The mission of the Federal Motor Carrier Safety Administration (FMCSA), an Operating Administration within the U.S. Department of Transportation (DOT), is to reduce crashes, injuries, and fatalities involving large trucks and buses (motor carriers). To carry out its safety mandate, FMCSA partners with stakeholders' including Federal, State, and local enforcement agencies; the motor carrier industry; safety groups; and organized labor on efforts to reduce crashes involving motor carriers. Since the first step towards reducing accidents is to understand them, FMCSA collects and maintains motor carrier and commercial driver safety data as well as a national inventory of motor carriers and shippers subject to the Federal Motor Carrier Safety Regulations (FMCSR) and Hazardous Materials Regulations (HMR).
The Motor Carrier Safety Act of 1984 [49 U.S.C. 31136(e)] and the Transportation Equity Act for the 21st Century (TEA-21) (49 U.S.C. 31315) allow FMCSA to grant medical exemptions for commercial motor vehicle (CMV) drivers if such exemptions would be in the public interest and would be likely to achieve a level of safety that is equivalent to, or greater than, the level of safety that would be achieved in the absence of the exemption.
FMCSA has established the Medical Exemption Program to support the paper-based Federal Vision Exemption Program (FVEP), the paper-based Federal Diabetes Exemption Program (FDEP), and the web-based Med-Ex application managed by the FMCSA Office of Medical Programs. The mission of the FMCSA Office of Medical Programs is to improve the safety of U.S. roadways by disseminating and implementing the medical regulations, guidelines, and policies that ensure CMV drivers engaged in interstate commerce are physically qualified to do so.