Cardiovascular Condition

Eligibility by Heart Disease Classification

A customer is eligible to receive or hold a Class D, Class M, or Class D/M permit/license if he/she is classified by the American Heart Association as a functional Class I, II, or III heart patient. A customer is not eligible for a permit/license if he/she is medically determined to be a functional Class IV heart patient, according to the American Heart Association functional guidelines for classifying heart disease.

 

A customer who was formerly determined to be an American Heart Association functional Class IV heart patient and has since been reevaluated and determined to be an American Heart Association functional Class I, II, or III heart patient must submit all of the following documentation from the health care provider to the Medical Affairs in order to be eligible for a Class D, Class M, or Class D/M permit/license:

1.  Medical documentation of the status of the customer’s heart condition, including American Heart Association functional class and accompanying symptomatology (if any)

2.  A written statement from the health care provider certifying that, to a reasonable degree of medical certainty, the customer is medically qualified to operate a motor vehicle safely

 

The Registry of Motor Vehicles may restrict, suspend, or revoke driving privileges if it has reason to believe that an American Heart Association functional Class I, II, or III heart patient is unsafe to operate a motor vehicle.

 

Eligibility for Customers with Automated Implantable Cardiac Defibrillators

A customer is not eligible for a Class D, Class M, or Class D/M permit/license if he/she has an Automated Implantable Cardiac Defibrillator placed for a “sudden death event” until he/she has experienced a six month period during which there is documentation proving there were no episodes of the device firing.

 

If, at any time after implantation, the Automated Implantable Cardiac Defibrillator has triggered, whether during the initial six month period or later, the customer will be required to voluntarily surrender his/her license or be subject to suspension or revocation until such time as the customer can provide the reinstatement information.

 

A customer with an Automated Implantable Cardiac Defibrillator is eligible to regain his/her Class D, Class M, or Class D/M permit/license provided he/she submits all of the following information from his/her health care provider to the Medical Affairs:

1.  A description of his/her current heart condition, including the American Heart Association functional class and accompanying symptomatology (if any)

2.  The status of the Automated Implantable Cardiac Defibrillator including whether the device has triggered and, if so, the date of the last trigger

3.  A certification that, to a reasonable degree of certainty, the customer is asymptomatic, and that the device has not triggered for at least six months, and that the customer is medically qualified to operate a motor vehicle safely with specific reasons provided for that determination

 

A customer who has an Automated Implantable Cardiac Defibrillator for prophylactic (preventative) reasons will not be subject to a six month waiting period and is eligible for a Class D, Class M, or Class D/M permit/license provided he/she submits all of the following information from his/her physician to the Medical Affairs:

1.  A description of his/her current heart condition, including the American Heart Association functional class and accompanying symptomatology (if any)

2.  A certification that, to a reasonable degree of certainty, the customer is asymptomatic, and that the device has not triggered for at least six months, and that the customer is medically qualified to operate a motor vehicle safely with specific reasons provided for that determination