Department of Transportation New Diabetes Rule

The Federal Motor Carrier Safety Administration (FMCSA) has revised its regulations. The revision will permit individuals with stable insulin regimens and properly controlled insulin-treated diabetes mellitus (ITDM) to be qualified to operate a commercial motor vehicle (CMV) in interstate commerce. Previously, individuals with ITDM were prohibited from driving CMVs in interstate commerce unless they obtained an exemption from FMCSA. This rule enables a certified medical examiner (ME) to grant an individual with ITDM a Medical Examiner’s Certificate (MEC), MCSA-5876, for up to a maximum of 12 months.

To get the Medical Examiner’s Certificate, the treating clinician  (the healthcare professional who manages and prescribes insulin for the treatment of the individual’s diabetes), provides the ITDM assessment form, MCSA-5870, to the certified medical examiner. The form must indicate that the individual maintains a stable insulin regimen and proper control of his or her diabetes. The certified medical examiner then determines that the individual meets FMCSA’s physical qualification standards. 

If you have any questions about this process, give us a call at 1(800) 452-0030 ext. 0.