CDL medical cards

State licensing agencies had a decade to implement what amounts to a database connection for CDL medical certifications. Instead, FMCSA has spent 2025 issuing waiver after waiver while drivers get placed out of service and fraud vulnerabilities persist. The agency’s hands-off approach to NRII enforcement explains why states feel comfortable ignoring federal CDL standards across the board.

Starting June 2025, the FMCSA will enforce long-delayed rules on driver medical certification and English proficiency, with direct implications for fleets, intrastate drivers and licensing agencies. From MVR downgrades to out-of-service roadside inspection orders, these rules shift from paper compliance to real-world enforcement. Fleets that fail to adapt may face costly violations or sidelined equipment.

FMCSA needs more time to integrate the electronic transfer of driver medical certificates to and from state motor carrier agencies.

As trucking fleets reassess their safety programs for 2021 and the post-pandemic world, here are five steps they can take to reduce their risk exposure.