Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, 62884-62886 [2023-19754]
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62884
Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices
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.
B. Privacy Act
In accordance with 49 U.S.C.
31315(b)(6), DOT solicits comments
from the public on the exemption
requests. 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.
ddrumheller on DSK120RN23PROD with NOTICES1
II. Background
On August 3, 2023, FMCSA published
a notice announcing its decision to
renew exemptions for seven individuals
from the hearing standard in 49 CFR
391.41(b)(11) to operate a CMV in
interstate commerce and requested
comments from the public (88 FR
51392). The public comment period
ended on September 5, 2023, and no
comments were received.
FMCSA has evaluated the eligibility
of these applicants and determined that
renewing these exemptions would likely
achieve a level of safety that is
equivalent to, or greater than, the level
that would be achieved by complying
with § 391.41(b)(11).
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).
III. Discussion of Comments
17:37 Sep 12, 2023
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2023–19753 Filed 9–12–23; 8:45 am]
BILLING CODE 4910–EX–P
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety
Administration
[Docket No. FMCSA–2023–0036]
Qualification of Drivers; Exemption
Applications; Epilepsy and Seizure
Disorders
Federal Motor Carrier Safety
Administration (FMCSA), Department
of Transportation (DOT).
ACTION: Notice of applications for
exemption; request for comments.
AGENCY:
FMCSA announces receipt of
applications from 12 individuals for an
exemption from the prohibition in the
SUMMARY:
FMCSA received no comments in this
proceeding.
VerDate Sep<11>2014
IV. Conclusion
Based upon its evaluation of the seven
renewal exemption applications,
FMCSA announces its decision to
exempt the following drivers from the
hearing requirement in § 391.41 (b)(11).
As of August 13, 2023, and in
accordance with 49 U.S.C. 31136(e) and
31315(b), the following seven
individuals have satisfied the renewal
conditions for obtaining an exemption
from the hearing requirement in the
FMCSRs for interstate CMV drivers (88
FR 51393):
Jason Clark (MO)
Timothy Finley (CA)
William Jones (MN)
David Presley (TX)
Michael Smith (CO)
Donald Taylor (NC)
Holly Wright, Jr. (NC)
The drivers were included in docket
numbers FMCSA–2012–0154, FMCSA–
2013–0124, FMCSA–2014–0385,
FMCSA–2016–0002, FMCSA–2018–
0138, or FMCSA–2020–0027. Their
exemptions were applicable as of
August 13, 2023 and will expire on
August 13, 2025.
In accordance with 49 U.S.C.
31315(b), each exemption will be valid
for 2 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, 49
U.S.C. chapter 313, or the FMCSRs.
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Sfmt 4703
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 October 13, 2023.
ADDRESSES: You may submit comments
identified by the Federal Docket
Management System Docket No.
FMCSA–2023–0036 using any of the
following methods:
• Federal eRulemaking Portal: Go to
www.regulations.gov/, insert the docket
number (FMCSA–2023–0036) 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, West Building
Ground Floor, Washington, DC 20590–
0001.
• Hand Delivery: West Building
Ground Floor, 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,
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–2023–0036),
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
E:\FR\FM\13SEN1.SGM
13SEN1
Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices
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-2023-0036/document. 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 81⁄2 by
11 inches, suitable for copying and
electronic filing. FMCSA will consider
all comments and material received
during the comment period.
ddrumheller on DSK120RN23PROD with NOTICES1
B. Viewing Comments
To view comments go to
www.regulations.gov. Insert the docket
number (FMCSA–2023–0036) 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 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-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
VerDate Sep<11>2014
17:37 Sep 12, 2023
Jkt 259001
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 12 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,
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
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.
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62885
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
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
Colton Braun
Colton Braun is a 27-year-old class
DM license holder in Illinois. They have
a history of epilepsy and have been
seizure free since February 2014. They
take anti-seizure medication with the
dosage and frequency remaining the
same since 2013. Their physician states
that they are supportive of Colton Braun
receiving an exemption.
Adam Brunson
Adam Brunson is a 50-year-old class
AM commercial driver’s license (CDL)
holder in Alabama. They have a history
of seizure disorder and have been
seizure free since 2010. They take anti-
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62886
Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices
seizure medication with the dosage and
frequency remaining the same since
2021. Their physician states that they
are supportive of Adam Brunson
receiving an exemption.
take anti-seizure medication with the
dosage and frequency remaining the
same since 2013. Their physician states
that they are supportive of Jerrid Pace
receiving an exemption.
Alan Glinsmann
Elsa Santo
Alan Glinsmann is a 65-year-old class
AM CDL holder in Kansas. They have a
history of post traumatic seizures and
have been seizure free since January
1981. They take anti-seizure medication
with the dosage and frequency
remaining the same since 1983. Their
physician states that they are supportive
of Alan Glinsmann receiving an
exemption.
Elsa Santo is a 62-year-old class B
license holder in New Jersey. They have
a history of epilepsy and have been
seizure free since May 2015. They take
anti-seizure medication with the dosage
and frequency remaining the same since
November 2015. Their physician states
that they are supportive of Elsa Santo
receiving an exemption.
Alex Hunter
Brandon Schindele
Alex Hunter is a 61-year-old class 1
license holder in South Dakota. They
have a history of generalized idiopathic
epilepsy and have been seizure free
since January 2015. They take antiseizure medication with the dosage and
frequency remaining the same since
2018. Their physician states that they
are supportive of Alex Hunter receiving
an exemption.
Brandon Schindele is a 39-year-old
class D license holder in Minnesota.
They have a history of seizure disorder
and have been seizure free since 1995.
They take anti-seizure medication with
the dosage and frequency remaining the
same since 1993. Their physician states
that they are supportive of Brandon
Schindele receiving an exemption.
Kyle Jones
Travis Stevens
Kyle Jones is a 54-year-old class A
CDL holder in Indiana. They have a
history of seizure disorder and have
been seizure free since 2012. They have
not taken anti-seizure medication since
2014. Their physician states that they
are supportive of Kyle Jones receiving
an exemption.
Travis Stevens is a 33-year-old class 0
license holder in Michigan. They have
a history of grand mal epilepsy and have
been seizure free since August 2008.
They take anti-seizure medication with
the dosage and frequency remaining the
same since August 2013. Their
physician states that they are supportive
of Travis Stevens receiving an
exemption.
Ryan McKnelly
Ryan McKnelly is a 45-year-old class
A CDL holder in South Dakota. They
have a history of generalized idiopathic
epilepsy and have been seizure free
since 2001. They take anti-seizure
medication with the dosage and
frequency remaining the same since
2003. Their physician states that they
are supportive of Ryan McKnelly
receiving an exemption.
ddrumheller on DSK120RN23PROD with NOTICES1
Alfonso V. Mendoza
Alfonso V. Mendoza is a 33-year-old
class C license holder in California.
They have a history of seizure disorder
and have been seizure free since
December 2008. They take anti-seizure
medication with the dosage and
frequency remaining the same since
2008. Their physician states that they
are supportive of Alfonso V. Mendoza
receiving an exemption.
Jerrid Pace
Jerrid Pace is a 33-year-old class A
CDL holder in Tennessee. They have a
history of complex partial seizure and
have been seizure free since 2015. They
VerDate Sep<11>2014
17:37 Sep 12, 2023
Jkt 259001
Brad Wetli
Brad Wetli is a 44-year-old class A
CDL holder in Indiana. They have a
history of seizure disorder and have
been seizure free since 1997. They take
anti-seizure medication with the dosage
and frequency remaining the same since
1997. Their physician states that they
are supportive of Brad Wetli 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. 2023–19754 Filed 9–12–23; 8:45 am]
BILLING CODE 4910–EX–P
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DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety
Administration
Petition for Exemption From the
Federal Motor Vehicle Theft Prevention
Standard; Nissan North America, Inc.
National Highway Traffic
Safety Administration (NHTSA),
Department of Transportation (DOT).
ACTION: Grant of petition for exemption.
AGENCY:
This document grants in full
the Nissan North America, Inc.’s
(Nissan) petition for exemption from the
Federal Motor Vehicle Theft Prevention
Standard (theft prevention standard) for
its Z vehicle line beginning in model
year (MY) 2024. The petition is granted
because the agency has determined that
the antitheft device to be placed on the
line as standard equipment is likely to
be as effective in reducing and deterring
motor vehicle theft as compliance with
the parts-marking requirements of the
theft prevention standard. Nissan also
requested confidential treatment for
specific information in its petition.
Therefore, no confidential information
provided for purposes of this notice has
been disclosed.
DATES: The exemption granted by this
notice is effective beginning with the
2024 model year.
FOR FURTHER INFORMATION CONTACT:
Carlita Ballard, Office of International
Policy, Fuel Economy, and Consumer
Programs, NHTSA, West Building,
W43–439, NRM–310, 1200 New Jersey
Avenue SE, Washington, DC 20590. Ms.
Ballard’s phone number is (202) 366–
5222. Her fax number is (202) 493–2990.
SUPPLEMENTARY INFORMATION: Under 49
U.S.C. chapter 331, the Secretary of
Transportation (and the National
Highway Traffic Safety Administration
(NHTSA) by delegation) is required to
promulgate a theft prevention standard
to provide for the identification of
certain motor vehicles and their major
replacement parts to impede motor
vehicle theft. NHTSA promulgated
regulations at 49 CFR part 541 (theft
prevention standard) to require partsmarking for specified passenger motor
vehicles and light trucks. Pursuant to 49
U.S.C. 33106, manufacturers that are
subject to the parts-marking
requirements may petition the Secretary
of Transportation for an exemption for
a line of passenger motor vehicles
equipped with an antitheft device as
standard equipment that the Secretary
decides is likely to be as effective in
reducing and deterring motor vehicle
theft as compliance with the partsmarking requirements. In accordance
SUMMARY:
E:\FR\FM\13SEN1.SGM
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Agencies
[Federal Register Volume 88, Number 176 (Wednesday, September 13, 2023)]
[Notices]
[Pages 62884-62886]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-19754]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration
[Docket No. FMCSA-2023-0036]
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 12 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 October 13, 2023.
ADDRESSES: You may submit comments identified by the Federal Docket
Management System Docket No. FMCSA-2023-0036 using any of the following
methods:
Federal eRulemaking Portal: Go to www.regulations.gov/,
insert the docket number (FMCSA-2023-0036) 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, West Building Ground Floor,
Washington, DC 20590-0001.
Hand Delivery: West Building Ground Floor, 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, 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-2023-0036), 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
[[Page 62885]]
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-2023-0036/document. 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. Viewing Comments
To view comments go to www.regulations.gov. Insert the docket
number (FMCSA-2023-0036) 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 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 12 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 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
Colton Braun
Colton Braun is a 27-year-old class DM license holder in Illinois.
They have a history of epilepsy and have been seizure free since
February 2014. They take anti-seizure medication with the dosage and
frequency remaining the same since 2013. Their physician states that
they are supportive of Colton Braun receiving an exemption.
Adam Brunson
Adam Brunson is a 50-year-old class AM commercial driver's license
(CDL) holder in Alabama. They have a history of seizure disorder and
have been seizure free since 2010. They take anti-
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seizure medication with the dosage and frequency remaining the same
since 2021. Their physician states that they are supportive of Adam
Brunson receiving an exemption.
Alan Glinsmann
Alan Glinsmann is a 65-year-old class AM CDL holder in Kansas. They
have a history of post traumatic seizures and have been seizure free
since January 1981. They take anti-seizure medication with the dosage
and frequency remaining the same since 1983. Their physician states
that they are supportive of Alan Glinsmann receiving an exemption.
Alex Hunter
Alex Hunter is a 61-year-old class 1 license holder in South
Dakota. They have a history of generalized idiopathic epilepsy and have
been seizure free since January 2015. They take anti-seizure medication
with the dosage and frequency remaining the same since 2018. Their
physician states that they are supportive of Alex Hunter receiving an
exemption.
Kyle Jones
Kyle Jones is a 54-year-old class A CDL holder in Indiana. They
have a history of seizure disorder and have been seizure free since
2012. They have not taken anti-seizure medication since 2014. Their
physician states that they are supportive of Kyle Jones receiving an
exemption.
Ryan McKnelly
Ryan McKnelly is a 45-year-old class A CDL holder in South Dakota.
They have a history of generalized idiopathic epilepsy and have been
seizure free since 2001. They take anti-seizure medication with the
dosage and frequency remaining the same since 2003. Their physician
states that they are supportive of Ryan McKnelly receiving an
exemption.
Alfonso V. Mendoza
Alfonso V. Mendoza is a 33-year-old class C license holder in
California. They have a history of seizure disorder and have been
seizure free since December 2008. They take anti-seizure medication
with the dosage and frequency remaining the same since 2008. Their
physician states that they are supportive of Alfonso V. Mendoza
receiving an exemption.
Jerrid Pace
Jerrid Pace is a 33-year-old class A CDL holder in Tennessee. They
have a history of complex partial seizure and have been seizure free
since 2015. They take anti-seizure medication with the dosage and
frequency remaining the same since 2013. Their physician states that
they are supportive of Jerrid Pace receiving an exemption.
Elsa Santo
Elsa Santo is a 62-year-old class B license holder in New Jersey.
They have a history of epilepsy and have been seizure free since May
2015. They take anti-seizure medication with the dosage and frequency
remaining the same since November 2015. Their physician states that
they are supportive of Elsa Santo receiving an exemption.
Brandon Schindele
Brandon Schindele is a 39-year-old class D license holder in
Minnesota. They have a history of seizure disorder and have been
seizure free since 1995. They take anti-seizure medication with the
dosage and frequency remaining the same since 1993. Their physician
states that they are supportive of Brandon Schindele receiving an
exemption.
Travis Stevens
Travis Stevens is a 33-year-old class 0 license holder in Michigan.
They have a history of grand mal epilepsy and have been seizure free
since August 2008. They take anti-seizure medication with the dosage
and frequency remaining the same since August 2013. Their physician
states that they are supportive of Travis Stevens receiving an
exemption.
Brad Wetli
Brad Wetli is a 44-year-old class A CDL holder in Indiana. They
have a history of seizure disorder and have been seizure free since
1997. They take anti-seizure medication with the dosage and frequency
remaining the same since 1997. Their physician states that they are
supportive of Brad Wetli 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. 2023-19754 Filed 9-12-23; 8:45 am]
BILLING CODE 4910-EX-P