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 Active Medical Advisory Board (MAB)
State MAB advises on general policy regarding at-risk drivers Advise on driving privileges for individual Medically-At-Risk drivers Appeals process for drivers whose privileges are revoked or restricted Additional comments regarding the medical review process
CO
WY
WA
VT
SD
MI
NV
DC
OR
ID
CA
IN Yes Yes Yes
TX Yes Yes Yes An appeal is conducted by Driver Licensing through the Administrative Hearing process.
NY Yes No Yes Consultant physicians advise on individual cases. MAB was disbanded.
AZ Yes Yes Yes DMV follows physician recommendations.
OK Yes No Yes Driver Compliance office retains physicians on staff for individual case file review.
AL Yes Yes Yes Driver notified in writing of referral. For diabetes, seizures, and convulsions, a form is sent to be completed by patient's doctor. After evaluation of diagnosis and form, the supervisor then makes the decision to re-test the individual or suspend/revoke the license.
DE Yes Yes Yes If the DMV receives conflicting or questionable medical reports, the reports are sent to the MAB. The MAB determines whether the individual is medically safe to operate a motor vehicle.
MA Yes Yes Yes If the report is accepted, the driver is contacted by mail and asked to obtain medical clearance to certify that he/she is safe to drive. If the DMV does not receive a response within 30 days, a second request is mailed. If there is still no response, then the license is revoked. If the report is from a law enforcement officer or physician, it is considered an ?immediate threat.? The driver is contacted by mail and requested to voluntarily surrender his/her license or submit medical clearance within 10 days. If there is no response, then the license is revoked. If an individual with their license revoked would like to get it back, they must submit a letter from the physician on letterhead and signed. The individual has 2 years to get the license renewed without having to start from the very beginning.
NH Yes Yes Yes Input on individual drivers is usually obtained from driver's physician but MAB is available
IA Yes Yes Yes Iowa Medical Society distributes cases to physicians for review anonymously.
NC No Yes Yes MAB does not advise on policy; state seeks guidance from experts in field as needed
MO Yes Yes Yes MAB does not define policy but may advise on policy upon request; state seeks guidance from experts in field as needed
MN No Yes Yes MAB limited to vision, loss of consciousness, mental illness, & diabetic review boards. State relies on driver's physician for other conditions.
MD Yes Yes Yes MAB makes recommendations, but final decision rests with Motor Vehicle Administration
LA Yes Yes Yes Medical reports requiring further attention are forwarded to the Data Prep Unit marked "Attention: Conviction/Medical Unit." The conviction/medical unit evaluates these report and may request an evaluation by the MAB. The MAB then recommends actions.
WI Yes Yes Yes Policy input also sought from specialists in various fields
PA Yes Yes Yes Primarily the driver's physician advises, and the MAB rarely reviews cases.
CT Yes Yes Yes The driver is notified in writing of his/her referral to the MAB. If the MAB requires additional information for review in order to make a recommendation, the driver is requested to file the additional medical information.
KY Yes Yes Yes The driver is notified in writing of the referral to the Medical Review Board. The Medical Review Board identifies drivers with physical or mental impairments which hamper their ability to safely operate a motor vehicle.
FL Yes The MAB reviews individual cases and make determinations on citizens who may be medically-at-risk to operate a motor vehicle in Florida. Yes The MAB advises the DHSMV on medical criteria and vision standards, and makes recommendations on mental and physical qualifications of individual drivers
UT Yes Yes Yes The MAB advises the Director of the Driver License Division and recommends written guidelines and standards for determining the physical, mental, and emotional capabilities appropriate to various types of driving, in an effort to minimize the conflict between the individual's desire to drive and the community's desire for safety.
RI Yes Yes Yes The MAB advises the Division of Motor Vehicles on medical issues regarding individual drivers. Actions are based on the recommendation of the majority.
NE Yes Yes Yes The MAB advises the DMV concerning the physical and mental ability of an applicant or holder of an operator's license to operate a motor vehicle.
HI Yes Yes Yes The MAB advises the DMV on medical issues regarding individual drivers. Actions are based on the recommendation of the majority.
KS Yes Yes Yes The MAB assists the Director of Vehicles and Medical/Vision Unit in interpreting conflicting information and formulating action based on the recommendation of specialists. It also helps determine the driving eligibility of complicated or borderline cases.
SC Yes Yes Yes The MAB determines the mental or physical fitness of license applicants through a medical evaluation process, and makes recommendations to the department's director or designee on the handling of impaired drivers .
VA Yes Yes Yes The MAB enables the DMV to monitor drivers throughout the state who may have physical or mental problems. The MAB assists the Commissioner with the development of medical and health standards for use in the issuance of driver's licenses. The MAB helps the DMV avoid the issuance of licenses to persons suffering from any physical or mental disability or disease that will prevent their exercising reasonable and ordinary control over a motor vehicle while driving it on highways. The MAB reviews the more complex cases, including those referred for administrative hearings, and provides recommendations for medical review action.
TN Yes Yes Yes The MAB is composed of contract physicians, who review medical reports and make recommendations. Actions are based upon the recommendation of the board.
WV Yes Yes Yes The MAB reviews medical cases and advises the division on how the driver's medical condition might affect his/her ability to drive safely. If the MAB concludes that the driver is unsafe, it may recommend to the Commissioner of Motor Vehicles that the license be revoked. The Commissioner then makes the final licensing decision.
IL Yes Yes Yes The MAB reviews medical reports and determines the status of the licensee's driving privileges. The decision of the MAB is implemented by the Secretary of State.
NM Yes Yes Yes The MAB reviews the periodic medical updates that are required for drivers with specific medical conditions (e.g. epilepsy, neurological & psychological conditions). The DMV learns of these conditions through questions asked on the application.
GA Yes Yes Yes, if the driving privileges are pending revocation as a result of the medical review process. The Medical Advisory Board advises agency personnel on individual medical cases and assists the agency in the decision-making process.
ME Yes Yes Yes The Medical Advisory Board advises the Secretary of State on written medical and vision standards related to operator licensing. These standards may be adopted as rules. They coordinate efforts to educate health care providers and the public in medical aspects of motor vehicle licensing. The board or individual members of the board may be consulted for advice regarding applicants or licensed drivers when there is a question about physical or mental fitness to operate.
NJ Yes Yes Yes The Motor Vehicle Commission supplies forms for each type of medical condition that may be cause for concern. These forms must be completed by the driver's physician. Problem cases are referred to the MAB, which then makes licensing recommendations based on the information.
ND Yes Only on an as-needed basis Yes Unique cases are presented during the annual Medical Advisory Board meeting. During the year, individual or borderline cases may involve contacting a member on the board who specializes in that particular visual or medical area for their input.