In our previous article here we discussed CDL Drug and Alcohol Clearinghouse and speed limits when it comes to DOT physicals. Since 2015 there has not been a new handbook for the DOT physical. Recently the FMCSA has released a new handbook and updates. Many things around vision and hearing are the same but some changes are as follows…
Vision Standard Final Rule (page 19 of the handbook)
Can someone drive with vision in one eye and pass their DOT physical? The standards for this have further been defined. The final rule established by the FMCSA eliminates the need for the Federal Vision Exemption Program for individuals with vision in only one eye (monocular vision). It declares all Medical Examiner’s Certificates that were issued with a vision exemption after March 22, 2023, as invalid. Furthermore, the rule specifies updated vision standards, which require a minimum distant visual acuity of 20/40 in the better eye and a field of vision of at least 70 degrees in the horizontal meridian for both eyes. Additionally, the rule discontinues a grandfather clause for certain drivers who were part of an earlier vision waiver study program, rendering certificates issued under this clause null and void. This change in regulation is intended to provide greater flexibility for drivers with vision impairments in one eye, as long as they can meet these new vision standards and complete the necessary evaluations.
Diabetes and DOT Physicals
In a significant regulatory update, the FMCSA has streamlined the process for drivers with diabetes seeking to operate Commercial Motor Vehicles (CMVs) in interstate commerce. As of September 19, 2018, individuals on a stable insulin regimen with well-controlled insulin-treated diabetes mellitus may now be eligible to drive CMVs. The process requires a healthcare professional to complete an assessment form detailing the individual’s diabetes management. If the evaluation, which must be submitted within 45 days, confirms that the diabetes is properly managed, the driver can be medically certified for up to 12 months. This move also saw the discontinuation of the Federal Diabetes Exemption Program, simplifying the path to qualification and reflecting the FMCSA’s commitment to maintaining safety while accommodating drivers’ health needs.
Follow our other articles on the department of transportation physicals here:
https://medphysicalsplus.com/2023/11/07/how-dot-services-improve-road-safety-and-compliance/
Medical Examiner’s 2024 DOT Handbook
Call us with questions at (907) 561-7587 or see how MedPhysicals Plus can assist with your DOT physical or your employee’s DOT physical. Stay tuned for Part 3 later on this month!