FMCSA Medical Card Update: What CDL Drivers Need to Know
The latest FMCSA medical card update changes how most CDL and commercial learner’s permit holders prove that they are medically certified. As of October 12, 2026, drivers licensed in every state except Alaska and their motor carrier employers can no longer rely on a paper medical examiner’s certificate as proof of medical certification. Alaska remains the only exception because it has not yet implemented the Medical Examiner’s Certification Integration, commonly known as National Registry II or NRII. For most drivers, the system now depends on electronic transmission of medical certification information rather than paper documents. Alaska drivers, however, may continue using a paper certificate for a limited period under a temporary exemption. The key questions are who qualifies for that exception, how long paper proof can be used, and how NRII changes the way medical certification reaches state licensing agencies.
