96-218. Qualification of Drivers; Vision and Diabetes; Limited Exemptions  

  • [Federal Register Volume 61, Number 5 (Monday, January 8, 1996)]
    [Proposed Rules]
    [Pages 606-611]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-218]
    
    
    
    
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    Part III
    
    
    
    
    
    Department of Transportation
    
    
    
    
    
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    Federal Highway Administration
    
    
    
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    49 CFR Part 391
    
    
    
    Qualifications of Drivers, Vision and Diabetes; Proposed Rule
    
    Federal Register / Vol. 61, No. 5 / Monday, January 8, 1996 / 
    Proposed Rules 
    
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    DEPARTMENT OF TRANSPORTATION
    
    Federal Highway Administration
    
    49 CFR Part 391
    
    [FHWA Docket No. MC-96-2]
    RIN 2125-AD73
    
    
    Qualification of Drivers; Vision and Diabetes; Limited Exemptions
    
    AGENCY: Federal Highway Administration (FHWA), DOT.
    
    ACTION: Notice of proposed rulemaking (NPRM); request for comments.
    
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    SUMMARY: The FHWA announces a proposal to allow those drivers currently 
    holding valid waivers from both the vision and diabetes standards 
    contained in the Federal Motor Carrier Safety Regulations (FMCSRs) to 
    continue to operate in interstate commerce after March 31, 1996. This 
    action is directed solely at those drivers who have been granted 
    temporary waivers to participate in either the Federal vision waiver 
    study, who numbered 2240, or in the Federal diabetes waiver study, who 
    number 119 as of November 1, 1995. The FHWA believes that allowing this 
    special group of drivers to continue to drive after March 31, 1996, is 
    consistent with the public interest and safe operation of commercial 
    motor vehicles (CMV). This action is necessary because the waiver 
    program termination date of March 31, 1996, has been established, and 
    without this action, the drivers will no longer be qualified to operate 
    in interstate commerce after that date. The FHWA proposes to allow 
    these drivers to continue operations, subject to certain operating 
    conditions. The proposal also includes a technical amendment to 
    relocate an existing provision so that all limited exemptions from 
    driver qualification standards can be found in the same subpart.
    
    DATES: Comments must be received on or before February 7, 1996.
    
    ADDRESSES: Submit written, signed comments to FHWA Docket No. MC-96-2, 
    Room 4232, HCC-10, Office of the Chief Counsel, Federal Highway 
    Administration, 400 Seventh Street, SW., Washington, DC 20590. All 
    comments received will be available for examination at the above 
    address from 8:30 a.m. to 3:30 p.m., e.t., Monday through Friday, 
    except Federal holidays. Those desiring notification of receipt of 
    comments must include a self-addressed envelope. Comments received 
    after the comment closing date will be filed in the docket and will be 
    considered to the extent practicable. The FHWA may issue a final 
    determination and rule on this matter at any time after the close of 
    the comment period.
    
    FOR FURTHER INFORMATION CONTACT: The FHWA has established a special 
    telephone number to receive inquiries regarding this action. The number 
    is 1-800-832-5660. Office hours are from 7:45 a.m. to 4:15 p.m., e.t., 
    Monday through Friday, except Federal holidays.
    
    SUPPLEMENTARY INFORMATION: Section 206(f) of the Motor Carrier Safety 
    Act of 1984 (MCSA), Pub. L. No. 98-554, 98 Stat. 2835 (codified at 49 
    U.S.C. 31136(e), formerly 49 U.S.C. App. 2505(f)) allows the Secretary 
    of Transportation to issue waivers from the Federal Motor Carrier 
    Safety Regulations only after a determination that such waivers are not 
    contrary to the public interest and are consistent with the safe 
    operation of CMVs. Historically, the FHWA has issued limited waivers 
    and does not intend to enter into any large scale program of 
    exemptions. The safety performance data collected under the vision and 
    diabetes waiver programs would be used as the basis for this 
    determination; however, separate research proceedings would form the 
    basis for any future adjustments, if warranted, to the current vision 
    and diabetes standards. The FHWA has decided on a 30 day comment period 
    in order to give adequate notice to waived drivers of their status at 
    the conclusion of the waiver program on March 31, 1996. Prior notices 
    on the waiver program have established the issues facing the FHWA in 
    deciding the disposition of these drivers; therefore, these issues are 
    well known to potential commenters on this notice. See 59 FR 50887 
    (October 6, 1994) and 59 FR 59386 (November 17, 1994).
    
    Vision Waiver Program Background
    
        On February 28, 1992, the FHWA published a notice of proposed 
    rulemaking (NPRM), 57 FR 6793, requesting comments on the need, if any, 
    to amend its driver physical qualification requirements relating to 
    vision. On March 25, 1992, the FHWA published a notice of intent to 
    issue waivers from the vision requirement, 57 FR 10295. The notice 
    indicated that applications would be processed as quickly as possible 
    and waivers would be issued for a period of three years or until the 
    current rulemaking addressing the Federal vision requirement is 
    completed, whichever occurred first. The notice imposed certain 
    conditions and reporting requirements on applicants, among them that 
    applicants for a waiver submit medical certification that the vision in 
    their better eye is at least 20/40 acuity, corrected or uncorrected.\1\
    
        \1\ The current Federal vision standard for CMV drivers 
    requires: distant visual acuity of at least 20/40 (Snellen) in each 
    eye without corrective lenses or visual acuity separately corrected 
    to 20/40 (Snellen) or better with corrective lenses, distant 
    binocular acuity of at least 20/40 (Snellen) in both eyes with or 
    without corrective lenses, field of vision of at least 70 degrees in 
    the horizontal meridian in each eye, and the ability to recognize 
    the colors of traffic signals and devices showing standard red, 
    green, and amber. 49 CFR 391.41(b)(10).
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        The FHWA published a subsequent notice, 57 FR 23370, on June 3, 
    1992, announcing the receipt of applications by drivers for waiver of 
    the FHWA's vision requirements and seeking comments on its intent to 
    waive its vision requirements for drivers who met certain conditions. 
    The notice explained that the proposed waiver program would enable the 
    FHWA to conduct a study comparing a group of experienced drivers with a 
    visual deficit in one eye with a control group of experienced drivers 
    who meet the Federal vision requirements. The FHWA believed that the 
    study would provide the empirical data that a previous study did not.
        In its Notice of Final Disposition, 57 FR 31458, published on July 
    16, 1992, the FHWA instituted the waiver program, making temporary 
    waivers available to drivers who met the announced conditions. The FHWA 
    determined that the waiver is not contrary to the public interest. The 
    program is consistent with the national policy, as expressed in the 
    Rehabilitation Act of 1973 and the Americans with Disabilities Act, to 
    facilitate the employment of qualified individuals with disabilities. 
    Moreover, the FHWA found that the waiver program was consistent with 
    the safe operation of CMVs because the program's requirements would 
    effectively screen out unsafe drivers.
        These safeguards required waiver applicants to be otherwise 
    qualified under 49 CFR Part 391, and hold a valid commercial driver's 
    license to operate a CMV issued after April 1, 1990. The applicant must 
    also have had three years' recent experience driving a CMV without (1) 
    license suspension or revocation; (2) involvement in a reportable 
    accident in which the applicant received a citation for a moving 
    violation; (3) conviction for driving a CMV while intoxicated, leaving 
    the scene of an accident involving a CMV, commission of a felony or 
    more than one serious traffic violation involving a CMV; or (4) more 
    than two convictions for any other moving violation in a CMV. Finally, 
    the applicant had to present proof from an 
    
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    optometrist or ophthalmologist certifying that the applicant's visual 
    deficiency has not worsened since his or her last examination, that 
    vision in one eye is at least 20/40 acuity, corrected or uncorrected, 
    and that the applicant is able to perform the driving tasks required to 
    operate a CMV.
        In addition, the applicant had to comply with the following 
    requirements: (1) report all citations for moving violations involving 
    a CMV; (2) report the disposition of the charge; (3) report any 
    accident involvement whatsoever while operating a CMV; (4) submit 
    documentation of an annual examination by an ophthalmologist or 
    optometrist; and (5) submit reports of vehicle miles traveled monthly 
    in a CMV.
    
    Court Decision
    
        On August 2, 1994, the U.S. Court of Appeals for the D.C. Circuit 
    found that the agency's ``determination that the waiver program will 
    not adversely affect the safe operation of CMVs is devoid of empirical 
    support in the record'' and that ``the FHWA has failed to meet the 
    exacting requirements of section 2505(f) (now 49 U.S.C. 31136(e)).'' 
    Advocates for Highway and Auto Safety v. FHWA, 28 F.3d 1288, 1294. 
    Consequently, the Court concluded that the FHWA's adoption of the 
    waiver program was contrary to law, and vacated and remanded the rule 
    to the agency.
        On October 6, 1994, the FHWA published a Notice of Determination, 
    Request for comments, 59 FR 50887, extending the validity of the vision 
    waivers for a thirty-day period. The notice also proposed to allow the 
    waiver program to continue until its original March 31, 1996, 
    termination date based on the additional empirical evidence presented 
    in the notice. On the same day, an emergency motion was filed in the 
    D.C. Circuit requesting that the court issue and enforce the mandate in 
    Advocates, thereby halting the waiver program. The court issued its 
    mandate on October 21, 1994, and on October 24, 1994, the court denied 
    the Advocates' emergency motion.
        On November 17, 1994, the FHWA published a Notice of Final 
    Determination (59 FR 59386) that continued the vision waiver program 
    through March 31, 1996. The FHWA's decision was based, in part, on data 
    collected on the group of waived drivers indicating that they had 
    performed and continued to perform more safely than drivers in the 
    general population of commercial drivers. The notice announced that the 
    FHWA would develop and impose more stringent performance conditions to 
    further reduce the safety risks to the waived drivers and highway 
    users. This task was accomplished by separate mailings to vision waiver 
    drivers on February 8, 1995. The notice also announced that the FHWA 
    would convene a public meeting regarding its research plans with 
    respect to defining the appropriate vision standard.
    
    Diabetes Waiver Program Background
    
        The FHWA has considered various amendments to its diabetes 
    requirement since 1977. See 55 FR 41028 (October 5, 1990) (notice of 
    proposed rulemaking) and 52 FR 45204 (November 25, 1987) (advance 
    notice of proposed rulemaking) with FHWA docket number MC-87-17. Please 
    refer to these notices for a complete background discussion of the 
    FHWA's efforts in this area. Copies can be found in the docket.
        The FHWA published in the Federal Register a Notice of Intent to 
    Initiate a Waiver Program for certain insulin-using diabetic drivers of 
    CMVs from the absolute prohibition contained in the FMCSRs. See 57 FR 
    48011 (October 21, 1992). The intent of the proposed waiver program was 
    to collect data on the driving experience of a group of insulin-using 
    drivers and use that information to support amending, if warranted, the 
    current diabetes requirement.2
    
        \2\ The current Federal diabetes standard for CMV drivers 
    requires no established medical history or clinical diagnosis of 
    diabetes mellitus currently requiring insulin for control. 49 CFR 
    391.41(b)(3).
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        On July 29, 1993, the FHWA published in the Federal Register a 
    Notice of Final Disposition allowing certain insulin-using diabetic 
    drivers to operate a CMV in interstate commerce for a 3-year period. 
    Stringent conditions were established to satisfy the mandate that this 
    action be consistent with the safe operation of CMVs. These conditions 
    included at least three years of experience driving a CMV while the 
    individual had been using insulin to control his or her diabetes, a 
    good driving record (as in the vision waiver condition) and 
    certification from an endocrinologist that the diabetic condition will 
    not adversely impact on the applicant's ability to operate a CMV. In 
    addition, participants were required to monitor their blood glucose 
    levels using portable glucose monitoring devices and maintain accurate 
    logs, submit monthly driving activity reports to the FHWA, notify the 
    FHWA of any involvement in an accident and undergo biannual 
    examinations by an endocrinologist. Approximately 140 drivers were 
    accepted into the diabetes waiver program. For a complete description 
    of the diabetes waiver program, see 58 FR 40690, July 29, 1993.
        The August 2, 1994, court decision in Advocates called into 
    question the FHWA's ability to issue waivers to insulin-treated 
    diabetic drivers because of the similar approach used to pre-qualify 
    drivers for participation in the diabetes waiver program.
        Accordingly, the FHWA notified the diabetes waiver drivers, in 
    separate mailings on March 28, 1995, of the court's decision and 
    changes to the Vision and Diabetes Waiver Programs that allowed both 
    programs to continue until March 31, 1996. The FHWA established 
    stricter performance conditions for all participants, and enhanced the 
    FHWA's monitoring of the performance of the waived drivers in order to 
    ensure compliance with the statutory test as construed by the court.
    
    Proposed Action
    
        The FHWA now proposes that the waived drivers in the vision and 
    diabetes programs should be allowed to continue driving in interstate 
    commerce after March 31, 1996. The underlying basis for this proposal 
    is that the FHWA has significant data to show that the continued 
    operation of both waived groups of drivers, who total 2359 as of 
    November 1, 1995, would be consistent with the safe operation of CMVs. 
    Prior to being admitted into the study the waiver applicants had to 
    demonstrate a three-year period of accident-free driving performance, 
    coupled with an absence of serious traffic violations. Since the 
    program began, the data have shown that the driving performance of this 
    group of waived drivers was and continues to be better than the driving 
    performance of all CMV drivers collectively, based on data obtained 
    from the General Estimates Service (GES) as discussed more fully 
    below.3 Moreover, each driver in the waiver programs has been 
    closely monitored, in many cases for three years or more. Coupled with 
    their 3-year good driving record preceding the waivers, the drivers 
    have individually merited partial exemption from Secs. 391.41(b)(10) or 
    391.41(b)(3).
    
        \3\ The GES is a national survey conducted by the National 
    Highway Traffic Safety Administration and was selected for use as 
    the best measure of the prevailing national norm relative to large 
    truck accidents.
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        Consequently, the FHWA proposes to amend part 391 of the FMCSRs to 
    grant grandfather rights to all drivers holding a valid Federal vision 
    or diabetes waiver on March 31, 1996. By proposing the grandfather 
    provision, the FHWA intends to allow only those drivers who have been 
    granted temporary waivers to 
    
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    participate in the Federal vision and diabetes waiver programs, 
    numbering 2359 as of November 1, 1995, to continue to operate in 
    interstate commerce beyond March 31, 1996, subject to certain operating 
    conditions. This action would provide relief to these drivers who 
    otherwise would not be permitted to operate a CMV in interstate 
    commerce. These grandfather provisions would also be conditional in 
    order to further reduce any possible risk associated with those 
    drivers. In addition to the conditions regarding medical requirements 
    discussed below, the FHWA proposes to continue monitoring the 
    performance of these drivers through periodic checks.
    
    Medical Requirements for Operating Under This Grandfather Provision
    
        The FHWA recognizes that any person's medical or physical condition 
    may deteriorate in a short period of time. The FHWA proposes to require 
    an annual physical examination pursuant to Sec. 391.43, instead of 
    every 2 years as is required of other drivers, as an extra precaution 
    to ensure the continued safe operation of these drivers. Under this 
    provision, these drivers, as all other interstate drivers, must be 
    otherwise physically qualified pursuant to Sec. 391.41 of the FMCSRs.
        In addition, the FHWA proposes that vision impaired drivers who 
    would be grandfathered as a result of this action be required to obtain 
    an annual vision examination by an ophthalmologist or optometrist 
    indicating that they have been examined within the past two months and 
    that the vision in the better eye is at least 20/40 acuity, corrected 
    or uncorrected. This information would be submitted to the medical 
    examiner at the time of the individual's annual physical qualification 
    examination under part 391 of the FMCSRs. Accordingly, the FHWA 
    proposes to amend part 391 to incorporate these conditions.
        Similarly, diabetic drivers proposed to be grandfathered as a 
    result of this proposal would be required to obtain an annual 
    examination by a board certified/eligible endocrinologist who must 
    certify that the driver (1) has been examined within the past two 
    months; (2) is free of insulin reactions; (3) has the ability and has 
    demonstrated willingness to properly monitor and manage his/her 
    diabetes; and (4) does not have a diabetic condition that would 
    adversely affect his or her ability to operate a CMV. One is free of 
    insulin reactions if that individual has experienced less than one 
    documented, symptomatic hypoglycemic reaction per month. These drivers 
    would be required to carry a source of rapidly absorbable glucose and 
    continue to monitor their blood glucose using a portable glucose 
    monitoring device equipped with a computerized memory one hour prior to 
    and approximately every four hours while driving. Upon request, the 
    driver would submit his or her blood glucose logs to the 
    endocrinologist and/or the medical examiner or when otherwise directed 
    by an authorized agent of the FHWA. A copy of the endocrinologist's 
    report would be submitted to the medical examiner at the time of the 
    annual physical qualification examination under part 391 of the FMCSRs.
        The FHWA proposes to require this group of drivers to carry a 
    medical examiners certificate stating: ``Medically qualified by 
    operation of 49 CFR 391.64.'' Drivers who do not provide a copy of the 
    required information from the ophthalmologist/optometrist or the 
    endocrinologist to the medical examiner at the time of their annual 
    physical qualification examinations cannot be recertified to continue 
    driving a CMV in interstate commerce under this proposed grandfather 
    provision.
    
    Analysis
    
        The FHWA's proposed action is supported by the findings in an 
    assessment prepared for the FHWA to determine the risk associated with 
    the exposure to the public that is represented by allowing waivered 
    drivers to continue driving after March 31, 1996. A copy of this 
    assessment is contained in the docket for public inspection.
        Since the inception of the waiver programs, drivers with waivers 
    have been monitored continuously. The monitoring has involved comparing 
    the accident rates of the waivered drivers to rates of a reference 
    group, GES, that represent the safety level for drivers of large trucks 
    (10,000 lbs. or larger) in the United States. The overall accident 
    rates of the waivered group represent the cumulative number of 
    accidents for drivers still in the program at the time of the report. 
    To determine if the waivered drivers in the vision program posed an 
    excessive threat to public safety, the monitoring process used the 90 
    percent confidence intervals associated with each cumulative accident 
    rate and if the lower limit of that confidence interval did not exceed 
    the national accident rate, the drivers in the program were considered 
    not to be a threat to public safety.
        To determine if the waivered drivers in the diabetes program posed 
    an excessive threat to public safety, it was decided that sampling 
    error and confidence intervals would play no role in the decision 
    process. This was done because the small sample of drivers who received 
    diabetes waivers would lead to wide confidence intervals. Rather, in 
    the event that the accident rate of the diabetes waiver group would 
    become larger than the national rate, notification would be made that 
    there could be a threat to public safety. In this case, the national 
    rate is treated as a constant since it is frequently expressed as an 
    official rate without a confidence interval.
        Additional monitoring and more stringent conditions were 
    implemented in early 1995 in response to the Advocates decision and the 
    concerns raised by the safety community. In addition to the group 
    assessment, the waivered drivers were now subject to a day-by-day 
    individual assessment relative to program compliance, violations and 
    accidents. Drivers in violation of program conditions were identified 
    and removed if warranted; thereby identifying, in a timely fashion, 
    aspects of the program that could compromise public safety.\4\ 
    Therefore in both cases, data presented below will represent drivers 
    who are still in the program as of this notice.
    
        \4\ Vision: At the end of October, 1995, 2240 drivers remained 
    in the vision waiver program. A total of 317 drivers had their 
    waivers revoked. Two hundred and thirty one were revoked for failure 
    to submit monthly mileage reports. Twelve were revoked because of 
    convictions for serious traffic or disqualifying offenses. Sixty-
    five were revoked for failure to submit a medical exam. Seven 
    waivers were canceled for medical reasons. Diabetes: At the end of 
    October, 1995, 119 drivers remained in the diabetes waiver program. 
    A total of seven drivers had their waivers revoked. Three were 
    revoked for failure to submit monthly mileage reports. One driver 
    had his waiver revoked because of a disqualifying offense. Three 
    were revoked for failing to submit a medical exam. Nine waivers were 
    canceled for medical reasons.
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    Drivers With Vision Waivers
    
        The FHWA examined the vision waiver data in terms of how the waiver 
    group performed in relation to the national population of large truck 
    drivers and the future risk of these drivers from their behavior across 
    time. An examination of the cumulative accident rates of the vision 
    waivered drivers has shown a steady decline, and by June 1995, the 
    cumulative accident rate (1.63) was significantly lower than the most 
    recent national rate (2.422).
        An assessment of the trend in accident rates for this group was 
    performed since the future driving behavior of this group is important 
    to the disposition of the program. Findings from the evaluation of 
    accident data occurring in six-month periods indicate that there is a 
    decline in the total 
    
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    accident rates across the periods. This significant negative trend 
    suggests that these drivers are becoming increasingly careful in the 
    operation of CMVs.
        Some accidents that are the fault of these drivers can be clearly 
    identified by virtue of an associated moving violation issued to a 
    waivered driver. All waivered drivers are required to report any 
    accident involvement whatsoever while operating a CMV and all accident 
    information is verified through each driver's State motor vehicle 
    record (MVR). Accidents associated with moving violations were examined 
    for six-month periods between July 1992 and June 1995. The accident 
    rates decreased across time with the exception of the period between 
    January 1994 and June 1994. One explanation for this anomaly could be 
    the severe winter weather that occurred in that period. The negative 
    trend for accidents associated with moving violations was not as 
    pronounced as the negative trend for total accidents for the waivered 
    group.
        This evaluation of the performance data and assessment of risk 
    indicates that the drivers who received vision waivers and are 
    presently in the program will present no additional risk if they are 
    allowed to continue to drive after March 1996. This group of drivers 
    had accident rates initially (July 1992 to June 1993) that were 
    comparable to the general population of large truck drivers. Following 
    that period, their accident rates were consistently lower than the 
    national rate. That performance, coupled with a three-year period of 
    safe driving performance prior to being admitted into the program, 
    suggests that this group of drivers exhibits behavior which presents no 
    additional risk to the public.
        With respect to future risk to the public, the data show a 
    decreasing trend in total accident rates over equal time periods across 
    driver participation in the waiver program. Accidents associated with a 
    moving violation also show a decreasing trend, though not as pronounced 
    as total accidents. This, combined with accident rates that are lower 
    than the national rate, shows that these drivers will be less of a 
    threat to public safety than the general population of CMV drivers. 
    Moreover, each driver's performance was individually assessed to the 
    extent that such driver met the requirements of the strengthened 
    conditions and closer monitoring in effect since February 1995.
    
    Drivers With Waivers for Diabetes
    
        Overall monitoring of this group is performed on a quarterly basis 
    in relation to the national accident rate for large trucks. As 
    previously mentioned, the national rate is treated as a constant and 
    any time the accident rate of the waivered group is larger than the 
    national rate, notification is made to the FHWA that there could be a 
    threat to public safety. From September 1993 to May 1995, 11 accidents 
    were reported and, during this same period, waivered drivers reported a 
    total of 3.83 million vehicle miles traveled (VMT). The accident rate 
    of the waivered drivers for this period is 2.872 accidents per million 
    VMT. This is larger than the 1993 national rate, 2.390 accidents per 
    million VMT. The property damage only accident rate for the waivered 
    drivers (2.089) is also larger than the comparable national rate 
    (1.782) as is the case for the fatal accidents (.261 for waiver group 
    versus .027 for the national rate).
        Because of the warning systems, these accidents were analyzed on an 
    individual basis before decisions were made to continue the program. Of 
    the eleven accidents reported, only one was shown to be the fault of a 
    driver in the program. Although this driver was not initially charged 
    in this accident, the accident did involve a fatality and the waivered 
    driver was subsequently charged and convicted of involuntary 
    manslaughter. Consistent with the conditions, this driver's waiver has 
    been revoked and the driver has been dropped from the program.
        In none of the other ten accidents was the waivered driver found to 
    be at fault. Most involved only incidental contact with another 
    vehicle. In fact, only three of the ten accidents would have been 
    reportable or recordable under applicable regulations due to injury or 
    damage. These three, plus the one involving a fatality, are the only 
    accidents which are actually comparable to the national data. Accidents 
    are not included in the national data unless there is a police report 
    and one of the involved vehicles is towed from the accident scene. This 
    is not the case for the waiver programs where all accidents are 
    included, regardless of how minor they are. If the same criteria were 
    to be applied to the waivered group, then only three of the eleven 
    accidents would be comparable to the national data and the resulting 
    accident rate for the drivers with waivers for diabetes would be .783 
    per million VMT. This rate is considerably below the national rate of 
    2.390. Based on this performance data and the demonstrated three-year 
    period of safe driving by this group prior to being admitted into the 
    waiver program, it is reasonable to conclude that these drivers are not 
    a high risk group.
        Notwithstanding the good driving performance of these drivers, the 
    FHWA proposes to require the continued monitoring of the physical 
    conditions that have caused these drivers to be unqualified pursuant to 
    Sec. 391.41(b)(10) and Sec. 391.41(b)(3) of the FMCSRs. Therefore, the 
    FHWA is requiring annual medical examinations to evaluate the 
    disqualifying conditions in addition to the annual physical 
    qualification examinations pursuant to part 391 of the FMCSRs.
    
    Notice of Determination
    
        The FHWA believes that its proposed actions in this document are 
    consistent with the public interest and consistent with the safe 
    operation of commercial motor vehicles. Based on the performance data 
    gathered to date and the risk analysis performed on this data, the FHWA 
    proposes that the drivers who currently hold waivers from the Federal 
    vision and diabetes requirements should be allowed to continue to 
    operate CMVs in interstate commerce after March 31, 1996. The 
    statistics that have been gathered from these groups of waived drivers 
    indicate that these drivers have performed and continue to perform more 
    safely than those drivers in the general population of commercial 
    drivers. In addition to their good driving performance, the continued 
    monitoring of their physical condition and safety performance will 
    further ensure the continued safe operation of these CMV drivers. The 
    performance data collected under the vision and diabetes waiver 
    programs would be used as the basis for this proposal; however, 
    separate research proceedings would form the basis for any future 
    adjustments, if warranted, to the current vision and diabetes 
    standards.
        Additionally, the proposal to permit these grandfathered drivers to 
    continue to work in their chosen field of occupation is consistent with 
    the public interest policy of employing persons with disabilities, 
    which is evidenced in both the Rehabilitation Act of 1973, Pub. L. 93-
    112, 87 Stat. 355, as amended, and the Americans With Disabilities Act 
    of 1990, Pub. L. 101-336, 104 Stat. 327, as amended. Therefore, the 
    FHWA proposes to amend part 391 of the FMCSRs to incorporate these 
    grandfather provisions for these groups of drivers.
    
    Technical Amendment
    
        The FHWA is also proposing to relocate the provision in Part 391 
    providing limited exemptions for intra-
    
    [[Page 610]]
    city zone drivers. The current provision, required under the Motor 
    Carrier Act of 1988 (49 U.S.C. 31136(f)), is codified as paragraph (d) 
    of 49 CFR 391.2, General Exemptions. This action would redesignate the 
    provision, without any substantive change, as Sec. 391.62, where it is 
    more properly included in subpart G, Limited Exemptions.
    
    Executive Order 12866 (Regulatory Planning and Review) and DOT 
    Regulatory Policies and Procedures
    
        The FHWA has determined that the proposed action, if implemented, 
    would not be a significant regulatory action under Executive Order 
    12866 or under the regulatory policies and procedures of the DOT. It is 
    anticipated that the economic impact of this proposed rule would be 
    minimal because of its limited application and the small number of 
    affected drivers. Moreover, the action proposed herein would not have 
    any permanent effect on any existing safety standard. It would merely 
    continue the status quo by grandfathering some 2,300 drivers who have 
    been operating safely for substantial periods of time. Therefore, a 
    full regulatory evaluation is not required.
    
    Regulatory Flexibility Act
    
        In compliance with the Regulatory Flexibility Act, 5 U.S.C. 601-
    612, the FHWA has evaluated the effects of this proposal on small 
    entities. The FHWA believes that this proposed action would not have a 
    significant economic impact on a substantial number of small entities 
    because this proposal is directed solely at a limited number and 
    narrowly defined population of CMV drivers operating in interstate 
    commerce. This proposal would not cause a major increase in costs or 
    prices and, therefore, would not have a significant effect on the 
    nation's economy. The FHWA intends to further evaluate the economic 
    consequences of this proposal on small entities in light of the 
    comments received in response to this notice.
    
    Executive Order 12612 (Federalism Assessment)
    
        This proposed rulemaking, if promulgated, would amend Part 391 of 
    the FMCSRs pertaining to the qualification of drivers. This action 
    would allow drivers who currently hold waivers from the Federal vision 
    and diabetes requirements to continue operating in interstate commerce 
    after March 31, 1996. This proposal has been analyzed in accordance 
    with the principles and criteria contained in Executive Order 12612. 
    Nothing in this proposal would directly preempt any State law or 
    regulation. This proposal would not limit the policymaking discretion 
    of the States. Therefore, the FHWA has determined that this proposal 
    does not have sufficient federalism implications to warrant the 
    preparation of a separate Federalism Assessment.
    
    Executive Order 12372 (Intergovernmental Review)
    
        Catalog of Federal Domestic Assistance Program Number 20.217, Motor 
    Carrier Safety. The regulations implementing Executive Order 12372 
    regarding intergovernmental consultation on Federal programs and 
    activities apply to this program.
    
    Paperwork Reduction Act
    
        This program does not contain a collection of information 
    requirement for purposes of the Paperwork Reduction Act of 1980, 44 
    U.S.C. 3501-3520.
    
    Regulation Identification Number
    
        A regulation identification number (RIN) is assigned to each 
    regulatory action listed in the Unified Agenda of Federal Regulations. 
    The Regulatory Information Service Center publishes the Unified Agenda 
    in April and October of each year. The RIN contained in the heading of 
    this document can be used to cross reference this action with the 
    Unified Agenda.
    
    List of Subjects in 49 CFR Part 391
    
        Driver qualifications, Highways and roads, Highway safety, Motor 
    carriers, Motor vehicle safety.
    
        Issued on: December 21, 1995.
    Rodney E. Slater,
    Federal Highway Administrator.
    
        In consideration of the foregoing, the FHWA proposes to amend 49 
    CFR, subchapter B, chapter III, part 391 as set forth below:
    
    PART 391--QUALIFICATIONS OF DRIVERS [REVISED]
    
        1. The authority citation for part 391 continues to read as 
    follows:
    
        Authority: 49 U.S.C. 504, 31133, 31136, and 31502; and 49 CFR 
    1.48.
    
    
    Sec. 391.2  [Redesignated]
    
        2. Part 391 is amended by redesignating Sec. 391.2, as Sec. 391.62, 
    and revising the section to read as follows:
    
    
    Sec. 391.62  Limited exemptions for intra-city zone drivers.
    
        The provisions of Secs. 391.11 (b)(1) and 391.41 (b)(1) through 
    (b)(11) do not apply to a person who:
        (a) Was otherwise qualified to operate and operated a commercial 
    motor vehicle in a municipality or exempt intracity zone thereof 
    throughout the one-year period ending November 18, 1988;
        (b) Meets all the other requirements of this section;
        (c) Operates wholly within the exempt intracity zone (as defined in 
    Sec. 390.5);
        (d) Does not operate a vehicle used in the transportation of 
    hazardous materials in a quantity requiring placarding under 
    regulations issued by the Secretary under 49 U.S.C. chapter 51; and
        (e)(1) Was not yet 21 years of age on July 1, 1988; or
        (2) Has a medical or physical condition which:
        (i) Would have prevented such person from operating a commercial 
    motor vehicle under the Federal Motor Carrier Safety Regulations 
    contained in this subchapter;
        (ii) Existed on July 1, 1988, or at the time of the first required 
    physical examination after that date; and
        (iii) The examining physician has determined has not substantially 
    worsened since July 1, 1988, or at the time of the first required 
    physical examination after that date.
        2. A new Sec. 391.64 is added to read as follows:
    
    
    Sec. 391.64  Grandfathering for certain drivers participating in vision 
    and diabetes waiver studies.
    
        (a) The provisions of Sec. 391.41(b)(3) do not apply to a driver 
    who was a participant in good standing on March 31, 1996, in a study 
    concerning the operation of commercial motor vehicles by insulin-
    controlled diabetic drivers, provided:
        (1) The driver is physically examined every year, including an 
    examination by a board-certified/eligible endocrinologist attesting to 
    the fact the driver is:
        (i) Otherwise qualified under Sec. 391.41;
        (ii) Free of insulin reactions (one is free of insulin reactions if 
    that individual has experienced less than one documented, symptomatic 
    hypoglycemic reaction per month);
        (iii) Able to and has demonstrated willingness to properly monitor 
    and manage his/her diabetes; and
        (iv) Not likely to suffer any diminution in driving ability due to 
    his/her diabetic condition.
        (2) The driver agrees to and complies with the following 
    conditions:
        (i) A source of rapidly absorbable glucose will be carried at all 
    times while driving;
        (ii) Blood glucose levels are to be self-monitored one hour prior 
    to driving and 
    
    [[Page 611]]
    at least once every four hours while driving or on duty prior to 
    driving using a portable glucose monitoring device equipped with a 
    computerized memory;
        (iii) Blood glucose logs will be submitted to the endocrinologist 
    or medical examiner at the annual examination or when otherwise 
    directed by an authorized agent of the FHWA; and
        (iv) A copy of the endocrinologist's report will be provided to the 
    medical examiner at the time of the annual medical examination; and
        (v) A copy of the annual medical certification will be provided to 
    the employer for retention in the driver's qualification file and a 
    copy of the certification will be retained on his/her person while 
    driving for presentation to a duly authorized federal, state or local 
    enforcement official.
        (b) The provisions of Sec. 391.41(b)(10) do not apply to a driver 
    who was a participant in good standing on March 31, 1996, in a study 
    concerning the operation of commercial motor vehicles by drivers with 
    visual impairment in one eye, provided:
        (1) The driver is physically examined every year, including an 
    examination by an ophthalmologist or optometrist attesting to the fact 
    the driver
        (i) Is otherwise qualified under Sec. 391.41; and
        (ii) Continues to measure at least 20/40 (Snellen) in the better 
    eye.
        (2) The driver provides a copy of the ophthalmologist or 
    optometrist report to the medical examiner at the time of the annual 
    medical examination.
        (3) The driver provides a copy of the annual medical certification 
    to the employer for retention in the driver's qualification file and 
    retains a copy of the certification on his/her person while driving for 
    presentation to a duly authorized Federal, State or local enforcement 
    official.
        3. Section 391.43 is amended by redesignating paragraphs (e), (f) 
    and (g) as paragraphs (f), (g) and (h), respectively and by adding a 
    new paragraph (e) to read as follows:
    
    
    Sec. 391.43  Medical examination; certificate of physical examination.
    
    * * * * *
        (e) Any driver operating under a limited exemption authorized by 
    Sec. 391.64 of this part shall furnish the medical examiner with a copy 
    of the annual medical findings of the endocrinologist, ophthalmologist 
    or optometrist, as required under that section. If the medical examiner 
    finds the driver qualified under the limited exemption in Sec. 391.64, 
    such fact shall be noted on the Medical Examiner's Certificate.
    * * * * *
        4. Section 391.43 is further amended by inserting in the form 
    following newly designated paragraph (h), a new entry reading ``____ 
    Qualified by operation of 49 CFR 391.64'' immediately following the 
    entry ``____ Medically unqualified unless driving within an exempt 
    intracity zone''.
    
    
    Sec. 319.45  [Amended]
    
        5. Section 391.45 is amended by revising ``Sec. 391.2(d)'' in 
    paragraph (b)(2) to read ``391.62, or only by operation of the 
    exemption in Sec. 391.64,''.
    
    [FR Doc. 96-218 Filed 1-5-96; 8:45 am]
    BILLING CODE 4910-22-P
    
    

Document Information

Published:
01/08/1996
Department:
Federal Highway Administration
Entry Type:
Proposed Rule
Action:
Notice of proposed rulemaking (NPRM); request for comments.
Document Number:
96-218
Dates:
Comments must be received on or before February 7, 1996.
Pages:
606-611 (6 pages)
Docket Numbers:
FHWA Docket No. MC-96-2
RINs:
2125-AD73
PDF File:
96-218.pdf
CFR: (7)
49 CFR 390.5)
49 CFR 391.41(b)(10)
49 CFR 319.45
49 CFR 391.2
49 CFR 391.43
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