"Med Cards" - New Electronic Medical Certification System Now in Effect
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The Federal Motor Carrier Safety Administration's (FMCSA) National Registry II (NRII) system has fundamentally changed how medical certifications are reported to the State Licensing Agency. These changes now affect all Commercial Learner's Permit (CLP) applicants and Commercial Driver's License (CDL) holders.
What Has Changed
As of June 23, 2025, medical exam results are now transmitted electronically from FMCSA's National Registry directly to State Driver's Licensing Agencies (SDLAs). This information now appears on drivers' Commercial Driver's License Information System (CDLIS) records, replacing the traditional paper certificate system.
Key changes now in effect:
- Medical examiners are no longer required to issue paper Medical Examiner's Certificates (Form MCSA-5876) to CLP/CDL holders
- Drivers no longer need to submit paper certificates to their SDLA
- Motor carriers must now use electronic CDLIS driver records to verify medical certification – paper certificates can no longer serve as official proof
- Medical examiners must submit exam results to the National Registry by midnight of the next calendar day following the examination
Verifying Your Medical Certification
In Kansas, drivers can verify their medical certification status online. Important: KMCA has been informed that it can take up to 24 hours for information submitted by a medical examiner to populate on the state website; though as quickly as a few hours.
This means, because an examiner may take up to 24 hours to submit, results may not be available for up to two business days.
Operating Under the New System
For Motor Carriers:
- Track Expiration Dates and Go Early – Have drivers schedule medical exams well before current certificates expire to allow time for error corrections and the 24-hour processing delay
For Drivers:
- Schedule medical exams early to avoid issues
- Ensure all information on medical forms exactly matches your driver's license
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