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Medical Examiner's Certification Integration (NRII) final rule Extension

July 6, 2021 Statement from the DOT/FMCSA:

FMCSA issued a final rule that delays several provisions of the Medical Examiner's Certification Integration final rule (86 FR 32643, June 22, 2021) to extend the compliance date from June 22, 2021, to June 23, 2025, for several provisions of its April 23, 2015, Medical Examiner’s Certification Integration final rule.  FMCSA issued an interim final rule (IFR) on June 21, 2018, extending the compliance date for these provisions until June 22, 2021.  FMCSA published a supplemental notice of proposed rulemaking (SNPRM) on April 22, 2021, that proposed further extending the compliance date to June 23, 2025.  This final rule will provide FMCSA time to complete certain information technology (IT) system development tasks for its National Registry of Certified Medical Examiners (National Registry) and to provide the State Driver’s Licensing Agencies (SDLAs) sufficient time to make the necessary IT programming changes when the new National Registry system is completed and available.  This message is intended to highlight changes that directly impact certified Medical Examiners.

Specifically, the Agency postpones to June 23, 2025, the provisions for:

  1. FMCSA to electronically transmit, from the National Registry to the SDLAs, driver identification information, examination results, and restriction information from examinations performed for holders of commercial learner’s permits (CLPs) or commercial driver’s licenses (CDLs) (interstate and intrastate);
  2. FMCSA to electronically transmit to the SDLAs medical variance information for all commercial motor vehicle (CMV) drivers;
  3. SDLAs to post on the Commercial Driver’s License Information System (CDLIS) driver record the driver identification, examination results, and restriction information received electronically from FMCSA; and
  4. Motor carriers to no longer be required to verify that CLP/CDL drivers were certified by a certified medical examiner (ME) listed on the National Registry.

As a result of this final rule, the following actions should continue:

  1. Certified MEs should continue to issue the original paper MEC to qualified drivers;
  2. CLP/CDL applicants/holders should continue to provide the SDLA a copy of their MEC;
  3. Motor carriers should continue verifying that drivers were certified by an ME listed on the National Registry; and
  4. SDLAs should continue processing the original paper MECs they receive from CLP/CDL applicants/holders.

If you have any additional questions related to this notification, please contact the Medical Programs Division at (202) 366-4001 or at

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10-Year Recertification Notice

Certified Medical Examiners on the National Registry are required to be recertified no sooner than 9 years and no later than 10 years from the date of issuance of their medical examiner certification credential. Recertification requires that providers complete an accredited training program such as ours and pass the in-person national NRCME certification examination.

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