PART 67--MEDICAL STANDARDS AND CERTIFICATION Subpart A--General Sec. 67.1 Applicability. 67.3 Access to National Driver Register. 67.11 Issue. 67.12 Certification of foreign airmen. 67.13 First-class medical certificate. 67.15 Second-class medical certificate. 67.17 Third-class medical certificate. 67.19 Special issue of medical certificates. 67.20 Applications, certificates, logbooks, reports, and records: Falsification, reproduction, or alteration. Subpart B--Certification Procedures 67.21 Applicability. 67.23 Medical examinations: Who may give. 67.25 Delegation of authority. 67.27 Denial of medical certificate. 67.29 Medical certificates by senior flight surgeons of armed forces. 67.31 Medical records. Authority: 49 U.S.C. App. 1354(a), 1355, 1421, and 1427; 49 U.S.C. 106(g) (Revised, Pub. L. 97-449, January 12, 1983). Source: Docket No. 1179, 27 FR 7980, Aug. 10, 1962, unless otherwise noted. Editorial Note: For nomenclature changes to Part 67, see 30 FR 12025, Sept. 21, 1965. Subpart A--General Sec. 67.1 Applicability. This subpart prescribes the medical standards for issuing medical certificates for airmen. Sec. 67.3 Access to the National Driver Register. At the time of application for a certificate issued under this part, each person who applies for a medical certificate shall execute an express consent form authorizing the Administrator to request the chief driver licensing official of any state designated by the Administrator to transmit information contained in the National Driver Register about the person to the Administrator. The Administrator shall make information received from the National Driver Register, if any, available on request to the person for review and written comment. [Docket No. 25905, Amdt 67-14, 55 FR 31309, Aug. 1, 1990] ***************************************************************************** 55 FR 31300, No. 148, Aug. 1, 1990 SUMMARY: This final rule sets forth regulations under which the FAA may deny an application for, and suspend or revoke, an airman certificate or rating if an individual has had two or more alcohol- or drug-related motor vehicle convictions or state motor vehicle administrative actions within a 3-year period (motor vehicle actions). The rule requires pilots to report to the FAA in Oklahoma City, Oklahoma, all alcohol- or drug-related motor vehicle convictions or state motor vehicle administrative actions that occur after the effective date of the final rule. The rule also amends the FAA's medical certification rules to include an "express consent" provision that authorizes the FAA to obtain information from the National Driver Register. The rule is needed to prohibit a pilot from operating an aircraft after multiple alcohol- or drug-related motor vehicle actions. It is also needed to verify traffic conviction information required to be reported on the airman medical application and to evaluate whether the airman meets the minimum standards to be issued an airman medical certificate. The rule is intended to enhance safety in air travel and air commerce, and is necessary to remove from navigable airspace pilots who demonstrate an unwillingness or inability to comply with certain safety regulations and to assist in the identification of personnel who do not meet the medical standards of the regulations. EFFECTIVE DATE: November 29, 1990. ***************************************************************************** Sec. 67.11 Issue. Except as provided in Sec. 67.12, an applicant who meets the medical standards prescribed in this part, based on medical examination and evaluation of his history and condition, is entitled to an appropriate medical certificate. (Secs. 313, 601, 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354, 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c)); Title V, Independent Offices Appropriations Act of 1952 (31 U.S.C. 483(a)); sec. 28, International Air Transportation Competition Act of 1979 (49 U.S.C. 1159(b))) [Amdt. 67-12, 47 FR 35693, Aug. 16, 1982] Sec. 67.12 Certification of foreign airmen. A person who is neither a United States citizen nor a resident alien is issued a certificate under this part, outside the United States, only when the Administrator finds that the certificate is needed for operation of a U.S.-registered civil aircraft. (Secs. 313, 601, 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354, 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c)); Title V, Independent Offices Appropriations Act of 1952 (31 U.S.C. 483(a)); sec. 28, International Air Transportation Competition Act of 1979 (49 U.S.C. 1159(b))) [Amdt. 67-12, 47 FR 35694, Aug. 16, 1982] Sec. 67.13 First-class medical certificate. (a) To be eligible for a first-class medical certificate, an applicant must meet the requirements of paragraphs (b) through (f) of this section. (b) Eye: (1) Distant visual acuity of 20/20 or better in each eye separately, without correction; or of at least 20/100 in each eye separately corrected to 20/20 or better with corrective lenses (glasses or contact lenses) in which case the applicant may be qualified only on the condition that he wears those corrective lenses while exercising the privileges of his airman certificate. (2) Near vision of at least v=1.00 at 18 inches with each eye separately, with or without corrective glasses. (3) Normal color vision. (4) Normal fields of vision. (5) No acute or chronic pathological condition of either eye or adenexae that might interfere with its proper function, might progress to that degree, or might be aggravated by flying. (6) Bifoveal fixation and vergencephoria relationship sufficient to prevent a break in fusion under conditions that may reasonably occur in performing airman duties. Tests for the factors named in paragraph (b)(6) of this section are not required except for applicants found to have more than one prism diopter of hyperphoria, six prism diopters of esophoria, or six prism diopters of exophoria. If these values are exceeded, the Federal Air Surgeon may require the applicant to be examined by a qualified eye specialist to determine if there is bifoveal fixation and adequate vergencephoria relationship. However, if the applicant is otherwise qualified, he is entitled to a medical certificate pending the results of the examination. (c) Ear, nose, throat, and equilibrium: (1) Ability to-- (i) Hear the whispered voice at a distance of at least 20 feet with each ear separately; or (ii) Demonstrate a hearing acuity of at least 50 percent of normal in each ear throughout the effective speech and radio range as shown by a standard audiometer. (2) No acute or chronic disease of the middle or internal ear. (3) No disease of the mastoid. (4) No unhealed (unclosed) perforation of the eardrum. (5) No disease or malformation of the nose or throat that might interfere with, or be aggravated by, flying. (6) No disturbance in equilibrium. (d) Mental and neurologic--(1) Mental. (i) No established medical history or clinical diagnosis of any of the following: (a) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts. (b) A psychosis. (c) Alcoholism, unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from alcohol for not less than the preceding 2 years. As used in this section, "alcoholism" means a condition in which a person's intake of alcohol is great enough to damage physical health or personal or social functioning, or when alcohol has become a prerequisite to normal functioning. (d) Drug dependence. As used in this section, "drug dependence" means a condition in which a person is addicted to or dependent on drugs other than alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by habitual use or a clear sense of need for the drug. (ii) No other personality disorder, neurosis, or mental condition that the Federal Air Surgeon finds-- (a) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (b) May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (2) Neurologic. (i) No established medical history or clinical diagnosis of either of the following: (a) Epilepsy. (b) A disturbance of consciousness without satisfactory medical explanation of the cause. (ii) No other convulsive disorder, disturbance of consciousness, or neurologic condition that the Federal Air Surgeon finds-- (a) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (b) May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (e) Cardiovascular. (1) No established medical history or clinical diagnosis of-- (i) Myocardial infarction; (ii) Angina pectoris; or (iii) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant. (2) If the applicant has passed his thirty-fifth birthday but not his fortieth, he must, on the first examination after his thirty-fifth birthday, show an absence of myocardial infarction on electrocardiographic examination. (3) If the applicant has passed his fortieth birthday, he must annually show an absence of myocardial infarction on electrocardiographic examination. (4) Unless the adjusted maximum readings apply, the applicant's reclining blood pressure may not be more than the maximum reading for his age group in the following table: Maximum readings (reclining Adjusted maximum blood readings (reclining pressure blood pressure in in mm) mm) /1/ Age group Systolic Diastolic Systolic Diastolic 20-29 140 88 30-39 145 92 155 98 40-49 155 96 165 100 50 and over 160 98 170 100 /1/ For an applicant at least 30 years of age whose reclining blood pressure is more than the maximum reading for his age group and whose cardiac and kidney conditions, after complete cardiovascular examination, are found to be normal. (5) If the applicant is at least 40 years of age, he must show a degree of circulatory efficiency that is compatible with the safe operation of aircraft at high altitudes. An electrocardiogram, made according to acceptable standards and techniques within the 90 days before an examination for a first-class certificate, is accepted at the time of the physical examination as meeting the requirements of paragraphs (e)(2) and (3) of this section. (f) General medical condition: (1) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control. (2) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon finds-- (i) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (ii) May reasonably be expected, within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified medical judgment relating to the condition involved. (3) No medication or other treatment that the Federal Air Surgeon finds-- (i) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that the applicant holds or for which the applicant is applying; or (ii) May reasonably be expected, within 2 years after the finding, to make the applicant unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the medication or other treatment involved. (g) An applicant who does not meet the provisions of paragraphs (b) through (f) of this section may apply for the discretionary issuance of a certificate under Sec. 67.19. (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c))) [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-9, 37 FR 4071, Feb. 26, 1972; Amdt. 67-10, 41 FR 46433, Oct. 21, 1976; Amdt. 67-11, 47 FR 16308, Apr. 15, 1982; Amdt. 67-15, 59 FR 46707, Sept. 9, 1994] ***************************************************************************** 59 FR 46706, No. 174, Sept. 9, 1994 SUMMARY: This final rule restates the general medical condition standards for first-, second-, and third-class airman medical certificates. In determining an applicant's eligibility for medical certification, the FAA's long-standing policy and practice have been to consider an applicant's medication and other treatment under the general medical conditions standards. In a recent decision by the U.S. Court of Appeals for the Seventh Circuit, however, the court found that the general medical condition standards cannot be interpreted to provide a basis for disqualification due to medication alone. This emergency final rule is, therefore, necessary to restate the general medical condition standards for an individual whose medication or other treatment makes or is expected to make that individual unable to safely perform the duties or exercise the privileges of an airman certificate. DATES: Effective September 9, 1994. ***************************************************************************** Sec. 67.15 Second-class medical certificate. (a) To be eligible for a second-class medical certificate, an applicant must meet the requirements of paragraphs (b) through (f) of this section. (b) Eye: (1) Distant visual acuity of 20/20 or better in each eye separately, without correction; or of at least 20/100 in each eye separately corrected to 20/20 or better with corrective lenses (glasses or contact lenses), in which case the applicant may be qualified only on the condition that he wears those corrective lenses while exercising the privileges of his airman certificate. (2) Enough accommodation to pass a test prescribed by the Administrator based primarily on ability to read official aeronautical maps. (3) Normal fields of vision. (4) No pathology of the eye. (5) Ability to distinguish aviation signal red, aviation signal green, and white. (6) Bifoveal fixation and vergencephoria relationship sufficient to prevent a break in fusion under conditions that may reasonably occur in performing airman duties. Tests for the factors named in paragraph (b)(6) of this section are not required except for applicants found to have more than one prism diopter of hyperphoria, six prism diopters of esophoria, or six prism diopters of exophoria. If these values are exceeded, the Federal Air Surgeon may require the applicant to be examined by a qualified eye specialist to determine if there is bifoveal fixation and adequate vergencephoria relationship. However, if the applicant is otherwise qualified, he is entitled to a medical certificate pending the results of the examination. (c) Ear, nose, throat, and equilibrium: (1) Ability to hear the whispered voice at 8 feet with each ear separately. (2) No acute or chronic disease of the middle or internal ear. (3) No disease of the mastoid. (4) No unhealed (unclosed) perforation of the eardrum. (5) No disease or malformation of the nose or throat that might interfere with or be aggravated by, flying. (6) No disturbance in equilibrium. (d) Mental and neurologic--(1) Mental. (i) No established medical history or clinical diagnosis of any of the following: (a) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts. (b) A psychosis. (c) Alcoholism, unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from alcohol for not less than the preceding 2 years. As used in this section, "alcoholism" means a condition in which a person's intake of alcohol is great enough to damage physical health or personal or social functioning, or when alcohol has become a prerequisite to normal functioning. (d) Drug dependence. As used in this section, "drug dependence" means a condition in which a person is addicted to or dependent on drugs other than alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by habitual use or a clear sense of need for the drug. (ii) No other personality disorder, neurosis, or mental condition that the Federal Air Surgeon finds-- (a) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (b) May reasonably be expected, within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (2) Neurologic. (i) No established medical history or clinical diagnosis of either of the following: (a) Epilepsy. (b) A disturbance of consciousness without satisfactory medical explanation of the cause. (ii) No other convulsive disorder, disturbance of consciousness, or neurologic condition that the Federal Air Surgeon finds-- (a) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (b) May reasonably be expected, within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (e) Cardiovascular. (1) No established medical history or clinical diagnosis of-- (i) Myocardial infarction; (ii) Angina pectoris; or (iii) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant. (f) General medical condition: (1) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control. (2) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon finds-- (i) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (ii) May reasonably be expected, within two years after the finding to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (3) No medication or other treatment that the Federal Air Surgeon finds-- (i) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that the applicant holds or for which the applicant is applying; or (ii) May reasonably be expected, within 2 years after the finding, to make the applicant unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the medication or other treatment involved. (g) An applicant who does not meet the provisions of paragraphs (b) through (f) of this section may apply for the discretionary issuance of a certificate under Sec. 67.19. (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c))) [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-9, 37 FR 4071, Feb. 26, 1972; Amdt. 67-10, 41 FR 46433, Oct. 21, 1976; Amdt. 67-11, 47 FR 16308, Apr. 15, 1982; Amdt. 67-15, 59 FR 46707, Sept. 9, 1994] ***************************************************************************** 59 FR 46706, No. 174, Sept. 9, 1994 SUMMARY: This final rule restates the general medical condition standards for first-, second-, and third-class airman medical certificates. In determining an applicant's eligibility for medical certification, the FAA's long-standing policy and practice have been to consider an applicant's medication and other treatment under the general medical conditions standards. In a recent decision by the U.S. Court of Appeals for the Seventh Circuit, however, the court found that the general medical condition standards cannot be interpreted to provide a basis for disqualification due to medication alone. This emergency final rule is, therefore, necessary to restate the general medical condition standards for an individual whose medication or other treatment makes or is expected to make that individual unable to safely perform the duties or exercise the privileges of an airman certificate. DATES: Effective September 9, 1994. ***************************************************************************** Sec. 67.17 Third-class medical certificate. (a) To be eligible for a third-class medical certificate, an applicant must meet the requirements of paragraphs (b) through (f) of this section. (b) Eye: (1) Distant visual acuity of 20/50 or better in each eye separately, without correction; or if the vision in either or both eyes is poorer than 20/50 and is corrected to 20/30 or better in each eye with corrective lenses (glasses or contact lenses), the applicant may be qualified on the condition that he wears those corrective lenses while exercising the priviledges of his airman certificate. (2) No serious pathology of the eye. (3) Ability to distinguish aviation signal red, aviation signal green, and white. (c) Ears, nose, throat, and equilibrium: (1) Ability to hear the whispered voice at 3 feet. (2) No acute or chronic disease of the internal ear. (3) No disease or malformation of the nose or throat that might interfere with, or be aggravated by, flying. (4) No disturbance in equilibrium. (d) Mental and neurologic--(1) Mental. (i) No established medical history or clinical diagnosis of any of the following: (a) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts. (b) A psychosis. (c) Alcoholism, unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from alcohol for not less than the preceding 2 years. As used in this section, "alcoholism" means a condition in which a person's intake of alcohol is great enough to damage physical health or personal or social functioning, or when alcohol has become a prerequisite to normal functioning. (d) Drug dependence. As used in this section, "drug dependence" means a condition in which a person is addicted to or dependent on drugs other than alcohol, tobacco, or ordinary caffeine-containing beverages, as evidenced by habitual use or a clear sense of need for the drug. (ii) No other personality disorder, neurosis, or mental condition that the Federal Air Surgeon finds-- (a) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (b) May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (2) Neurologic. (i) No established medical history or clinical diagnosis of either of the following: (a) Epilepsy. (b) A disturbance of consciousness without satisfactory medical explanation of the cause. (ii) No other convulsive disorder, disturbance of consciousness, or neurologic condition that the Federal Air Surgeon finds-- (a) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (b) May reasonably be expected, within 2 years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (e) Cardiovascular. (1) No established medical history or clinical diagnosis of-- (i) Myocardial infarction; (ii) Angina pectoris; or (iii) Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant. (f) General medical condition: (1) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control; (2) No other organic, functional or structural disease, defect, or limitation that the Federal Air Surgeon finds-- (i) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that he holds or for which he is applying; or (ii) May reasonably be expected, within two years after the finding, to make him unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the condition involved. (3) No medication or other treatment that the Federal Air Surgeon finds-- (i) Makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that the applicant holds or for which the applicant is applying; or (ii) May reasonably be expected, within 2 years after the finding, to make the applicant unable to perform those duties or exercise those privileges; and the findings are based on the case history and appropriate, qualified, medical judgment relating to the medication or other treatment involved. (g) An applicant who does not meet the provisions of paragraphs (b) through (f) of this section may apply for the discretionary issuance of a certificate under Sec. 67.19. (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c))) [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-9, 37 FR 4072, Feb. 26, 1972; Amdt. 67-10, 41 FR 46433, Oct. 21, 1976; Amdt. 67-11, 47 FR 16308, Apr. 15, 1982; Amdt. 67-15, 59 FR 46708, Sept. 9, 1994] ***************************************************************************** 59 FR 46706, No. 174, Sept. 9, 1994 SUMMARY: This final rule restates the general medical condition standards for first-, second-, and third-class airman medical certificates. In determining an applicant's eligibility for medical certification, the FAA's long-standing policy and practice have been to consider an applicant's medication and other treatment under the general medical conditions standards. In a recent decision by the U.S. Court of Appeals for the Seventh Circuit, however, the court found that the general medical condition standards cannot be interpreted to provide a basis for disqualification due to medication alone. This emergency final rule is, therefore, necessary to restate the general medical condition standards for an individual whose medication or other treatment makes or is expected to make that individual unable to safely perform the duties or exercise the privileges of an airman certificate. DATES: Effective September 9, 1994. ***************************************************************************** Sec. 67.19 Special issue of medical certificates. (a) At the discretion of the Federal Air Surgeon, a medical certificate may be issued to an applicant who does not meet the applicable provisions of Sec. 67.13, Sec. 67.15, or Sec. 67.17 if the applicant shows to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering air commerce during the period in which the certificate would be in force. The Federal Air Surgeon may authorize a special medical flight test, practical test, or medical evaluation for this purpose. (b) The Federal Air Surgeon may consider the applicant's operational experience and any medical facts that may affect the ability of the applicant to perform airman duties including: (1) The combined effect on the applicant of failure to meet more than one requirement of this part; and (2) The prognosis derived from professional consideration of all available information regarding the airman. (c) In determining whether the special issuance of a third-class medical certificate should be made to an applicant, the Federal Air Surgeon considers the freedom of an airman, exercising the privileges of a private pilot certificate, to accept reasonable risks to his or her person and property that are not acceptable in the exercise of commercial or airline transport privileges, and, at the same time, considers the need to protect the public safety of persons and property in other aircraft and on the ground. (d) In issuing a medical certificate under this section, the Federal Air Surgeon may do any or all of the following: (1) Limit the duration of the certificate. (2) Condition the continued effect of the certificate on the results of subsequent medical tests, examinations, or evaluations. (3) Impose any operational limitation on the certificate needed for safety. (4) Condition the continued effect of a second- or third-class medical certificate on compliance with a statement of functional limitations issued to the applicant in coordination with the Director, Flight Standards Service or the Director's designee. (e) An applicant who has been issued a medical certificate under this section based on a special medical flight or practical test need not take the test again during later physical examinations unless the Federal Air Surgeon determines that the physical deficiency has become enough more pronounced to require another special medical flight or practical test. (f) The authority of the Federal Air Surgeon under this section is also exercised by the Manager, Aeromedical Certification Branch, Civil Aeromedical Institute, and each Regional Flight Surgeon. (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c))) [Amdt. 67-11, 47 FR 16308, Apr. 15, 1982, as amended by Amdt. 67-13, 54 FR 39292, Sept. 25, 1989; 54 FR 52872, Dec. 22, 1989] Sec. 67.20 Applications, certificates, logbooks, reports, and records: Falsification, reproduction, or alteration. (a) No person may make or cause to be made-- (1) Any fraudulent or intentionally false statement on any application for a medical certificate under this part; (2) Any fraudulent or intentionally false entry in any logbook, record, or report that is required to be kept, made, or used, to show compliance with any requirement for any medical certificate under this part; (3) Any reproduction, for fraudulent purpose, of any medical certificate under this part; (4) Any alteration of any medical certificate under this part. (b) The commission by any person of an act prohibited under paragraph (a) of this section is a basis for suspending or revoking any airman, ground instructor, or medical certificate or rating held by that person. [Amdt. 67-1, 30 FR 2197, Feb. 18, 1965] Subpart B--Certification Procedures Sec. 67.21 Applicability. This subpart prescribes the general procedures that apply to the issue of medical certificates for airmen. Sec. 67.23 Medical examinations: Who may give. (a) First class. Any aviation medical examiner who is specifically designated for the purpose may give the examination for the first class certificate. Any interested person may obtain a list of these aviation medical examiners, in any area, from the FAA Regional Administrator of the region in which the areas is located. (b) Second class and third class. Any aviation medical examiner may give the examination for the second or third class certificate. Any interested person may obtain a list of aviation medical examiners, in any area, from the FAA Regional Administrator of the region in which the area is located. [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-8, 35 FR 14075, Sept. 4, 1970; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989] Sec. 67.25 Delegation of authority. (a) The authority of the Administrator, under section 602 of the Federal Aviation Act of 1958 (49 U.S.C. 1422), to issue or deny medical certificates is delegated to the Federal Air Surgeon, to the extent necessary to-- (1) Examine applicants for and holders of medical certificates for compliance with applicable medical standards; and (2) Issue, renew, or deny medical certificates to applicants and holders based upon compliance or noncompliance with applicable medical standards. Subject to limitations in this chapter, the authority delegated in paragraphs (a)(1) and (2) of this section is also delegated to aviation medical examiners and to authorized representatives of the Federal Air Surgeon within the FAA. (b) The authority of the Administrator, under subsection 314(b) of the Federal Aviation Act of 1958 (49 U.S.C. 1355(b)), to reconsider the action of an aviation medical examiner is delegated to the Federal Air Surgeon, the Chief, Aeromedical Certification Division, and each Regional Flight Surgeon. Where the applicant does not meet the standards of Sec. 67.13(d)(1)(ii), (d)(2)(ii), (f)(2), or (f)(3), Sec. 67.15(d)(1)(ii), (d)(2)(ii), (f)(2), or (f)(3), or Sec. 67.17(d)(1)(ii), (d)(2)(ii), (f)(2), or (f)(3), any action taken under this paragraph other than by the Federal Air Surgeon is subject to reconsideration by the Federal Air Surgeon. A certificate issued by an aviation medical examiner is considered to be affirmed as issued unless an FAA official named in this paragraph on his own initiative reverses that issuance within 60 days after the date of issuance. However, if within 60 days after the date of issuance that official requests the certificate holder to submit additional medical information, he may on his own initiative reverse the issuance within 60 days after he receives the requested information. (c) The authority of the Administrator, under section 609 of the Federal Aviation Act of 1958 (49 U.S.C. 1429), to re-examine any civil airman, to the extent necessary to determine an airman's qualification to continue to hold an airman medical certificate, is delegated to the Federal Air Surgeon and his authorized representatives within the FAA. (Sec. 303, 72 Stat. 747, 49 U.S.C. 1344; sec. 602, 72 Stat. 776, 49 U.S.C. 1422; secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c))) [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Amdt. 67-5, 31 FR 8356, June 15, 1966; Amdt. 67-7, 34 FR 248, Jan. 8, 1969; 34 FR 550, Jan. 15, 1969; Amdt. 67-9, 37 FR 4072, Feb. 26, 1972; Amdt. 67-11, 47 FR 16309, Apr. 15, 1982; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989; Amdt. 67-15, 59 FR 46708, Sept. 9, 1994; 59 FR 52894, Oct. 20, 1994; 59 FR 60051, Nov. 21, 1994] ***************************************************************************** 59 FR 46706, No. 174, Sept. 9, 1994 SUMMARY: This final rule restates the general medical condition standards for first-, second-, and third-class airman medical certificates. In determining an applicant's eligibility for medical certification, the FAA's long-standing policy and practice have been to consider an applicant's medication and other treatment under the general medical conditions standards. In a recent decision by the U.S. Court of Appeals for the Seventh Circuit, however, the court found that the general medical condition standards cannot be interpreted to provide a basis for disqualification due to medication alone. This emergency final rule is, therefore, necessary to restate the general medical condition standards for an individual whose medication or other treatment makes or is expected to make that individual unable to safely perform the duties or exercise the privileges of an airman certificate. DATES: Effective September 9, 1994. ***************************************************************************** Sec. 67.27 Denial of medical certificate. (a) Any person who is denied a medical certificate by an aviation medical examiner may, within 30 days after the date of the denial, apply in writing and in duplicate to the Federal Air Surgeon, Attention: Manager, Aeromedical Certification Division, Federal Aviation Administration, Post Office Box 25082, Oklahoma City, Okla. 73125, for reconsideration of that denial. If he does not apply for reconsideration during the 30-day period after the date of the denial, he is considered to have withdrawn his application for a medical certificate. (b) The denial of a medical certificate-- (1) By an aviation medical examiner is not a denial by the Administrator under section 602 of the Federal Aviation Act of 1958 (49 U.S.C. 1422); (2) By the Federal Air Surgeon is considered to be a denial by the Administrator under that section of the Act; and (3) By the Manager, Aeromedical Certification Division, AAM-300, or a Regional Flight Surgeon is considered to be a denial by the Administrator under the Act except where the applicant does not meet the standards of Sec. 67.13(d)(1)(ii), (d)(2)(ii), (f)(2), or (f)(3), Sec. 67.15(d)(1)(ii), (d)(2)(ii), (f)(2), or (f)(3), Sec. 67.17(d)(1)(ii), (d)(2)(ii), (f)(2), or (f)(3). (c) Any action taken under Sec. 67.25(b) that wholly or partly reverses the issue of a medical certificate by an aviation medical examiner is the denial of a medical certificate under paragraph (b) of this section. (d) If the issue of a medical certificate is wholly or partly reversed upon reconsideration by the Federal Air Surgeon, the Manager, Aeromedical Certification Division, AAM-300, or a Regional Flight Surgeon, the person holding that certificate shall surrender it, upon request of the FAA. (Secs. 313(a), 601, and 602, Federal Aviation Act of 1958, as amended (49 U.S.C. 1354(a), 1421, and 1422); sec. 6(c), Department of Transportation Act (49 U.S.C. 1655(c))) [Doc. No. 7077, Amdt. 67-5, 31 FR 8357, June 15, 1966, as amended by Doc. No. 8084, 32 FR 5769, Apr. 11, 1967; Amdt. 67-9, 37 FR 4072, Feb. 26, 1972; Amdt. 67-11, 47 FR 16309, Apr. 15, 1982; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989; Amdt. 67-15, 59 FR 46708, Sept. 9, 1994] ***************************************************************************** 59 FR 46706, No. 174, Sept. 9, 1994 SUMMARY: This final rule restates the general medical condition standards for first-, second-, and third-class airman medical certificates. In determining an applicant's eligibility for medical certification, the FAA's long-standing policy and practice have been to consider an applicant's medication and other treatment under the general medical conditions standards. In a recent decision by the U.S. Court of Appeals for the Seventh Circuit, however, the court found that the general medical condition standards cannot be interpreted to provide a basis for disqualification due to medication alone. This emergency final rule is, therefore, necessary to restate the general medical condition standards for an individual whose medication or other treatment makes or is expected to make that individual unable to safely perform the duties or exercise the privileges of an airman certificate. DATES: Effective September 9, 1994. ***************************************************************************** Sec. 67.29 Medical certificates by senior flight surgeons of armed forces. (a) The FAA has designated senior flight surgeons of the armed forces on specified military posts, stations, and facilities, as aviation medical examiners. (b) An aviation medical examiner described in paragraph (a) of this section may give physical examinations to applicants for FAA medical certificates who are on active duty or who are, under Department of Defense medical programs, eligible for FAA medical certification as civil airmen. In addition, such an examiner may issue or deny an appropriate FAA medical certificate in accordance with the regulations of this chapter and the policies of the FAA. (c) Any interested person may obtain a list of the military posts, stations, and facilities at which a senior flight surgeon has been designated as an aviation medical examiner, from the Surgeon General of the armed force concerned or from the Manager, Aeromedical Certification Division, AAM-300, Department of Transportation, Federal Aviation Administration, Civil Aeromedical Institute, Post Office Box 25082, Oklahoma City, Okla. 73125. [Doc. No. 1179, 27 FR 7980, Aug. 10, 1962, as amended by Doc. No. 8084, 32 FR 5769, Apr. 11, 1967; Amdt. 67-8, 35 FR 14076, Sept. 4, 1970; Amdt. 67-13, 54 FR 39292, Sept. 25, 1989] Sec. 67.31 Medical records. Whenever the Administrator finds that additional medical information or history is necessary to determine whether an applicant for or the holder of a medical certificate meets the medical standards for it, he requests that person to furnish that information or authorize any clinic, hospital, doctor, or other person to release to the Administrator any available information or records concerning that history. If the applicant, or holder, refuses to provide the requested medical information or history or to authorize the release so requested, the Administrator may suspend, modify, or revoke any medical certificate that he holds or may, in the case of an applicant, refuse to issue a medical certificate to him. (Secs. 303(d), 313(a), 314(b), 601, 602, 609, Federal Aviation Act of 1958 (49 U.S.C. 1344, 1354, 1355(b), 1421, 1422, 1429)) [Amdt. 67-5, 31 FR 8357, June 15, 1966]