This April the Federal Motor Carrier Safety Administration announced that, effective June 23, 2025, truck drivers would no longer need to hand-carry paper copies of their medical exam reports to their state driver licensing agency. Instead, FMCSA would begin electronically transmitting those reports (so-called medical examiner’s certificates) directly to the state agencies (https://www.prepassalliance.org/truck-driver-medical-exam-results-going-digital/).
Then on July 14, FMCSA granted a waiver allowing commercial driver’s license (CDL) holders, commercial learner’s permit (CLP) holders, and motor carriers to continue relying on paper copies of medical examiner’s certificates as proof of drivers’ medical certification for up to 15 days after the date the medical examiner’s certificate is issued (FMCSA Issues Temporary Waiver to Support NRII Transition | FMCSA). Turns out, as of July 14, only 38 states and the District of Columbia had fully implemented the National Registry of Medical Examiners Integration Initiative.
States which have not implemented the NRII are listed at the bottom of this page: FMCSA National Registry. Motor carriers and truck drivers should check on the status of their state and continue to use paper copies of medical examiner’s certificates if their state is not compliant. And, as PrePass has advised, carriers and drivers should cross-check that their medical examiner remains listed on the National Registry of Certified Medical Examiners (https://www.prepassalliance.org/fraud-never-sleeps/).
FMCSA remains committed to the full online integration of its functions and of the various paper reports motor carriers and truck drivers are required to maintain. Achieving that goal across the 51 states and DC can take additional time.