Commercial motor vehicle (CMV) operators must undergo a U.S. Department of Transportation (DOT) medical examination performed in accordance with federal regulations, CFR 49 §391.41 and CFR 49 §391.43.
A patient who does not meet the standards described in regulations may still qualify for commercial driving privileges depending on whether a federal or state waiver, exemption or skills performance evaluation (SPE) is available for the disqualifying condition and whether the driver intends to operate a vehicle in interstate commerce or intrastate commerce only.
Federal exemptions, acceptable for use in INTERstate commerce, may be available for vision, hearing, seizure or diabetic conditions. A federal skills performance evaluation (SPE), also acceptable for use in INTERstate commerce, may be available for loss/impairment of limbs.
An Oregon Waiver of Physical Qualification, acceptable for use in INTRAstate commerce only, may be available for vision, insulin dependent diabetes mellitus, limb impairments or amputation, hearing or seizure/seizure disorder.