The National Registry final rule addresses four NTSB recommendations on a comprehensive medical oversight program for interstate drivers that include the following elements:

  • Individuals performing medical examinations for drivers are qualified to do so and are educated about occupational issues for drivers.
  • A tracking mechanism is established that ensures that every prior application by an individual for medical certification is recorded and reviewed.
  • Medical certification regulations are updated periodically to permit trained MEs to clearly determine whether drivers with common medical conditions should be issued a medical certificate; and
  • Individuals performing examinations have specific guidance and a readily identifiable source of information for questions on such examinations.