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Changes Announced In FAA Special Issuance Medical Certification

Several Common Diagnoses No Longer Require Special Issuance And Review

The Federal Air Surgeon this week has added several common diagnoses to the list of conditions that do not require a special issuance and review before issuing a medical certificate.

The new program is called "Conditions the AME Can Issue" (CACI). It allows pilots with certain conditions to be issued a medical certificate without a special issuance authorization from the FAA. The list of conditions includes:

  • Arthritis
  • Asthma
  • Glaucoma
  • Hepatitis C
  • Hypertension
  • Hypothyroidism
  • Migraine and chronic headaches
  • Pre-diabetes (metabolic syndrome, impaired fasting glucose, insulin resistance, glucose elevation/intolerance)
  • Renal cancer

An article posted by EAA on its Facebook page indicates that AMEs will still require certain documentation from pilots showing they have such conditions under control, but a special issuance can be made without sending those documents to the FAA. The medical certificate that is issued will be valid for the normal period, depending on applicant's age and/or the class of the certificate.

AOPA reports that the FAA also recently changed its policy toward certain heart conditions, reducing the recovery and stabilization period following a coronary artery stenting from six months to three.

Additional conditions are expected to be added to the list in the coming months.

FMI: Guide for Medical Examiners


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