Medical Examiner's Handbook 2024 Edition

A critical element of FMCSA’s safety program is ensuring commercial motor vehicle (CMV) drivers are in adequate physical condition to operate the vehicles safely.

On January 22, 2024 FMCSA published a revised Medical Examiner’s Handbook (MEH), which includes updates to the Medical Advisory Criteria published in the Code of Federal Regulations (CFR).

The MEH provides information about regulatory requirements and guidance to medical examiners (ME) listed on FMCSA’s National Registry of Certified Medical Examiners (National Registry) who perform physical qualification examinations of interstate CMV drivers. The January 2024 edition of the MEH replaces all previous handbook editions and is posted on the National Registry and FMCSA websites and on the FMCSA guidance portal.

Publication of the MEH is the first phase of actions to provide current information and a comprehensive approach to medical certification.

To view the revised MEH, visit the FMCSA or National Registry websites at the links provided below.

FMCSA website:

FMCSA Portal website:

National Registry website:

A webinar has been posted on the FMCSA and National Registry websites providing a high-level walkthrough of the revised MEH and can be viewed at the links provided below:

FMCSA website:

National Registry website:

If you have questions regarding the revised FMCSA Medical Examiner’s Handbook, please contact FMCSA’s Medical Programs Division at This email address is being protected from spambots. You need JavaScript enabled to view it. or (202) 366-4001.

Thank you,
Federal Motor Carrier Safety Administration
U.S. Department of Transportation

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