that they are supportive of Charles E. Johnson
receiving an exemption.
Michael Littleton
Michael Littleton is a 47-year-old class R license holder in
Colorado. They have a history of epilepsy and have been seizure free
since January 2014. They take anti-seizure medication with the dosage
and frequency remaining the same since January 2014. Their physician
states that they are supportive of Michael Littleton receiving an
exemption.
Robert Newhand
Robert Newhand is a 32-year-old class D license holder in New York.
They have a history of partial symptomatic epilepsy and have been
seizure free since 2015. They take anti-seizure medication with the
dosage and frequency remaining the same since 2015. Their physician
states that they are supportive of Robert Newhand receiving an
exemption.
Kristopher Pettitt
Kristopher Pettitt is a 42-year-old class C license holder in
California. They have a history of epilepsy and have been seizure free
since November 2011. They take anti-seizure medication with the dosage
and frequency remaining the same since 2011. Their physician states
that they are supportive of Kristopher Pettitt receiving an exemption.
Taylor Ramey
Taylor Ramey is a 32-year-old class C license holder in Texas. They
have a history of epilepsy and have been seizure free since 2013. They
take anti-seizure medication with the dosage and frequency remaining
the same since May 2013. Their physician states that they are
supportive of Taylor Ramey receiving an exemption.
Herbert Spike
Herbert Spike is a 49-year-old class D license holder in
Connecticut. They have a history of generalized epilepsy and have been
seizure free since 2009. They take anti-seizure medication with the
dosage and frequency remaining the same since 2014. Their physician
states that they are supportive of Herbert Spike receiving an
exemption.
Scott Stone
Scott Stone is a 50-year-old class BM commercial driver's license
holder in Wyoming. They have a history of epilepsy and have been
seizure free since 2004. They take anti-seizure medication with the
dosage and frequency remaining the same since 2004. Their physician
states that they are supportive of Scott Stone receiving an exemption.
Andrew Toler
Andrew Toler is a 33-year-old class D license holder in Virginia.
They have a history of a single unprovoked seizure and have been
seizure free since 2012. They have not taken anti-seizure medication.
Their physician states that they are supportive of Andrew Toler
receiving an exemption.
IV. 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 petitions
described in this notice. We 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.
[FR Doc. 2023-05853 Filed 3-21-23; 8:45 am]
BILLING CODE 4910-EX-P