Chapter Trans 112

Trans 112.08(1)(d) (d) Parathyroid disorders.

Trans 112.08(1)(e) (e) Adrenal dysfunction.

Trans 112.08(2) (2) The department may require information on a person’s functional ability including, but not limited to, the following:

Trans 112.08(2)(a) (a) Hypoglycemia.

Trans 112.08(2)(b) (b) Hyperglycemia.

Trans 112.08(2)(c) (c) Complications of condition.

Trans 112.08(2)(d) (d) Reliability of the person in following a prescribed treatment program.

Trans 112.08(2)(e) (e) Weakness.

Trans 112.08(2)(f) (f) Fluid and electrolyte imbalance.

Trans 112.08(2)(g) (g) Mental changes.

Trans 112.08(2)(h) (h) Hypokalemia.

Trans 112.08(2)(i) (i) Frequency of symptoms.

Trans 112.08(3) (3) 

Trans 112.08(3)(a) (a) Licensing standards. No license or endorsement may be issued to, renewed by, or held by a person who does not meet the applicable medical review standards for conditions affecting endocrine functions of this subsection.

Trans 112.08(3)(b) (b) Medical standards for school bus and passenger endorsements. A person who applies for, renews, or holds a school bus or passenger endorsement shall meet all of the following endocrine function criteria:

Trans 112.08(3)(b)1. 1. The person is in a treatment program certified by a physician or APNP as appropriate for adequate control of the condition.

Trans 112.08(3)(b)2. 2. The person has non-insulin requiring diabetes that is controlled.

Trans 112.08(3)(b)3. 3. There is no weakness, tremor, lethargy, or motor impairment interfering with safe driving.

Trans 112.08(3)(b)4. 4. The person monitors his or her blood sugar levels as advised by a physician or APNP, and is knowledgeable about the condition.

Trans 112.08(3)(c) (c) Medical standards for all classes of operators licenses. A person who applies for, renews, or holds any classification of operator’s license may not evidence any frequent or functionally impairing hypoglycemic reactions.

Trans 112.08 History History: Cr. Register, April, 1991, No. 424, eff. 5-1-91; r. (2) (j), (3) (b) 3., 4., 6., renum. (3) (b) 5. and 7. to be (3) (b) 3. and 4. and am. 4., am. (3) (c), Register, June, 1996, No. 486, eff. 7-1-96; CR 06-099: am. (3) (b) 1. and 4., Register June 2007 No. 618, eff. 7-1-07.

Trans 112.10 Trans 112.10 Conditions affecting neurological or neuromuscular function.

Trans 112.10(1) (1) With respect to conditions affecting neurological or neuromuscular function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:

Trans 112.10(1)(a) (a) Brain injury.

Trans 112.10(1)(b) (b) Cerebral palsy.

Trans 112.10(1)(c) (c) Multiple sclerosis.

Trans 112.10(1)(d) (d) Muscular dystrophy.

Trans 112.10(1)(e) (e) Myasthenia gravis.

Trans 112.10(1)(f) (f) Neuralgia or neuritis.

Trans 112.10(1)(g) (g) Parkinson’s disease or other extrapyramidal disorders or symptoms.

Trans 112.10(1)(h) (h) Poliomyelitis.

Trans 112.10(1)(i) (i) Seizure disorders.

Trans 112.10(1)(j) (j) Spinal cord injury.

Trans 112.10(2) (2) The department may require information on functional ability including, but not limited to, the following:

Trans 112.10(2)(a) (a) Episodes of altered consciousness or loss of bodily control.

Trans 112.10(2)(b) (b) Degree of functional impairment, including the extent to which loss of muscle tone, range of motion, spasm, or fatigue affects functional ability.

Trans 112.10(3) (3) 

Trans 112.10(3)(a) (a) Licensing standards. No license or endorsement may be issued to, renewed by, or held by a person who does not meet the medical review standards for conditions affecting neurological or neuromuscular function of this subsection.

Trans 112.10(3)(b) (b) Medical standards for school bus and passenger endorsements. A person who applies for, renews, or holds a school bus or passenger endorsement shall meet all of the following neuromuscular function criteria:

Trans 112.10(3)(b)1. 1. Any neurological or neuromuscular condition is controlled.

Trans 112.10(3)(b)2. 2. The person’s driving is not impaired by weakness, numbness, or muscle spasm, or the person adequately compensates for any paralysis or paresthesia while driving.

Trans 112.10(3)(b)3. 3. The person is knowledgeable about the neuromuscular or neurological condition.

Trans 112.10(3)(b)4. 4. There are no episodes of altered consciousness or loss of bodily control caused by a neurological condition unless one of the following apply:

Trans 112.10(3)(b)4.a. a. There has been a single, nonrecurring episode of altered consciousness or loss of bodily control that occurred more than 2 years prior to the application, the cause has been identified, and no treatment is required.

Trans 112.10(3)(b)4.b. b. A seizure disorder has been diagnosed, but the person has been episode-free for at least 5 years preceding application and has not required treatment for at least 5 years preceding application.

Trans 112.10(3)(b)4.c. c. Narcolepsy has been diagnosed as the cause of the episode, there have been no episodes of loss of consciousness for the past 2 years and the person’s physician or APNP indicates treatment has been successful.

Trans 112.10(3)(bm) (bm) Medical standards for commercial driver licenses. A person who applies for, renews, or holds a commercial driver license may not have been subject to any episodes of altered consciousness or loss of bodily control caused by a neurological condition unless one of the following apply:

Trans 112.10(3)(bm)1. 1. There has been a single, nonrecurring episode of altered consciousness or loss of bodily control occurring at least 2 years preceding application, and the cause of the episode has been identified and no treatment is required.

Trans 112.10(3)(bm)2. 2. A seizure disorder has been diagnosed, but the person has been episode-free for at least 5 years preceding application.

Trans 112.10(3)(c) (c) Medical standards for all classes of operators licenses. A person who applies for, renews, or holds for any classification of operator’s license shall meet all of the following neuromuscular function criteria:

Trans 112.10(3)(c)1. 1. The person may not have had an episode of altered consciousness or loss of bodily control caused by a neurological condition for the 3 month period preceding medical review by the department under this chapter.

Trans 112.10(3)(c)2. 2. The person adequately compensates for any paralysis or sensory deficit when operating a vehicle.

Trans 112.10(3)(c)3. 3. Fatigue, weakness, muscle spasm, pain or tremor at rest does not impair safe driving, as assessed by a physician or APNP or determined through a driving evaluation.

Trans 112.10(3)(c)4. 4. There is no decline in cognition to an extent that interferes with safe driving.

Trans 112.10 History History: Cr. Register, April, 1991, No. 424, eff. 5-1-91; renum. (3) (c) 6. to be (3) (bm) and am. Register, October, 1991, No. 430, eff. 11-1-91; renum. (1) (a) to (i) to be (1) (b) to (j), (1) (j) to be (1) (a), (3) (b) 6. to be (3) (b) 4. and am. 4.a., (c) 5. to be (c) 4., r. and recr. (2) (b), (3) (c) 1., am. (3) (b) 1., 3., (bm) 1., (c) 3., r. (3) (b) 4., 5., (c) 4., cr. (3) (b) 4. c., Register, June, 1996, No. 486, eff. 7-1-96; CR 06-099: am. (3) (b) 4. c. and (c) 3., Register June 2007 No. 618, eff. 7-1-07.

Trans 112.12 Trans 112.12 Conditions affecting psychosocial, mental or emotional function.

Trans 112.12(1) (1) With respect to conditions affecting psychosocial, mental or emotional function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:

Trans 112.12(1)(a) (a) Schizophrenia.

Trans 112.12(1)(b) (b) Personality disorders.

Trans 112.12(1)(c) (c) Bipolar disorder.

Trans 112.12(1)(d) (d) Delusional disorders.

Trans 112.12(1)(e) (e) Dementia and organic brain syndrome.

Trans 112.12(1)(f) (f) Other mood disorders.

Trans 112.12(2) (2) The department may require information on functional ability including, but not limited to, the following:

Trans 112.12(2)(a) (a) Impaired impulse control.

Trans 112.12(2)(b) (b) Reality testing and orientation.

Trans 112.12(2)(c) (c) Impaired affect or mood.

Trans 112.12(2)(d) (d) Asocial, anti-social or dissocial behaviors.

Trans 112.12(2)(e) (e) Impulse control.

Trans 112.12(2)(f) (f) Suicidal risk.

Trans 112.12(2)(g) (g) Cognitive impairment.

Trans 112.12(2)(h) (h) Treatment program, including medications and compliance.

Trans 112.12(3) (3) 

Trans 112.12(3)(a) (a) Licensing standards. No license or endorsement may be issued to, renewed by, or held by a person who does not meet the medical review standards for conditions affecting psychosocial, mental and emotional function of this subsection.

Trans 112.12(3)(b) (b) Medical standards for school bus and passenger endorsements. A person who applies for, renews, or holds a school bus or passenger endorsement shall meet all of the following mental and emotional function criteria:

Trans 112.12(3)(b)1. 1. The person is oriented to time, date, person and place.

Trans 112.12(3)(b)2. 2. There is no behavior disorder that interferes with safe driving, as assessed by a physician or APNP.

Trans 112.12(3)(b)3. 3. There are, at the time of the application for or renewal or holding of the endorsement, no destructive behaviors or suicidal tendencies.

Trans 112.12(3)(c) (c) Medical standards for all classes of operators licenses. A person who applies for, renews, or holds any classification of operator’s license shall meet all of the following mental and emotional function criteria:

Trans 112.12(3)(c)1. 1. There is no dementia that is unresponsive to treatment.

Trans 112.12(3)(c)2. 2. There is no behavior disorder with threatening or assaultive behavior at the time of application.

Trans 112.12(3)(c)3. 3. Any delusional system does not interfere with safe driving, as assessed by a physician or APNP.

Trans 112.12(3)(c)4. 4. There is no impairment of judgment that interferes with safe driving as assessed by a physician or APNP.

Trans 112.12(3)(c)5. 5. There is no active psychosis that interferes with safe driving, as assessed by a physician or APNP.

Trans 112.12 History History: Cr. Register, April, 1991, No. 424, eff. 5-1-91; am. (1) (c), (e), r. (3) (b) 2. to 4., renum. (3) (b) 4., 6. to be (3) (b) 2., 3. and am. 2., (c) 5., 6. to be (c) 4., 5., r. (3) (c) 4., 7., Register, June, 1996, No. 486, eff. 7-1-96; CR 04-117: am. (3) (b) 3. Register April 2005 No. 592, eff. 5-1-05; CR 06-099: am. (3) (b) 2. and (c) 3. to 5., Register June 2007 No. 618, eff. 7-1-07.

Trans 112.13 Trans 112.13 Conditions affecting respiratory function.

Trans 112.13(1) (1) With respect to conditions affecting respiratory function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:

Trans 112.13(1)(a) (a) Chronic obstructive pulmonary disease.

Trans 112.13(1)(b) (b) Asthma.