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Rigged for disaster: Restrictions, use of waivers vary greatly by state

Monday, January 17, 2000

Pittsburgh Post-Gazette

Truck drivers who have difficulty hearing, can see only in one eye, or use insulin to control their diabetes, may work in West Virginia, as long as they don't cross state lines.

Likewise for drivers in New York, Delaware and 13 other states.

But not in Pennsylvania, Ohio or a host of other states that follow federal guidelines that prohibit interstate commercial drivers with certain medical conditions.

A look at intrastate medical waiver programs across the U.S. shows wide disagreement on whether truck and bus drivers with diabetes or epilepsy, or who have impaired vision or hearing, should be allowed to drive.

Twenty-six states will consider waivers for diabetics and drivers with imperfect eyesight, as long as the driver has a good record and agrees to added restrictions and closer monitoring. Twenty-three others will not.

Only 16 states allow drivers with poor hearing to still drive, and 19 will consider drivers with epilepsy or other seizure disorders. Alaska does not require commercial drivers to undergo physical examinations at all.

The only consistent pattern is inconsistency: South Carolina, for example, has one of the most liberal waiver programs. North Carolina will not grant any medical waivers at all.

Even many of those states that don't allow waivers have exceptions, allowing "grandfather" clauses for long-time drivers. One state, Louisiana, stopped granting "grandfather" waivers in 1996 when they found the drivers lied about how many years they'd been driving.

Waiver Policies By State

InsulinSeizureVisionHearing
AlabamaNoNoNoNo
AlaskaNANANANA
ArizonaNoNoNoNo
ArkansasNoNoYesNo
CaliforniaYesYesYesYes
ColoradoYesYesYesYes
ConnecticutYesNoYesNo
DCNoNoNoNo
DelawareYesYesYesYes
FloridaYesNoYesNo
GeorgiaNoNoNoNo
HawaiiNoNoNoNo
IdahoNoNoNoNo
IllinoisNoNoNoNo
IndianaNoNoNoNo
IowaNoNoNoNo
KansasYesYesYesYes
KentuckyYesYesYesNo
LouisianaNoNoNoNo
MaineNoNoNoNo
MarylandNoNoNoNo
MassachusettsYesNoNoNo
MichiganYesYesYesYes
MinnesotaYesNoYesYes
MississippiNoNoNoNo
MissouriNoNoNoNo
MontanaYesYesYesNo
NebraskaNoNoNoNo
NevadaYesYesYesYes
New HampshireYesYesYesYes
New JerseyNoNoNoNo
New MexicoYesYesYesNo
New YorkYesYesYesYes
North CarolinaYesYesYesYes
North DakotaNoYesYesNo
OhioNoNoNoNo
OregonYesYesYesYes
PennsylvaniaNoNoNoNo
Rhode IslandYesNoNoNo
South CarolinaNoNoNoNo
South DakotaNoNoNoNo
TennesseeYesNoYesNo
TexasNoNoYesNo
UtahYesYesYesYes
VermontYesYesYesYes
VirginiaYesNoYesNo
WashingtonYesYesYesYes
West VirginiaYesYesYesYes
WisconsinYesNoNoNo
Wyoming

Yes

YesYesYes



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