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FMCSA Medical Certification Changes

The FMCSA Medical Examiner's Certification Integration rule will come into effect on June 23rd, 2025. Are you and your CDL and non-CDL drivers prepared to comply with this federal update?
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What is the FMCSA Medical Examiner’s Certification Integration Rule?  

Starting June 23, 2025, Certified Medical Examiners must send results of DOT medical exams directly to the National Registry of Certified Medical Examiners.  

The FMCSA will then electronically transmit those results to state licensing agencies, eliminating the need for commercial drivers to submit paper certificates themselves.  

 

Some states are already implementing the Integration rule process. 

What Does the Integration Rule Mean for Employers?  

Employers must continue checking that their drivers are deemed qualified by a Certified Medical Examiner and include a note in the driver qualification file verifying that the examiner is listed in the National Registry.     

CDL Drivers     

  • Run a medical certificate MVR to verify the driver's record is updated with the new medical qualification.  
  • Place the digital medical certificate in the driver's qualification file.  


Non-CDL Drivers  

  • Ensure the driver carries the physical medical certificate on their person while driving.  
  • Obtain a physical copy of the medical certificate and keep it in the driver's qualification file. 

How to Comply with the Medical Certification Integration Rule 

Utilizing a combination of solutions is key to meeting the FMCSA medical card requirements. 
Occupational Health

Leverage Foley’s automated software that recognizes expiring medical certificates and orders driver physicals 60 days before they expire for you  

Learn More


MVR Monitor

Once the Integration Rule is in place, employers of CDL drivers cannot place a driver on the road until a valid medical certificate is shown on an MVR. Our MVR Monitor runs MVR checks automatically once a med card “pointer” is detected on the driver’s record. 

Learn More


Driver Qualification Files

The updated medical certificate must be kept in the driver qualification file – this will soon be 100% digital for commercial drivers. Create and maintain compliant files for your commercial drivers in Foley’s platform. 


Learn More


How to Comply with the Medical Certification Integration Rule 

Utilizing a combination of solutions is key to meeting the FMCSA medical card requirements. 
Occupational Health

Leverage Foley’s automated software that recognizes expiring medical certificates and orders driver physicals 60 days before they expire for you  

Learn More

MVR Monitor

Once the Integration Rule is in place, employers of CDL drivers cannot place a driver on the road until a valid medical certificate is shown on an MVR. Our MVR Monitor runs MVR checks automatically once a med card “pointer” is detected on the driver’s record. 

Learn More

Driver Qualification Files

The updated medical certificate must be kept in the driver qualification file – this will soon be 100% digital for commercial drivers. Create and maintain compliant files for your commercial drivers in Foley’s platform. 


Learn More

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Comply with the FMCSA Medical Certification Integration Rule
Fill out the form to schedule a call with a Foley Compliance Consultant. 

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