Yes. If you have a medically confirmed diminished lung capacity that prevents you from normal air exhalation, you should contact the Medical Section at the NCDMV in Raleigh to determine if you qualify for special medical dispensation. The NCDMV will require measurement and confirmation of your breathing disability from two independent doctors. The NCDMV will then notify Monitech of the breath pressure setting specific to your medical condition. Once that custom device is manufactured, Monitech will contact you to set up your installation appointment.