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   Tags
            391
                                                                391.41
                                                                391.43
                                                                391.44
                                                                391.45
                                                                391.46
                                                                391.47
                                                                391.49
                                                                391.62
                                                                APPENDIX A TO PART 391
                                                                MEH
                                                                physical
                                                                medical
                                                                qualification
                                                                qualified
                                                                standards
                                                                examination
                                                                med card
                                                                medical examiner’s certificate
                                                                MEC
                                                                Medical Examiner’s Report Form
                                                                MER Form
                                                                registry
                                                                MEDICAL ADVISORY CRITERIA
                                                                5870
                                                                5875
                                                                5876
                                                                5871
                                                                5895
                                                                5850
                                                                apnea
                                                                obstructive sleep apnea
                                                                OSA
                
                Qualifications of Drivers: Medical Examiner’s Handbook Regulatory Guidance, 88 FR 3892 (January 22, 2024)
		

		
		
					
							
		
					
  Document
              FMCSA-FR-88FR3892(2024-01-22).docx (20.51 KB)

		
					**NOTE: The January 2024 edition of the Medical Examiner’s Handbook replaces all previous handbook editions. Medical examiners should not rely on previously published editions of the handbook, including any drafts available on FMCSA’s Medical Review Board website, as a source of Agency guidance. In addition, section 4.8.3.6 of the handbook relating to obstructive sleep apnea rescinds and replaces the January 2015 FMCSA Bulletin to Medical Examiners and Training Organizations Regarding Obstructive Sleep Apnea (FMCSA-MED-Sleep Apnea-FAQ001).**

FMCSA-FR-88FR3892(2024-01-22)

**Federal Register Title and Cite**

Qualifications of Drivers: Medical Examiner’s Handbook Regulatory Guidance, 88 FR 3892 (January 22, 2024)

The Federal Register text can be found on the Federal Register website. To view the Federal Register text, use the link below.

https://www.federalregister.gov/documents/2024/01/22/2024-01056/qualifications-of-drivers-medical-examiners-handbook-regulatory-guidance

**Federal Register Description/Summary**

FMCSA announces the availability of the Medical Examiner’s Handbook (MEH), which includes updates to the Medical Advisory Criteria published in Appendix A to 49 CFR part 391. The handbook provides information about regulatory requirements and guidance to medical examiners listed on FMCSA’s National Registry of Certified Medical Examiners who perform physical qualification examinations of interstate commercial motor vehicle drivers.

**Contact Info:** FMCSA Medical Programs Division, FMCSAMedical@dot.gov.

________________________

*Note: This guidance document does not have the force and effect of law and is not meant to bind the public in any way. It is intended only to provide information and clarity regarding existing requirements under the law or agency policies.*
		
		

    			
  Regulatory Topic:
                  Driver Physical Qualification Examination and Standards

		
		
    
					Effective Date: Monday, January 22, 2024Issued Date: Monday, January 22, 2024 U.S. DEPARTMENT OF TRANSPORTATION

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