FMCSA Denies Seizure Disorder Exemptions for 18 Applicants

Eighteen drivers were denied exemptions to operate commercial motor vehicles despite clinical diagnoses of epilepsy or seizure disorders. The agency published the decision on July 17, 2026.

The agency reviewed each applicant's medical information and driving record. All 18 drivers were denied because they did not meet the minimum time requirement for being seizure-free while on or off anti-seizure medication.

FMCSA evaluates these requests on a case-by-case basis. The agency looks at the cause of the seizures, treatment stability, and crash history. No public comments were received during the review period.

The physical qualification standard in 49 CFR 391.41(b)(8) prohibits drivers with epilepsy or seizure disorders from operating commercial vehicles. Drivers cannot drive commercially without a federal exemption. Each denied applicant already received a final decision letter.

Source: Federal Register — https://www.federalregister.gov/documents/2026/07/17/2026-14415/qualification-of-drivers-exemption-applications-epilepsy-and-seizure-disorders