FMCSA Renews Non‑Insulin‑Treated Diabetes Assessment Form for Commercial Drivers

Renewal of the Non‑Insulin‑Treated Diabetes Assessment Form

On August 25, 2026, FMCSA announced the renewal of the Non‑Insulin‑Treated Diabetes Mellitus Assessment Form (MCSA‑5872). The renewal extends the voluntary information collection under the Paperwork Reduction Act and allows certified medical examiners to continue using the form to assess drivers with non‑insulin‑treated diabetes.

Who Is Affected

The form is intended for certified medical examiners who issue Medical Examiner’s Certificates (MEC) Form MCSA‑5876. It is used when evaluating individuals diagnosed with non‑insulin‑treated diabetes mellitus who operate commercial motor vehicles. The information collected helps determine if the driver meets FMCSA physical qualification standards.

What Carriers Should Do

Carriers should review the renewed form to understand its content and how it may affect medical certification processes. They should also note the public comment deadline of October 26, 2026, and consider submitting comments if they have concerns about the form’s use or impact on driver qualifications. Confirm how the voluntary collection applies to your carriers’ medical examiners.

• Verify that your medical examiners are aware of the renewal and the voluntary nature of the form.
• Review the form’s questions to ensure they align with your internal medical evaluation procedures.
• Submit comments to FMCSA by October 26, 2026 if you believe the form should be modified or clarified.
• Monitor FMCSA communications for any updates or changes to the form after OMB approval.

What Remains Unclear

The renewal notice does not specify whether the form will become mandatory or how it will integrate with existing medical certification workflows. It also does not clarify how the voluntary collection will be enforced or whether carriers will be required to provide the information to FMCSA. Carriers should seek clarification from FMCSA and monitor for any subsequent guidance.