Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorder |
|---|
|
Larry W. Minor
Federal Motor Carrier Safety Administration
November 24, 2014
[Federal Register Volume 79, Number 226 (Monday, November 24, 2014)]
[Notices]
[Pages 69981-69983]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-27755]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration
[Docket No. FMCSA-2014-0379]
Qualification of Drivers; Exemption Applications; Epilepsy and
Seizure Disorders
AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT.
ACTION: Notice of applications for exemptions; request for comments.
-----------------------------------------------------------------------
SUMMARY: FMCSA announces receipt of applications from 12 individuals
for an exemption from the prohibition against persons with a clinical
diagnosis of epilepsy or any other condition which is likely to cause a
loss of consciousness or any loss of ability to operate a commercial
motor vehicle (CMV) from operating CMVs in interstate commerce. The
regulation and the associated advisory criteria published in the Code
of Federal Regulations as the ``Instructions for Performing and
Recording Physical Examinations'' have resulted in numerous drivers
being prohibited from operating CMVs in interstate commerce based on
the fact that they have had one or more seizures and are taking anti-
seizure medication, rather than an individual analysis of their
circumstances by a qualified medical examiner. If granted, the
exemptions would enable these individuals who have had one or more
seizures and are taking anti-seizure medication to operate CMVs for 2
years in interstate commerce.
DATES: Comments must be received on or before December 24, 2014.
ADDRESSES: You may submit comments bearing the Federal Docket
Management System (FDMS) Docket ID FMCSA-2014-0379 using any of the
following methods:
Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the on-line instructions for submitting
comments.
Mail: Docket Management Facility; U.S. Department of
Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor,
Room W12-140, Washington, DC 20590-0001.
Hand Delivery: West Building Ground Floor, Room W12-140,
1200 New Jersey Avenue SE., Washington, DC, between 9 a.m. and 5 p.m.,
Monday through Friday, except Federal Holidays.
Fax: 1-202-493-2251.
Each submission must include the Agency name and the docket ID for
this Notice. Note that DOT posts all comments received without change
to http://www.regulations.gov, including any personal information
included in a comment. Please see the Privacy Act heading below.
Docket: For access to the docket to read background documents or
comments, go to http://www.regulations.gov at any time or Room W12-140
on the ground level of the West Building, 1200 New Jersey Avenue SE.,
Washington, DC, between 9 a.m. and 5 p.m., Monday through Friday,
except Federal holidays. The FDMS is available 24 hours each day, 365
days each year. If you want acknowledgment that we received your
comments, please include a self-addressed, stamped envelope or postcard
or print the acknowledgement page that appears after submitting
comments on-line.
Privacy Act: Anyone may search the electronic form of all comments
received into any of our dockets by the name of the individual
submitting the comment (or of the person signing the comment, if
submitted on behalf of an
[[Page 69982]]
association, business, labor union, etc.). You may review the DOT's
complete Privacy Act Statement in the Federal Register published on
January 17, 2008 (73 FR 3316; January 17, 2008). This information is
also available at http://Docketinfo.dot.gov.
FOR FURTHER INFORMATION CONTACT: Elaine Papp, Chief, Medical Programs
Division, (202) 366-4001, or via email at fmcsamedical@dot.gov, or by
letter FMCSA, Room W64-113, Department of Transportation, 1200 New
Jersey Avenue SE., Washington, DC 20590-0001. Office hours are from
8:30 a.m. to 5 p.m., Monday through Friday, except Federal holidays.
SUPPLEMENTARY INFORMATION:
Background
Under 49 U.S.C. 31315 and 31136(e), FMCSA may grant an exemption
for a 2-year period if it finds ``such exemption would likely achieve a
level of safety that is equivalent to or greater than the level that
would be achieved absent such exemption.'' The statutes also allow the
Agency to renew exemptions at the end of the 2-year period. The 12
individuals listed in this notice have recently requested an exemption
from the epilepsy prohibition in 49 CFR 391.41(b)(8), which applies to
drivers who operate CMVs as defined in 49 CFR 390.5, in interstate
commerce. Section 391.41(b)(8) states that a person is physically
qualified to drive a commercial motor vehicle if that person has no
established medical history or clinical diagnosis of epilepsy or any
other condition which is likely to cause the loss of consciousness or
any loss of ability to control a CMV.
FMCSA provides medical advisory criteria for use by medical
examiners in determining whether drivers with certain medical
conditions should be certified to operate CMVs in intrastate commerce.
The advisory criteria indicate that if an individual has had a sudden
episode of a non-epileptic seizure or loss of consciousness of unknown
cause which did not require anti-seizure medication, the decision
whether that person's condition is likely to cause the loss of
consciousness or loss of ability to control a CMV should be made on an
individual basis by the medical examiner in consultation with the
treating physician. Before certification is considered, it is suggested
that a 6-month waiting period elapse from the time of the episode.
Following the waiting period, it is suggested that the individual have
a complete neurological examination. If the results of the examination
are negative and anti-seizure medication is not required, then the
driver may be qualified.
In those individual cases where a driver had a seizure or an
episode of loss of consciousness that resulted from a known medical
condition (e.g., drug reaction, high temperature, acute infectious
disease, dehydration, or acute metabolic disturbance), certification
should be deferred until the driver has fully recovered from that
condition, has no existing residual complications, and is not taking
anti-seizure medication. Drivers who have a history of epilepsy/
seizures, off anti-seizure medication and seizure-free for 10 years,
may be qualified to operate a CMV in interstate commerce. Interstate
drivers with a history of a single unprovoked seizure may be qualified
to drive a CMV in interstate commerce if seizure-free and off anti-
seizure medication for a 5-year period or more.
Submitting Comments
You may submit your comments and material online or by fax, mail,
or hand delivery, but please use only one of these means. FMCSA
recommends that you include your name and a mailing address, an email
address, or a phone number in the body of your document so that FMCSA
can contact you if there are questions regarding your submission. To
submit your comment online, go to http://www.regulations.gov and in the
search box insert the docket number ``FMCSA-2014-0379'' and click the
search button. When the new screen appears, click on the blue ``Comment
Now!'' button on the right hand side of the page. On the new page,
enter information required including the specific section of this
document to which each comment applies, and provide a reason for each
suggestion or recommendation. If you submit your comments by mail or
hand delivery, submit them in an unbound format, no larger than 8\1/2\
by 11 inches, suitable for copying and electronic filing. If you submit
comments by mail and would like to know that they reached the facility,
please enclose a stamped, self-addressed postcard or envelope. We will
consider all comments and material received during the comment period
and may change this proposed rule based on your comments. FMCSA may
issue a final rule at any time after the close of the comment period.
Viewing Comments and Documents
To view comments, as well as any documents mentioned in this
preamble, to submit your comment online, go to http://www.regulations.gov and in the search box insert the docket number
``FMCSA-2014-0379'' and click ``Search.'' Next, click ``Open Docket
Folder'' and you will find all documents and comments related to the
proposed rulemaking.
Summary of Applications
Theodore C. Banet
Mr. Banet is a 43 year-old driver in Pennsylvania. He has a history
of epilepsy and has remained seizure free since 2004. He takes anti-
seizure medication with the dosage and frequency remaining the same
since that time. If granted an exemption, he would like to drive a CMV.
His physician states that he is supportive of Mr. Banet receiving an
exemption.
Kieth Boelter
Mr. Boelter is a 57 year-old driver in Wisconsin. He has a history
of posttraumatic epilepsy related to a major traumatic brain injury 20
years ago. He has remained seizure free since May 2014, when he
suffered a nocturnal seizure after discontinuing his anti-seizure
medication. He takes anti-seizure medication with the dosage and
frequency remaining the same since that time. If granted an exemption,
he would like to drive a CMV. His physician states that he is
supportive of Mr. Boelter receiving an exemption.
David S. Campbell
Mr. Campbell is a 70 year-old driver in Massachusetts. He has a
history of seizures and has remained seizure free since 2005. He takes
anti-seizure medication with the dosage and frequency remaining the
same since that time. If granted an exemption, he would like to drive a
CMV. His physician states that he is supportive of Mr. Campbell
receiving an exemption.
Philip S. Canales, Jr.
Mr. Canales is a 56 year-old driver in Florida. He has a history of
a seizure 30 years ago due to a closed head injury. He has remained
seizure free since that time however, it is unclear whether three brief
episodes in 2009 were seizures. He takes anti-seizure medication with
the dosage and frequency remaining the same since 2009. If granted the
exemption, he would like to drive a CMV. His physician states that he
is supportive of Mr. Canales receiving an exemption.
Gerald Hodge
Mr. Hodge is a 63 year-old driver in South Carolina. He has a
history of a seizure disorder and has remained seizure free since 2012.
He takes anti-seizure medication with the dosage and frequency
remaining the same since that time. If granted the exemption, he
[[Page 69983]]
would like to drive a CMV. His physician states that he is supportive
of Mr. Hodge receiving an exemption.
Lewis R. Holbrook
Mr. Holbrook is a 43 year-old driver in North Carolina. He has a
history of a seizure disorder and has remained seizure free since 2004.
He takes anti-seizure medication with the dosage and frequency
remaining the same since 2005. If granted the exemption, he would like
to drive a CMV. His physician states that he is supportive of Mr.
Holbrook receiving an exemption.
Donald A. Horst
Mr. Horst is a 65 year-old class A CDL holder in Maryland. He has a
history of a seizure disorder and has remained seizure free since 2008.
He takes anti-seizure medication with the dosage and frequency
remaining the same since 2009. If granted the exemption, he would like
to drive a CMV. His physician states that he is supportive of Mr. Horst
receiving an exemption.
Dominick Rezza
Mr. Rezza is a 58 year-old class A CDL holder in Texas. He has a
history of a seizure disorder and has remained seizure free since 1995.
He takes anti-seizure medication with the dosage and frequency
remaining the same since 1996. If granted the exemption, he would like
to drive a CMV. His physician states that he is supportive of Mr. Rezza
receiving an exemption.
David L. Satchell
Mr. Satchell is a 37 year-old driver in New Jersey. He has a
history of seizures and has remained seizure free since 2013. He takes
anti-seizure medication with the dosage and frequency remaining the
same since that time. If granted the exemption, he would like to drive
a CMV. His physician states that he is supportive of Mr. Satchell
receiving an exemption.
Eric G. Schams
Mr. Schams is a 43 year-old driver in Wisconsin. He has a history
of a seizure in 2006 and remained seizure free for 6 years until, under
the direction of his neurologist, his anti-seizure medication was
tapered and he had a seizure in 2012. He takes anti-seizure medication
with the dosage and frequency remaining the same since that time. If
granted the exemption, he would like to drive a CMV. His physician
states that he is supportive of Mr. Schams receiving an exemption.
Edgar A. Snapp
Mr. Snapp is a 52 year-old class B CDL holder in Indiana. He has a
history of a seizure disorder and has remained seizure free since 1988.
He takes anti-seizure medication with the dosage and frequency
remaining the same since that time. If granted the exemption, he would
like to drive a CMV. His physician states that he is supportive of Mr.
Snapp receiving an exemption.
Gregory W. Young
Mr. Young is a 50 year-old class A CDL holder in South Carolina. He
has a history of seizure and has remained seizure free since 1983. He
takes anti-seizure medication with the dosage and frequency remaining
the same since 2004. If granted the exemption, he would like to drive a
CMV. His physician states that he is supportive of Mr. Young receiving
an exemption.
Request for Comments
In accordance with 49 U.S.C. 31315 and 31136(e), FMCSA requests
public comment from all interested persons on the exemption
applications described in this notice. We will consider all comments
received before the close of business on the closing date indicated
earlier in the notice.
Issued on: November 17, 2014.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2014-27755 Filed 11-21-14; 8:45 am]
BILLING CODE 4910-EX-P