49 CFR §§391.41 – 391.49

49 CFR 391.41 : Lists the physical and mental qualification standards. Drivers must not have certain limb losses, unmanaged diabetes, major heart disease, dangerous respiratory issues, high blood pressure, epilepsy, or poor vision/hearing. (download PDF )

49 CFR 391.43 : Details how a certified medical examiner must perform the physical exam and issue the Medical Examiner’s Certificate.

49 CFR 391.44 : Explains alternative vision standards for drivers who do not meet standard distant acuity or field of vision in one eye.

49 CFR 391.45 : Specifies which commercial drivers are required to undergo regular medical examinations.

49 CFR 391.46 : Outlines the physical qualification rules for drivers with insulin-treated diabetes mellitus.

49 CFR 391.47 : Provides a process to resolve conflicts when a medical evaluation disagrees with a treating clinician’s report. (download PDF )

49 CFR 391.49 : Explains the Skill Performance Evaluation (SPE) certificate program for drivers with missing or impaired limbs.

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