EXAMINER'S CALL
The checker reads your verdict. The Kit gets you through the exam: documentation packets for your condition, the two 45-day form clocks run as a calendar, the official medication form packet, waiting-period calendars, failure recovery, and the examiner phone script.
Federal source: 49 CFR 391.41(b)(5); FMCSA ANPRM withdrawal (Aug 8, 2017); MRB/MCSAC recommendations (Oct 2016) — published, never adopted · Rules checked October 2026
No FMCSA sleep-apnea rule exists. FMCSA proposed screening criteria in 2016 and withdrew the rulemaking on August 8, 2017, stating there are no FMCSA rules or regulatory guidance with specific apnea screening, diagnosis, or treatment criteria, and that certification rests on the examiner's medical judgment under the general respiratory standard, §391.41(b)(5). What does exist in print is the recommendation package from FMCSA's own Medical Review Board and Motor Carrier Safety Advisory Committee (October 2016) — published, and never adopted as a rule. Examiners who screen for apnea commonly use those criteria: referral for a sleep study at BMI of 40 or above alone, or BMI of 33 or above plus 3 or more of the other published factors — age over 42, male sex, neck over 17 in (men) / 15.5 in (women), hypertension, diabetes, loud snoring, witnessed apneas, a small airway, untreated hypothyroidism, a small or recessed jaw, postmenopausal status (women), and a history of heart disease.
Two examiners can honestly handle the same driver differently, because the federal government left this to judgment. What you can compute — and what the checker above computes — is your referral risk: whether an examiner following FMCSA's own committees' published criteria would send you for a sleep study. That is a risk score, not a verdict, and it is labeled as such everywhere on this site.
If your risk is high, you choose the timing: a home sleep test on your own schedule (drivers pay about $189 for them) before the exam beats a referral on the examiner's schedule during it. If you are diagnosed, treatment adherence records become your documentation — see the CPAP page.
This question is NOT decided by federal text — the text leaves it to the examiner's judgment. Any site that prints you a pass or a fail here is inventing law. What moves this outcome is documentation, and that is what this page gives you.
Only a certified medical examiner on the National Registry can certify you. FreightVerdict reads the published federal standards — it does not certify, diagnose, or treat, and nothing here is medical advice.
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