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The FMCSA’s rule for digital medical certification has been implemented, resulting in the retirement of ‘outdated’ paper medical cards.

by The Key 2 DOT
June 24, 2025
in Uncategorized
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The U.S. Department of Transportation (USDOT) has introduced a new electronic system for submitting medical examination results for commercial vehicle drivers. This initiative aims to minimize fraud and alleviate the burdens faced by truck drivers. Significant updates have been made to the medical certification procedure for truck drivers. Starting Monday, June 23, the Federal Motor Carrier Safety Administration (FMCSA) implemented the Medical Examiner’s Certification Integration (NRII) rule, which the USDOT describes as a significant improvement in the safety and integrity of the commercial driver licensing process. “This innovative procedure will substitute old paper records that are vulnerable to fraud, cumbersome for truck drivers to manage, and more difficult for law enforcement to evaluate.” According to the new regulation, medical examiners are required to electronically send the outcomes of a physical examination for a Commercial Driver’s License (CDL) or Commercial Learner’s Permit (CLP) applicant straight to the FMCSA’s National Registry. The rule stipulates that these results must be submitted by midnight on the day after the exam. Consequently, the FMCSA electronically forwards the examination results to the State Driver’s Licensing Agencies (SDLA), removing the necessity for CDL and CLP holders to provide their own Medical Examiner Certificates (MEC) to SDLAs. SDLAs will upload exam details from FMCSA onto the CDLIS driver MVR. Medical examiners are no longer mandated to provide paper copies of MECs due to the implementation of the NRII. With this new regulation, motor carriers do not need to confirm that an MEC assigned to a CLP applicant or CDL holder was issued by a medical examiner listed on the National Registry. Motor carriers are no longer permitted to rely on a paper Medical Examination Certificate (MEC) as validation of a driver’s medical certification. They should utilize records acquired from the CDLIS MVR to confirm that the driver is medically fit to drive a commercial vehicle. The USDOT highlights the advantages of transitioning to electronic records transmission. According to officials, the new regulation will remove the cumbersome paper documentation and give law enforcement immediate access to a driver’s medical certification status during roadside checks. “This updated digital system will simplify processes for compliant truck drivers while making it more challenging for those seeking to commit fraud.”

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