SEC. 103. REVIEW OF REQUIREMENTS FOR COMMERCIAL 
DRIVER’S LICENSE PASSENGER ENDORSE-
MENT. 
(a) IN GENERAL.—Not later than 3 years after the 
date of enactment of this Act, the Secretary of Transpor-
tation shall review and assess the current knowledge and 
skill testing requirements for a commercial driver’s license 
passenger endorsement to determine if improvements are 
needed to ensure the safe operation of commercial motor 
vehicles designed or used to transport passengers. 
(b) REPORT.—Not later than 120 days after comple-
tion of the review and assessment under subsection (a), 
the Secretary shall submit to the Committee on Transpor-
tation and Infrastructure of the House of Representatives 
and the Committee on Commerce, Science, and Transpor-
tation of the Senate a report on the review and assessment 
conducted under subsection (a), together with a descrip-
tion of plans to implement improvements. 
SEC. 104. IMPROVED PHYSICAL FITNESS OVERSIGHT AND 
COMMERCIAL 
DRIVER 
MEDICAL 
CERTIFI-
CATES. 
(a) EXAMINATION REQUIREMENT
FOR NATIONAL 
REGISTRY
OF
MEDICAL
EXAMINERS.—Section 
31149(c)(1)(D) of title 49, United States Code, is amend-
ed to read as follows: 
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‘‘(D) develop requirements applicable to a 
medical examiner seeking to be listed in the na-
tional registry established under this section, in-
cluding— 
‘‘(i) as appropriate, specific courses 
and materials that must be completed; 
‘‘(ii) a rigorous examination for which 
a passing grade must be achieved; and 
‘‘(iii) at a minimum, self-certification 
requirements to verify that the medical ex-
aminer has completed specific training, in-
cluding refresher courses;’’. 
(b) ADDITIONAL OVERSIGHT
OF LICENSING AU-
THORITIES.— 
(1) IN GENERAL.—Section 31149(c)(1) of title 
49, United States Code, is amended— 
(A) in subparagraph (E) by striking ‘‘and’’ 
at the end; 
(B) in subparagraph (F) by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(G) each year, review the implementation 
of commercial driver’s license requirements of a 
minimum of 10 States to assess the accuracy 
and validity of physical examination reports and 
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medical certificates submitted by certified med-
ical examiners.’’. 
(2) INTERNAL OVERSIGHT POLICY.— 
(A) IN GENERAL.—Not later than 2 years 
after the date of enactment of this Act, the Sec-
retary of Transportation shall establish an over-
sight policy and process within the Department 
of Transportation for the purposes of carrying 
out the requirement of section 31149(c)(1)(G) 
of title 49, United States Code, as added by 
paragraph (1). 
(B) EFFECTIVE DATE.—The requirement 
of section 31149(c)(1)(G) of such title, as 
added by paragraph (1), shall take effect on the 
date that the oversight policies and processes 
are established pursuant to subparagraph (A). 
(c) DEADLINE FOR ESTABLISHMENT OF NATIONAL 
REGISTRY OF MEDICAL EXAMINERS.—Not later than 2 
years after the date of enactment of this Act, the Sec-
retary shall establish the national registry of medical ex-
aminers required by section 31149(d)(1) of such title. 
(d) ADDITIONAL FUNCTION OF MEDICAL REVIEW 
BOARD.—Section 31149(a)(1) of title 49, United States 
Code, is amended to read as follows: 
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