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Historical textIn force on Sept. 19, 2018Source: eCFR

§ 391.45 Persons who must be medically examined and certified.

Wording effective September 19, 2018, superseded November 19, 2018.

eCFR as of September 19, 2018 ↗
What changedJune 21, 2018 wording → Sept. 19, 2018 wording+12 added−0 removedHide

Link to an amendment published at 83 FR 47520, Sept. 19, 2018.
The following persons must be medically examined and certified in accordance with § 391.43 of this subpart as physically qualified to operate a commercial motor vehicle:
(a) Any person who has not been medically examined and certified as physically qualified to operate a commercial motor vehicle;
(b)(1) Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the preceding 24 months; or
(2) Any driver authorized to operate a commercial motor vehicle only with an exempt intracity zone pursuant to § 391.62, or only by operation of the exemption in § 391.64, if such driver has not been medically examined and certified as qualified to drive in such zone during the preceding 12 months;
(c) Any driver whose ability to perform his/her normal duties has been impaired by a physical or mental injury or disease; and
(d) On or after June 22, 2021, any person found by a medical examiner not to be physically qualified to operate a commercial motor vehicle under the provisions of paragraph (g)(3) of § 391.43.
[35 FR 6460, Apr. 22, 1970, as amended at 36 FR 223, Jan. 7, 1971; 54 FR 12202, Mar. 24, 1989; 61 FR 13347, Mar. 26, 1996; 80 FR 22821, Apr. 23, 2015; 80 FR 59075, Oct. 1, 2015; 83 FR 28782, June 21, 2018]

49 CFR § 391.45 — Persons who must be medically examined and certified.. Text in force on September 19, 2018. This wording effective September 19, 2018 to November 19, 2018. Source: eCFR as of September 19, 2018, https://www.ecfr.gov/on/2018-09-19/title-49/section-391.45. Retrieved from FMCSR.com, https://fmcsr.com/reg/391.45?asof=2018-09-19, on October 26, 2026. Unofficial compilation; verify against the official source.

Link to an amendment published at 83 FR 47520, Sept. 19, 2018.

The following persons must be medically examined and certified in accordance with § 391.43 of this subpart as physically qualified to operate a commercial motor vehicle:

(a) Any person who has not been medically examined and certified as physically qualified to operate a commercial motor vehicle;

(b)(1) Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the preceding 24 months; or

(2) Any driver authorized to operate a commercial motor vehicle only with an exempt intracity zone pursuant to § 391.62, or only by operation of the exemption in § 391.64, if such driver has not been medically examined and certified as qualified to drive in such zone during the preceding 12 months;

(c) Any driver whose ability to perform his/her normal duties has been impaired by a physical or mental injury or disease; and

(d) On or after June 22, 2021, any person found by a medical examiner not to be physically qualified to operate a commercial motor vehicle under the provisions of paragraph (g)(3) of § 391.43.

[35 FR 6460, Apr. 22, 1970, as amended at 36 FR 223, Jan. 7, 1971; 54 FR 12202, Mar. 24, 1989; 61 FR 13347, Mar. 26, 1996; 80 FR 22821, Apr. 23, 2015; 80 FR 59075, Oct. 1, 2015; 83 FR 28782, June 21, 2018]

Amendment history

11 distinct wordings on file since Oct. 1, 1996
  1. July 21, 2026 → presenteCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018, as amended at 86 FR 32651, June 22, 2021; 87 FR 3419, Jan. 21, 2022; 88 FR 80192, Nov. 17, 2023; 89 FR 90623, Nov. 18, 2024; 91 FR 45661, July 21, 2026]
  2. Nov. 18, 2024 → July 21, 2026eCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018, as amended at 86 FR 32651, June 22, 2021; 87 FR 3419, Jan. 21, 2022; 88 FR 80192, Nov. 17, 2023; 89 FR 90623, Nov. 18, 2024]
  3. Nov. 17, 2023 → Nov. 18, 2024eCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018, as amended at 86 FR 32651, June 22, 2021; 87 FR 3419, Jan. 21, 2022; 88 FR 80192, Nov. 17, 2023]
  4. March 22, 2022 → Nov. 17, 2023eCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018, as amended at 86 FR 32651, June 22, 2021; 87 FR 3419, Jan. 21, 2022]
  5. Jan. 21, 2022 → March 22, 2022eCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018, as amended at 86 FR 32651, June 22, 2021]
  6. June 22, 2021 → Jan. 21, 2022eCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018, as amended at 86 FR 32651, June 22, 2021]
  7. Nov. 19, 2018 → June 22, 2021eCFR, day-precisediff vs. previous
    [83 FR 47520, Sept. 19, 2018]
  8. Sept. 19, 2018 → Nov. 19, 2018eCFR, day-precisediff vs. previousviewing
    [35 FR 6460, Apr. 22, 1970, as amended at 36 FR 223, Jan. 7, 1971; 54 FR 12202, Mar. 24, 1989; 61 FR 13347, Mar. 26, 1996; 80 FR 22821, Apr. 23, 2015; 80 FR 59075, Oct. 1, 2015; 83 FR 28782, June 21, 2018]
  9. June 21, 2018 → Sept. 19, 2018eCFR, day-precisediff vs. previous
    [35 FR 6460, Apr. 22, 1970, as amended at 36 FR 223, Jan. 7, 1971; 54 FR 12202, Mar. 24, 1989; 61 FR 13347, Mar. 26, 1996; 80 FR 22821, Apr. 23, 2015; 80 FR 59075, Oct. 1, 2015; 83 FR 28782, June 21, 2018]
  10. Oct. 1, 2015 → June 21, 2018annual editions 2015–2016diff vs. previous
    [35 FR 6460, Apr. 22, 1970, as amended at 36 FR 223, Jan. 7, 1971; 54 FR 12202, Mar. 24, 1989; 61 FR 13347, Mar. 26, 1996; 80 FR 22821, Apr. 23, 2015; 80 FR 59075, Oct. 1, 2015]
  11. Oct. 1, 1996 → Oct. 1, 2015annual editions 1996–2014
    [35 FR 6460, Apr. 22, 1970, as amended at 36 FR 223, Jan. 7, 1971; 54 FR 12202, Mar. 24, 1989; 61 FR 13347, Mar. 26, 1996]

A new entry appears whenever the regulatory words change between government snapshots. Day-precise from the eCFR (2017 onward); before that, one snapshot per annual CFR edition (revised as of October 1). Bracketed citations are the Federal Register history printed with the section.