Welcome to the database showing each state’s Driver Licensing Policies and Practices affecting older and Medically-At-Risk drivers. Click on the drop-down list to see how each state addresses the topic of interest to you.

This project was funded by the AAA Foundation for Traffic Safety and conducted by Dunlap and Associates, Inc.

Types of of Restrictions that can be Imposed
State Issue restrictions on the licenses of Medically-At-Risk drivers Daytime/ daylight driving only Time of day Speed No freeway/ Interstate/ limited access Distance/radius from home Trip duration Specific trip destination or purpose Passenger presence required Passenger presence prohibited Vehicle equipment Periodic or more frequent re-evaluations Telescopic device required Other possible restrictions Additional details on restrictions
ND Yes Yes No Yes Yes Yes No No No No Yes Yes Yes Prosthetic or orthotic device required
LA Yes Yes No Yes Yes Yes Yes No No No Yes No No No
MD Yes Yes No Yes Yes Yes No Yes No No Yes Yes Yes Adaptive equipment per recommendation by driver rehabilitation specialist
TN Yes Yes No Yes Yes No No No No No Yes No No No
MI Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No
MN Yes Yes No Yes Yes Yes No No No No Yes No No No
MO Yes Yes No Yes Yes Yes No No Yes No Yes No No Other special devices or equipment
MT Yes Yes No Yes Yes Yes Yes Yes No No Yes No No No Added per doctor or Optometrist requirements
NC Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Accompanied by a licensed OT instructor
TX Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Applicable prosthetic devices
NE Yes Yes No Yes Yes Yes No No No No Yes No No No
SC Yes Yes No Yes Yes Yes No No No No Yes No Yes No
NV Yes Yes No Yes Yes No No No No No Yes Yes Yes Hearing aid, prosthetic device, yearly vision exam, yearly medical letter, yearly driving test
NY Yes Yes No Yes Yes No No No No No Yes No Yes Hearing aid, prosthetic device
OH Yes Yes No Yes Yes Yes No No No No Yes No Yes Periodic medical statements and/or partial or complete driver licensing exams
OK Yes Yes No Yes Yes Yes No No No No Yes Yes Yes No
OR Yes Yes No Yes Yes No Yes Yes No No Yes Yes Yes Specific routes, periodic medical information
PA Yes Yes No Yes Yes Yes Yes No No No Yes No No Low vision license can include passenger vehicles at or under 10,000 lbs, no motorcycles
WY Yes Yes No Yes Yes Yes No No No No Yes No Yes No
KS Yes Yes No Yes Yes Yes No No Yes No Yes No No Residential streets only; within city limits only
WV Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes West Virginia can customize as needed
IL Yes Yes No Yes Yes Yes Yes Yes Yes No Yes No No No Restrictions may be imposed as recommended by medical specialist or rehabilitation specialist.
ID Yes Yes No Yes Yes Yes No Yes No No Yes No No No
IA Yes Yes Yes Yes Yes Yes Yes No No No Yes Yes No No
WI Yes Yes No Yes Yes Yes No No No No Yes No No Specific routes, within city limits of specific towns, no operation on specific roads, continuous oxygen use. Some only imposed by medical.
VA Yes Yes No Yes Yes Yes No No Yes Yes Yes No Yes Certain medical conditions can be indicated by restriction code, drive with rehabilitation services only
GA Yes Yes No No Yes No No No Yes Yes Yes No Yes No
KY Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Drivers may be restricted in any other manner which the Driver Licensing agency deems necessary for safety purposes
DE Yes Yes No Yes Yes No No No No No Yes No No No
CA Yes Yes No Yes Yes Yes No Yes Yes Yes Yes Yes No License may be issued for a limited term to allow constant re-evaluation or monitor condition. CA offers a variety of restrictions that allow a medically-at-risk driver to still drive but show compensation for the medical condition identified, without stripping their mobility or independence.
CO Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No
CT Yes Yes No No Yes No No No No No Yes No No No
NJ No Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable
VT Yes Yes No No No No No No Yes No Yes No Yes No
RI Yes Yes No No No No No No No No Yes No No No
WA Yes Yes No No No No No No No No Yes Yes No If a driver's privileges are cancelled, they can get a temporary permit allowing them to drive with a passenger who has more than 5 years driving experience.
SD Yes Yes No No No Yes No No No No Yes No No No Special equipped vehicle restrictions are only required when the driver informs the Department they are being used or when recommended by an Occupational Therapist.
UT Yes Yes No Yes No Yes No No Yes No Yes No No No
MS Yes Yes No Yes No No No No No No No No No No
NM Yes Yes No No No No No No No No Yes No No No
NH Yes Yes No No No No No No No No Yes No No No
AK Yes Yes No No No No No No No No Yes Yes No Physician re-evaluation as required to retain license
ME Yes Yes No No No Yes No No Yes No Yes Yes No Oxygen, accessory driving devices, medical supplies, others as needed and appropriate
MA Yes Yes No No No No No No Yes No Yes No Yes No
IN Yes Yes No No No No No Yes No No Yes Yes No Bioptics, prosthetic aid
HI Yes Yes No No No No No No No No Yes No No Less than full-term license
FL Yes Yes No No No No No No No No Yes Yes No No
DC Yes Yes Yes No No No No No No No Yes No No No
AZ Yes Yes No No No Yes No No No No Yes No No Certain areas, locations, highways, or during certain times, or other restrictions determined to be appropriate.
AR Yes Yes No No No No No No No No No No No No
AL Yes Yes No No No Yes No No No No Yes No No No