Related: FMCSA Chief: Agency ‘Open to Ideas’ on Improving Safety
FMCSA Removes Red Tape for Diabetic Truck Drivers
The Federal Motor Carrier Safety Administration announced a final rule that makes it easier for individuals with a stable insulin regimen and properly controlled insulin-treated diabetes mellitus to become qualified to operate a commercial vehicle in interstate commerce.

Credit: FMCSA
The Federal Motor Carrier Safety Administration announced a final rule that makes it easier for individuals with a stable insulin regimen and properly controlled insulin-treated diabetes mellitus to become qualified to operate a commercial vehicle in interstate commerce.
The new rule revises federal regulations which previously required drivers with insulin-treated diabetes to obtain an exemption in order to drive in interstate commerce. The action removes administrative and financial burdens for CMV operators with this type of diabetes while still maintaining a high level of safety, according to the agency.
A certified medical examiner is now able to grant an individual with ITDM a Medical Examiner’s Certificate, MCSA-5876, for up to 12 months. To do so, the treating clinician – the healthcare professional who manages, and prescribes insulin for, the treatment of the individual’s diabetes – provides an ITDM Assessment Form, MCSA-5870, to the certified examiner, indicating that the individual maintains a stable insulin regimen and proper control of his or her diabetes. The certified medical examiner can then determine if that individual meets FMCSA’s physical qualification standards for operating a commercial vehicle in interstate commerce.
This eliminates the exemption program that currently requires drivers with ITDM to pay recurring costs to renew and maintain their exemptions. FMCSA estimates that this will save the 5,000 drivers with ITDM about $5 million total per year compared to what was required under the exemption program. The final rule will also save new ITDM exemption applicants and their associated motor carriers approximately $215,000 annually in opportunity and compliance costs related with the exemption program’s waiting period, according to the FMCSA.
“This final action delivers economic savings to affected drivers and our agency, and streamlines processes by eliminating unnecessary regulatory burdens and redundancy,” said Raymond P. Martinez, FMCSA administrator. “It’s a win-win for all parties involved.”
The new final rule is posted online here.
More Drivers

From One Generation to the Next: How Mentorship Builds Safer Truck Drivers
After three decades in trucking, Harold Perry shares what he's learned about driver safety, mentorship, and helping the next generation build confidence behind the wheel.
Read More →
Truck Drivers Need More Than Another Alert
Fleets have more visibility into truck health, safety events, and driver activity than ever. The next challenge is turning all that information into useful guidance for the person who has to decide what to do next.
Read More →
FMCSA Removes 110 Truck Driver Training Schools from Certified ELDT List
Federal regulators also are targeting more than 160 additional training providers and launching a nationwide audit of third-party CDL skills testers as part of a broader crackdown on trucking fraud.
Read More →
Hours of Service Pilot Programs: FMCSA Readies for 2027 Rollout
Two pilot programs could eventually reshape hours-of-service rules, giving truck drivers options to pause their 14-hour clock or use longer split sleeper rest periods.
Read More →
Medical Cards, English Proficiency Reshape Roadcheck Violations
Medical-card violations jumped to the top of the driver out-of-service list during CVSA’s 2026 International Roadcheck, while English-language proficiency violations appeared among the leading violations for the first time.
Read More →
Driver Trust Can Make or Break the Success of Fleet Safety Technology
New Teletrac Navman research suggests that onboarding, transparency about driver data, and positive feedback can play a significant role in how commercial drivers respond to safety and coaching technology.
Read More →
EEOC Sues KLLM Over Alleged Sex Discrimination in Driver Training
KLLM is facing a federal sex-discrimination lawsuit over policies the EEOC alleges put female truck driver trainees at a disadvantage.
Read More →
FMCSA Moves to Codify English Language Requirements for Commercial Drivers
By changing regulations on English-language proficiency requirements for commercial drivers, rather than relying on a guidance memo, the FMCSA said future administrations won't be able to walk back the Trump administration's stricter enforcement with just a memo.
Read More →Drivers Put Western Star Trucks to the Test at Star Nation Experience
Watch to get an inside look at the Western Star trucks, technology, and community behind the Star Nation Experience 2026!
Read More →
Trump Administration Looks to Put More Veterans Behind the Wheel
The Freedom Haulers program pulls together existing and expanded programs at several federal agencies to recruit veterans to drive commercial heavy-duty trucks and cut the red tape for them to get a CDL, training, and employment.
Read More →
