Paper Med Card Relief Ends October 11: Rules for Drivers in Non-NRII States
FMCSA's nationwide exemption letting carriers and drivers treat a paper copy of the medical examiner's certificate (MEC) as proof of medical certification for up to 60 days ends October 11, 2026. For CDL and CLP holders licensed in a State that has not implemented National Registry II (NRII), FMCSA's standing paper-based guidance then governs again.
- Carriers may use a copy of the driver's current MEC as proof for up to 15 days after issue, and must place a copy in the driver qualification file.
- Medical examiners must check the driver's State of licensure against FMCSA's list of non-implementing States before the exam, issue a paper MCSA-5876, and report the result to the National Registry by midnight local time the next calendar day.
- Drivers licensed in those States still submit a paper MCSA-5876 to their State licensing agency.
What it means: Check each driver's State of licensure against FMCSA's current list at the NRII Learning Center, and plan for the 15-day file window where the State still relies on paper.
Source: FMCSA: Guidance for non-NRII States (issued July 7, 2025)