Last Updated: 12/03/2019
Medical Examinations / New Medical Certification Requirements
Starting January 30, 2012, and no later than January 30, 2014, all CDL holders must provide information to their SDLA regarding the type of commercial motor vehicle operation they drive in or expect to drive in with their CDL. Drivers operating in certain types of commerce will be required to submit a current medical examiner’s certificate to their SDLA to obtain a “certified” medical status as part of their driving record. CDL holders required to have a ”certified” medical status who fail to provide and keep up-to-date their medical examiner’s certificate with their SDLA will become ”not-certified” and they may lose their CDL.
How do I determine which of the 4 categories of commercial motor vehicle (CMV) operation I should self-certify to with my State Driver Licensing Agency (SDLA)?
For the purpose of complying with the new requirements for medical certification, it is important to know how you are using the CMV. To help you decide, follow these steps:
Step 1: Do you, or will you, use a commercial driver’s license (CDL) to operate a CMV in interstate or intrastate commerce?
Interstate commerce is when you drive a CMV:
From one State to another State or a foreign country
Between two places within a State, but during part of the trip, the CMV crosses into another State or foreign country
Between two places within a State, but the cargo or passengers are part of a trip that began or will end in another State or foreign country
Intrastate commerce is when you drive a CMV within a State and you do not meet any of the descriptions above for interstate commerce
If you operate in both intrastate commerce and interstate commerce, you must choose interstate commerce
Step 2: Once you decide whether you operate (or will operate) in interstate commerce or intrastate commerce, you then must decide whether you operate (or expect to operate) in a non-excepted or excepted status.
Interstate Commerce:
You operate in excepted interstate commerce when you drive a CMV in interstate commerce only for the following excepted activities:
To transport school children and/or school staff between home and school
As Federal, State or local government employees
To transport human corpses or sick or injured persons
Fire truck or rescue vehicle drivers during emergencies and other related activities
Primarily in the transportation of propane winter heating fuel when responding to an emergency condition requiring an immediate response such as damage to a propane gas system after a storm or flooding
In response to a pipeline emergency condition requiring an immediate response such as a pipeline leak or rupture
In custom harvesting on a farm or to transport farm machinery and supplies used in the custom harvesting operation to and from a farm or to transport custom harvested crops to storage or market
Beekeeper in the seasonal transportation of bees
Controlled and operated by a farmer, but is not a combination vehicle (power unit and towed unit), and is used to transport agricultural products, farm machinery or farm supplies (no placard-able hazardous materials) to and from a farm and within 150 air-miles of the farm
As a private motor carrier of passengers for non-business purposes
To transport migrant workers
If you answered yes to one or more of the above activities as the only operation in which you drive, you operate in excepted interstate commerce and do not need a Federal medical examiner’s certificate
If you drive for more than just the above activities, you operate in non-excepted interstate commerce and are required to provide a current medical examiner’s certificate (49 CFR 391.45), commonly referred to as a medical certificate or DOT card, to your SDLA. Most CDL holders who drive CMVs in interstate commerce are non-excepted interstate commerce drivers
If you operate in both excepted interstate commerce and non-excepted interstate commerce, you must choose non-excepted interstate commerce to be qualified to operate in both types of interstate commerce
Intrastate Commerce:
You operate in excepted Intrastate commerce when you drive a CMV only in intrastate commerce activities which your State of licensure has determined do not require you to meet the State’s medical certification requirements
You operate in non-excepted intrastate commerce when you drive a CMV only in intrastate commerce and are required to meet your State of licensure’s medical certification requirements
If you operate in both excepted intrastate commerce and non-excepted intrastate commerce, you must choose non-excepted intrastate commerce
Step 3: Provide your SDLA with your self-certification of your operating status. If you self-certify to the non-excepted interstate on or after January 30, 2012, you must provide your SDLA with either the original or copy of your current medical examiner’s certificate as required by your SDLA.
If your medical examiner’s certificate is only valid with a vision, diabetes or a skills performance evaluation variance granted by FMCSA, you may also be asked by your SDLA to provide a copy of that variance document