Frequently Asked Questions

The certified medical examiner will check the driver's blood pressure and pulse to look for high blood pressure and irregular heartbeats.

49 CFR 391.43(f)

An individual whose BP is less than 140/90 and it’s on antihypertensive medications may be certified for one year. An individual diagnosed with Stage 1 hypertension (BP is 140/90 - 159/99) may be certified for one year. At recertification, an individual with a BP less than or equal to 140/90 may be certified for one year; however, if his or her blood pressure is greater than 140/90 but less than 160/100, a one-time certificate for three months can be issued. An individual diagnosed with Stage 2 hypertension (BP is 160/100 - 179/109) should be treated and a one-time certification for 3-month can be issued. Once the driver has reduced his or her BP to less than or equal to 140/90, he or she may be recertified annually thereafter. An individual diagnosed with Stage 3 hypertension (BP greater than 180/110) should not be certified until his or her BP is reduced to less than or equal to 140/90, and may be recertify every six months.