FMCSA Extends Paper Medical Certificate Grace Period Through October 2026

Key Details The Federal Motor Carrier Safety Administration has issued a temporary exemption allowing drivers and carriers to continue using paper medical examiner's certificates through October 11, 2026. This six-month extension gives the industry additional time to transition to the electronic Medical Examiner's Certification Integration system that launched in June 2025. Who It Affects CDL and CLP holders can present paper copies of medical certificates as valid proof of medical certification for up to 60 days after issuance. The exemption addresses implementation delays in five states - Alaska, California, Kentucky, Louisiana, and New Hampshire - that have not yet adopted the electronic system. What Drivers Need to Know The FMCSA recommends medical examiners continue issuing paper copies alongside electronic transmission until further notice. This dual-issuance approach protects drivers during the transition period and ensures compliance across all jurisdictions. Looking Ahead This represents another in a series of waivers issued since the NRII rule took effect. However, FMCSA has signaled this will likely be the final nationwide extension, stating it does not anticipate granting additional waivers after October 2026. Drivers should prepare for full electronic compliance by year-end.