Trans 112.06(3)(c)6.6. There is no valvular heart disease or malfunction of prosthetic valves that is assessed by a physician or APNP as interfering with safe driving. Trans 112.06 HistoryHistory: Cr. Register, April, 1991, No. 424, eff. 5-1-91; cr. (1) (L), (3) (b) 7., am. (3) (b) 1., r. (3) (b) 4., 5. 9., renum. (3) (b) 6. to 8. to be (3) (b) 4. to 6. and (3) (b) 10. and 11. to be (3) (b) 8. and 9., Register, June, 1996, No. 486, eff. 7-1-96; CR 04-117: r. (3) (b) 3. Register April 2005 No. 592, eff. 5-1-05; CR 06-099: am. (3) (b) 1. and (c) 1., 3. and 6., Register June 2007 No. 618, eff. 7-1-07. Trans 112.07Trans 112.07 Conditions affecting cerebrovascular function. Trans 112.07(1)(1) With respect to conditions affecting cerebrovascular 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 112.07(2)(2) The department may require information on a person’s functional ability including, but not limited to, the following: Trans 112.07(3)(a)(a) Licensing standards. No endorsement or license may be issued to, renewed by, or held by a person who does not meet the applicable medical review standards for conditions affecting cerebrovascular function of this subsection. Trans 112.07(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 cerebrovascular function criteria: Trans 112.07(3)(b)1.1. Physician or APNP certifies that the person is reliable in following the person’s prescribed treatment program. Trans 112.07(3)(b)2.2. Blood pressure reading shows a systolic pressure of 180 millimeters of mercury or less and a diastolic pressure of 105 millimeters of mercury or less, with or without medication. Trans 112.07(3)(b)3.3. Any cerebrovascular incident, such as a cerebrovascular accident or endarterectomy, occurred more than 6 months ago. Trans 112.07(3)(b)4.4. There are no current residual motor deficits that interfere with safe driving. Trans 112.07(3)(b)5.5. There is no impaired reasoning or judgment, as assessed by a physician or APNP. Trans 112.07(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 cerebrovascular function criteria: Trans 112.07(3)(c)2.2. There is no impairment of reasoning or judgment preventing safe operation of a vehicle, as assessed by a physician or APNP. Trans 112.07(3)(c)3.3. There are no medications interfering with the person’s ability to operate a motor vehicle safely. Trans 112.07 HistoryHistory: Cr. Register, April, 1991, No. 424, eff. 5-1-91; am. (1) (a), (b), r. (1) (e), (3) (b) 1., (c) 3., renum. (3) (b) 2. to 6. to be (3) (b) 1. to 5. and am. 4., (3) (c) 4. to be (3) (c) 3., Register, June, 1996, No. 486, eff. 7-1-96; CR 04-117: am. (3) (b) 1. and 3. Register April 2005 No. 592, eff. 5-1-05; CR 06-099: am. (3) (b) 1. and 5. and (c) 2., Register June 2007 No. 618, eff. 7-1-07. Trans 112.08Trans 112.08 Conditions affecting endocrine function. Trans 112.08(1)(1) With respect to conditions affecting endocrine 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 112.08(2)(2) The department may require information on a person’s functional ability including, but not limited to, the following: Trans 112.08(2)(d)(d) Reliability of the person in following a prescribed treatment program. 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)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 HistoryHistory: 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 112.10Trans 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(2)(2) The department may require information on functional ability including, but not limited to, the following: 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)(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)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.
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