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More Delays for Medical Examiner Registry Integration

If you were hoping to get a more paperless experience with commercial driver medical certification requirements this summer, you're out of luck. Find out why rules to digitally integrate medical examiner registry data with licensing offices may be postponed.

Deborah Lockridge
Deborah LockridgeEditor and Associate Publisher
Read Deborah's Posts
April 22, 2021
More Delays for Medical Examiner Registry Integration

If the rules are postponed, commercial drivers will still have to give state driver’s licensing agencies a copy of their medical certificate.

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3 min to read


The Federal Motor Carrier Safety Administration again wants to postpone the deadline for several provisions of a rule integrating driver medical certification data in the national registry with state licensing agencies.

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What's to blame? IT programming issues following a 2017 hacking incident.

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FMCSA regulations require commercial motor vehicle drivers to obtain a valid medical certificate, and since May of 2014, those have been required to be done by qualified health professionals listed on the National Registry of Certified Medical Examiners.

Additional provisions unveiled in 2015 tcalled for integration of the data with state licensing agencies. Those were originally supposed to go into effect June 22, 2018. Days before they were to go into effect, they were delayed for three years.

Now FMCSA proposes to amend its regulations to extend the compliance date for those 2015 regulations from June 22, 2021, to June 23, 2025. The provisions it wants to delay are the requirements for:

  • FMCSA to electronically transmit, from the National Registry to the state driver licensing agencies, driver identification information, examination results, and restriction information from examinations performed for commercial driver’s license or permit holders

  • FMCSA to electronically transmit to the state licensing agencies medical variance information for all commercial motor vehicle drivers

  • State driver licensing agencies post on the Commercial Driver's License Information System (CDLIS) driver record the driver identification, examination results, and restriction information received electronically from FMCSA

  • Motor carriers to no longer be required to verify that CLP/CDL drivers were certified by a certified medical examiner listed on the National Registry.

The delay is needed, according to the proposal, to give FMCSA time to complete certain information technology system development tasks for the registry and to give state agencies enough time to make the necessary IT programming changes after the new National Registry system is available.

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Since the 2015 integration rule was published, FMCSA said, there have been ongoing challenges associated with launching a new National Registry IT system. Among those challenges was an unsuccessful attempt by an intruder to compromise the National Registry website in December 2017. Although no personal information was exposed, FMCSA took the National Registry system offline until mid-2018 to ensure it was secure.

After the integration rule was postponed in 2018 following the hack, there were more setbacks.

The agency attempted to launch the first stage of the replacement system in May 2019, but the system’s performance capabilities fell short of what was needed. The agency issued a request for proposals to obtain the services of a new contractor and selected a vendor in December 2020 to develop the replacement system by early 2022. The work would include delivery of technical specifications to the SDLAs for use in implementing changes to their respective systems.

FMCSA anticipates that once that system is up and running, the state agencies will need another three years to meet their side of the requirements.

The proposal to delay the compliance date means that through June 22, 2025:

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  • Certified medical examiners would continue issuing medical examiner certificates to qualified CLP/CDL applicants/holders;

  • CLP/CDL applicants/holders would continue to provide the state driver’s licensing agency a copy of their certificate;

  • Motor carriers would continue verifying that drivers were certified by an ME listed on the National Registry; and

  • State licensing agencies would continue processing paper copies of the medical examiner certificates they receive from CLP/CDL applicants/holders.

You can submit your comment online on or before May 24, 2021.

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