‘‘(1) ESTABLISHMENT
AND
FUNCTION.—The 
Secretary shall establish a Medical Review Board 
with the following functions: 
‘‘(A) Providing the Federal Motor Carrier 
Safety Administration with medical advice and 
recommendations on medical standards and 
guidelines for— 
‘‘(i) the physical qualifications of op-
erators of commercial motor vehicles; 
‘‘(ii) medical examiner education; and 
‘‘(iii) medical research. 
‘‘(B) Providing the Secretary with advice 
and recommendations concerning the criteria to 
be used for evaluating medical examiners for 
admission to the national registry established 
under this section.’’. 
SEC. 105. COMMERCIAL MOTOR VEHICLE SAFETY INSPEC-
TION PROGRAMS. 
(a) STUDY.—The Secretary of Transportation shall 
conduct a study to review the regulations prescribed pur-
suant to section 31142(b) of title 49, United States Code, 
relating to commercial motor vehicle safety inspections. 
(b) CONTENTS.—The study shall include— 
(1) an assessment of the risks associated with 
improperly maintained or inspected commercial 
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motor vehicles designed or used to transport pas-
sengers; 
(2) an assessment of the effectiveness of the 
Government standards for inspection of commercial 
motor vehicles designed or used to transport pas-
sengers to mitigate the risks identified in paragraph 
(1) and to ensure the safe and proper operating con-
dition of commercial motor vehicles subject to sec-
tion 31142 of title 49, United States Code; 
(3) an assessment of the effectiveness of at 
least 2 alternatives to the current standards pre-
scribed pursuant to section 31142 of title 49, United 
States Code; and 
(4) a comparison of the costs and benefits of 
the alternatives and the current standards pre-
scribed pursuant to section 31142 of title 49, United 
States Code. 
(c) REPORT.— 
(1) IN
GENERAL.—Not later than one year 
after the date of enactment of this Act, the Sec-
retary shall submit to the Committee on Transpor-
tation and Infrastructure of the House of Represent-
atives and the Committee on Commerce, Science, 
and Transportation of the Senate a report on the re-
sults of the study. 
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(2) CONTENTS.—The report shall include— 
(A) the findings and conclusions of the 
Secretary with respect to the study; 
(B) any recommendation of the Secretary 
for improving the commercial motor vehicle 
safety inspection standards; and 
(C) any recommendations of the Secretary 
for additional authority to improve commercial 
motor vehicle safety inspections. 
SEC. 106. REGISTRATION OF MOTOR CARRIERS. 
Section 13902(b) of title 49, United States Code, is 
amended— 
(1) by redesignating paragraphs (2) through 
(8) as paragraphs (3) through (9), respectively; and 
(2) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) REVIEW OF PASSENGER CARRIER APPLICA-
TIONS.—The Secretary shall not register a motor 
carrier of passengers under subsection (a)(1) until 
the application for registration filed under that sub-
section is reviewed to ensure that the applicant is 
willing and able to comply with the requirements of 
that subsection. This review process shall include a 
determination of whether the applicant is or has 
been related, through common ownership, common 
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