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On to the House! Senate Passes Medical Reform

December 15, 2015 – The U.S. Senate has passed the Pilot’s Bill of Rights 2 (PBOR2), which will now go to the House for consideration. The bill, which includes third-class medical reform, was passed by unanimous consent on Dec. 15, less than a week after it was reported out by the Senate Committee on Commerce, Science and Transportation. The House must also pass the bill before it can go to the President for his signature.

 “Working a bill through Congress is incredibly difficult and painstaking work, so we’ll take a moment to congratulate all involved in this major step forward for aeromedical reform, although we know the Senate’s approval guarantees us only more hard work ahead,” said EAA Chairman/CEO Jack J. Pelton. “First, we thank Senators Jim Inhofe and Joe Manchin, their staffs, and the other co-sponsors of the bill to get to where we are now. The continuing communication between EAA members and their senators also played a major role and we’ll need that again in the House. The goal is for tens of thousands of pilots to avoid the complexity and expense that is inherent in the current third-class medical certification process.”

Sen. Jim Inhofe (R-Okla.) introduced the Pilot’s Bill of Rights 2 in the Senate in February as a follow up to the original Pilots Bill of Rights measure he championed that became law in 2012. In addition to medical reform, PBOR2 legislation includes a number of protections for pilots facing FAA enforcement actions.  

Under the medical reforms of PBOR2, most pilots who have held a valid third-class medical, either regular or special issuance, within 10 years of the legislation’s enactment would never need to get another FAA medical exam. The rule would apply to pilots flying VFR or IFR in aircraft weighing up to 6,000 pounds and carrying up to five passengers at altitudes below 18,000 feet and speeds up to 250 knots.

“A pilot along with that person’s individual doctor, who knows the patient best, now can have direct freedom and responsibility for best managing health decisions,” Pelton said. “The Pilot’s Bill of Rights 2 frees pilots to work with their personal physicians to manage their own health, wellness, and fitness to fly.”

Pilots who develop certain medical conditions, including a small list of specific cardiac, mental health, or neurological conditions, will have to get a FAA special issuance medical one time only, significantly reducing the time and money spent navigating the FAA’s medical bureaucracy.  

For pilots who have not had a valid medical in the past 10 years and those who have never applied for and received a medical certificate, a one-time third-class medical certification by an aviation medical examiner will be required. After a pilot has been medically certified once, either through the regular or special-issuance processes, he or she will also be able to fly indefinitely without needing to go through the FAA medical certification process again.

After pilots have met these requirements, they will need to visit their personal physician once every four years for a medical exam. Pilots will need to fill out a form and provide it to the doctor performing the exam. The pilot must make a note of the visit and keep the signed form in his or her logbook.

The form will include a short medical history questionnaire as well as a list of items the doctor must include in the examination. Following the exam, both the physician and the pilot must sign the form verifying that the items were examined and discussed.

The process of bringing the bill this far has been one of compromise and negotiation. During deliberations prior to passage of the bill by the full Senate, language was added requiring the physician to certify that he or she is not aware of any medical condition that, as it is currently being treated, would interfere with the ability to fly safely.

EAA and AOPA are committed to working with doctors and medical organizations to ensure that physicians understand the intent of the form and are comfortable with the requirements so they can keep their patients well and flying.

Unlike today’s third-class medical no information about the exam needs to be provided to the FAA unless it is specifically requested. The FAA can always request additional information from a pilot if it receives credible or urgent information, including information from the National Driver Register or the FAA Safety Hotline, that the pilot may not be able to safely operate an aircraft.

In addition to the medical exam by a personal physician once every four years, pilots will be required to take a free online education course on aeromedical factors every two years. The course will be designed to increase awareness and understanding of medical factors that can affect a pilot’s fitness to fly.

Under the bill, the FAA will have a year from the date the legislation becomes law to produce a final rule reflecting the legislation’s provisions. If the final rule is not ready within one year of the bill’s enactment, pilots will be allowed to fly under the guidelines set out in the legislation without facing FAA enforcement action. The legislation also directs the FAA to streamline the special issuance medical process and identify additional medical conditions that AMEs can issue medical certificates for without requiring the pilot to go through the special issuance medical process.

“As we’ve mentioned previously, EAA members have told us that this is their top priority for our advocacy team,” Pelton said. “While congressional legislation rarely is everything that we asked for, it is broad relief and reform for the vast majority of individuals who want to fly for fun and personal transportation. This is the furthest advancement ever made for this essential aeromedical reform.”

For more information about the legislation and how it pertains to you, visit EAA’s frequently asked questions regarding third-class medical reform.

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