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

FDA Eases Path for Oral-Fluid Testing
Federal actions could advance oral-fluid drug testing for truck drivers, but lab certification delays and marijuana rescheduling questions remain.
Read More →
Why Hiring Truck Drivers Is Getting Harder
Higher recruiting costs, a shrinking driver pool, and renewed pay competition are raising the stakes for fleets heading into 2027.
Read More →
Roehl Offers Truck Drivers $10,000 Retention Incentive
Payments begin after the first load and continue in mileage-based installments for eligible experienced drivers joining the fleet.
Read More →
Platform Science Adds Dispatch and Safety Tools
Four additions to PS Fleet help fleets monitor loads, manage driver coaching, share truck locations and adjust video system settings.
Read More →
When Language Stops the Truck: The Return of ELP Out-of-Service Orders
English language proficiency rules for commercial drivers aren’t new, but renewed out-of-service enforcement has raised the stakes. Here’s what carriers need to know before a driver reaches a roadside inspection.
Read More →
Samsara Launches Custom AI Agent Builder
Agent Studio lets fleets create AI tools for hours-of-service monitoring, reporting and driver support, including agents that communicate by phone.
Read More →
Trucker Path Expands Reserved Parking Network
Trucker Path has added close to 6,000 more truck parking spaces to its Trucker Path Reserved Parking Network with the addition of Safe Truck Parking.
Read More →
EEOC Sues Texas Trucking Company Over Driver Age Limits
The agency says Trancasa USA rejected applicants over 65 and applied tougher driving-record standards to those over 60.
Read More →
Nussbaum, Roehl Announce Second Driver Pay Increase This Year
This year has seen a swath of major truck driver pay increases as freight capacity has tightened.
Read More →
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 →
