§FMCSR.com
Historical textIn force on Nov. 19, 2019Source: eCFR

§ 391.45 Persons who must be medically examined and certified.

Wording effective November 19, 2018, superseded June 22, 2021.

eCFR as of November 19, 2019 ↗
49 CFR § 391.45 — Persons who must be medically examined and certified.. Text in force on November 19, 2019. This wording effective November 19, 2018 to June 22, 2021. Source: eCFR as of November 19, 2019, https://www.ecfr.gov/on/2019-11-19/title-49/section-391.45. Retrieved from FMCSR.com, https://fmcsr.com/reg/391.45?asof=2019-11-19, on October 26, 2026. Unofficial compilation; verify against the official source.

The following persons must be medically examined and certified in accordance with § 391.43 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) Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the preceding 24 months, unless the driver is required to be examined and certified in accordance with paragraph (c), (d), (e), (f), or (g) of this section;

(c) Any driver authorized to operate a commercial motor vehicle only within an exempt intra-city zone pursuant to § 391.62, if such driver has not been medically examined and certified as qualified to drive in such zone during the preceding 12 months;

(d) Any driver authorized to operate a commercial motor vehicle only by operation of the exemption in § 391.64, if such driver has not been medically examined and certified as qualified to drive during the preceding 12 months;

(e) Any driver who has diabetes mellitus treated with insulin for control and who has obtained a medical examiner's certificate under the standards in § 391.46, if such driver's most recent medical examination and certification as qualified to drive did not occur during the preceding 12 months;

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

(g) Beginning 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.

[83 FR 47520, Sept. 19, 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. previousviewing
    [83 FR 47520, Sept. 19, 2018]
  8. Sept. 19, 2018 → Nov. 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]
  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.