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.

States with no Active Medical Advisory Board (MAB)
Medical input obtained on individual medically at-risk drivers
State Another mechanism for seeking medical input on general policy for Medically-At-Risk drivers How medical input is obtained on general policy regarding Medically-At-Risk drivers Driver's own physician Physician on staff Registered nurse on staff Nurse practitioner on staff Medical consultant and/or contractual specialists Driver evaluation specialists (e.g., driver rehabilitation specialists) Other Appeals process for drivers whose privileges are revoked or restricted Additional comments regarding the medical review process
CA Yes MAB can be re-activated when policy input desired Yes Yes No Yes No Yes Any and all physicians or others (including rehab specialists) that have medical information regarding a medically-at-risk driver are allowed to submit information directly to the department for evaluation. Yes The medical information obtained from the physician is reviewed by DMV hearing officers within the Driver Safety Branch, and the driver is re-examined. At the conclusion of the process, the DMV may take no action, impose restrictions, limit license term, order periodic re-examinations, or suspend or revoke the driver's license. If the condition reported is severe enough, immediate action is taken. The licensee is always entitled to re-examination later.
WA Yes Input from state medical association and state physicians Yes Yes Yes Yes No Yes Our Physical Examination Report allows other licensed medical professionals to submit the form. This includes Psychologists and Psychiatrists as appropriate. Yes They have a Hearing Board
MI No No mechanism Yes No No No No Yes No Yes A driver is notified by mail when he/she is going to be required to appear for Driver Assessment Re-examination. The driver is sent a Physician's Statement of Examination or Vision Specialist's Statement of Examination (or both) to have completed by both the driver and physician/vision specialist prior to being scheduled for re-examination. A brief reason for referral is included on the Physician's Statement of Examination to alert the physician to the concern. Once scheduled for re-examination, the driver is mailed a "Notice to Appear" that includes the date/time/location of the re-examination. At the re-examination, a vision test is conducted, a written knowledge test is administered, and an interview is held with the Driver Assessment Analyst. An on-road test is conducted if the driver passes both the vision and written knowledge tests and is determined to have an acceptable medical condition.
OH Yes No mechanism Yes No No No No Yes No Yes Determination of medical requirements are determined by each individual's physician (retesting and/or submittal of periodic medical form)
AR No No mechanism Yes No No No No No No Yes Medical information is reviewed by the director of Driver Control. A hearing is scheduled within 2 weeks of receipt. At that time, a medical form is given to the licensee for completion by a physician. If the medical exam is favorable, a road test is given. When the report is received, if the condition is severe enough (seizures/epilepsy, dementia, etc.), there is immediate license revocation.
AK No No mechanism Yes Yes No No No No No Administrative Hearing option
WY No No mechanism Yes No No No No No No Yes Vision and medical forms reviewed for meeting standards; and/or applying restrictions or recommendations by physician.
VT No No mechanism Yes No No No No No No Yes The right to a hearing must be provided before most suspensions become effective (usually 20 days later).
SD No No mechanism Yes No No No No No No Yes Medical information is reviewed by Department of Public Safety personnel. If the Department has good cause to believe that a licensed operator is not qualified to be licensed, it may require him or her to submit to an examination or interview upon written notice of at least 5 days. The Department shall take appropriate action, which may include suspending or revoking the license, permitting the individual to retain his/her license, or issuing a license subject to restrictions.
OR Yes Employ part-time physicians as Medical Determination Officers (MDO's). The MDO's get input from AAMVA and the state medical association. Yes Yes No No No No No Yes Any suspension of driving privilege results in an opportunity to request an Administrative Hearing with an independent state agency.
MT No No mechanism Yes No No No No No No Yes Follow in-house policy and Administrative Rules of Montana
MS No No mechanism No No No No No No No Yes
ID Yes DMV can solicit recommendations from medical specialists, as was done in the early 1990s. Yes No No No No No No Yes The medical information submitted is initially reviewed by employees within the Driver Support Division who work specifically with medical cases. If there is a question whether to issue a license, the information is reviewed by the Driver’s License Advisory Board, which is composed of a small group of representatives and the sheriff.
DC Yes Standards based on input from past DMV staff physician Yes No No No No No No Yes DMV will send a letter to the licensee in question. Depending on the severity of the report and follow- up medical information, the DMV will take action on the license.
CO No No mechanism Yes No No No No No No Yes The driver is notified in writing of the referral and undergoes a re-examination. Medical clearance may be required from a physician, and restrictions may be added to the license.
NV No Physician's report: Click Yes No No No No No No Yes
MD
ME
MN
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KY
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IN