Medical Impairments Policy

This section provides the Registry of Motor Vehicles’ current medical impairments policy.


For Class A, B, or C permit/license standards, a customer can refer to the Federal Motor Carrier Safety Administration Rules and Regulations. If the customer does not qualify under the federal standards, he/she may be eligible for an intrastate medical waiver to operate a commercial motor vehicle; the waiver application form is available here.


Massachusetts is a self-reporting state. Therefore, it is a person’s responsibility to report any medical condition that may affect his/her ability to drive. A person is legally responsible for his/her actions behind the wheel. There are no mandatory reporting laws for physicians to report persons who may be unsafe to the Registry of Motor Vehicles.


Customers with a mental or physical disability that might interfere with the proper operation of a motor vehicle must have their applications approved by the Medical Affairs.


The Registrar, or her designee, may require such additional evidence of the customer’s medical qualification criteria as she deems appropriate, or may modify these standards as an individual case may require.