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CPAP Machines Being Monitored: Obamacare?
Vanity

Posted on 07/12/2013 8:09:44 PM PDT by Toespi

My husband got a new CPAP machine today, "latest technology". Here's the thing and it is stunning. His doctor warned him he MUST use it nightly as it has a chip in it that communicates with insurance/Medicare. If he doesn't use it regularly, his driver's license can be revoked. Anyone familiar with this?


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1 posted on 07/12/2013 8:09:44 PM PDT by Toespi
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To: Toespi

I think your Doctor is telling a big one in hopes of getting him to seriously try the machine enough to get used to it.


2 posted on 07/12/2013 8:11:44 PM PDT by DannyTN
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To: Toespi

I think your Doctor is telling a big one in hopes of getting him to seriously try the machine enough to get used to it.


3 posted on 07/12/2013 8:11:45 PM PDT by DannyTN
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To: Toespi

My mother has one and I don’t see anything on her machine that would do that.


4 posted on 07/12/2013 8:12:30 PM PDT by Nowhere Man ("We have met the enemy, he is us!" - Pogo Possum - 1971)
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To: Toespi

they all do have some id number


5 posted on 07/12/2013 8:14:15 PM PDT by yldstrk (My heroes have always been cowboys)
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To: Toespi

DL revoked for failing to comply with doctor’s orders? Sure why not? The government claims it is ok to revoke DL for child support.

Never give thugs control.


6 posted on 07/12/2013 8:14:57 PM PDT by Ray76 (Do you reject Obama? And all his works? And all his empty promises?)
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To: DannyTN

i have one, i use it every night, there is a smart card in it that monitors my usage. (for the purpose of treatment)

my doctor read it once a year to see if i need to have the cpap pressure increased.


7 posted on 07/12/2013 8:15:24 PM PDT by VAFreedom (maybe i should take a nap before work)
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To: Toespi

They don’t need to do that. They can watch on the cameras they planted all around the room.


8 posted on 07/12/2013 8:15:25 PM PDT by Proud2BeRight
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To: Toespi

So if the patient is in a place with no cell service for a few days the DL gets revoked? Would make it tough to drive home legally.


9 posted on 07/12/2013 8:15:46 PM PDT by steve86 (Acerbic by Nature, not NurtureĀ™)
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To: Nowhere Man

This is brand new on the market. He has been going to this doctor/clinic for years. There is no way this highly respected doctor would just make it up.


10 posted on 07/12/2013 8:17:30 PM PDT by Toespi
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To: Toespi

what’s the model? made by Respironics?


11 posted on 07/12/2013 8:17:50 PM PDT by VAFreedom (maybe i should take a nap before work)
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To: Toespi
Maybe this will help: http://www.apneaboard.com/adjust-cpap-pressure/change-cpap-pressure-settings-adjusting-your-machine-with-a-clinician-setup-manual

I think the settings are initially set by your doctor. After that....?

12 posted on 07/12/2013 8:18:19 PM PDT by Bronzy
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To: Toespi

Wrap the machine in tinfoil just to be on the safe side.


13 posted on 07/12/2013 8:18:49 PM PDT by iowamark
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To: DannyTN

There may be something to do that in the latest machines to prevent a Smart Meter from shutting them down. Lots of data can piggyback on a 60Hz power feed.

Before the NSA started its domestic operations, that was how the FBI and other spooks could access your computer.


14 posted on 07/12/2013 8:19:45 PM PDT by noprogs (Borders, Language, Culture....all should be preserved)
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To: VAFreedom

Don’t know, he won’t get it until next week. But the doctor did warn him about this new insurance regulation.. We suspect it is a provision in Obamacare.


15 posted on 07/12/2013 8:21:38 PM PDT by Toespi
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To: Toespi

This is the sort of crap that will drive people away from getting treatment.

Unintended liberal consequences.


16 posted on 07/12/2013 8:22:08 PM PDT by GraceG
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To: noprogs

heh, i didn’t realize that respironics makes them with wifi now.


17 posted on 07/12/2013 8:22:13 PM PDT by VAFreedom (maybe i should take a nap before work)
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To: Toespi

“Data logging records basic compliance info or detailed event logging, allowing the sleep physician (or patient) to download and analyse data recorded by the machine to verify treatment effectiveness.” - positive airway pressure wiki


18 posted on 07/12/2013 8:22:49 PM PDT by Teflonic
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To: Toespi

Does your husband hold a CDL, then yes, if diagnosed with sleep apnea, he has to prove effective treatment to pass the medical exam. It’s considered a public safety issue by the DOT.

Can’t blame this one on Zero though, it has been coming down the line for the last 10 years.


19 posted on 07/12/2013 8:23:00 PM PDT by dangerdoc (see post #6)
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To: Toespi

Wow!

I know that the older models do record all your data. Didn’t know the new ones were sending reports to the government!

I guess that technology does exist though. For years they have used a type of contractions monitor that alerted doctors if their homebound/bed rest patients were going into premature labor.


20 posted on 07/12/2013 8:24:10 PM PDT by Bodleian_Girl
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To: Toespi

http://www.ehow.com/info_8116401_cpap-memory-card-record.html

Here’s a link that may help.


21 posted on 07/12/2013 8:24:11 PM PDT by leapfrog0202 ("the American presidency is not supposed to be a journey of personal discovery" Sarah Palin)
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To: Toespi

well, “big brother” aside, cpap is the best medical device that i’ve ever got. i’m now well rested thanks to it.


22 posted on 07/12/2013 8:24:15 PM PDT by VAFreedom (maybe i should take a nap before work)
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To: Toespi
I have one about a year old and didn't use it for several months. I'm still driving.

The company that I get the machine from is a few blocks away. I'll pop over and find out. What brand is it?

23 posted on 07/12/2013 8:24:21 PM PDT by muleskinner
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To: Toespi

All of the newer CPAP systems have either a port to connect a link to them (basically a SD card reader/writer and data-logger) or a built in system that can be used by a tech to view usage, apneas, hypopneas and average pressure. After 30 days they can take the machine off flex and set it to an apropriate range by using the data. Perhaps certain insurance companies or providers have a requirement of them paying for the rental based on usage (you usually rent for 10 months, then the unit is purchased).

Using the data to revoke a DL is a little out there, I’d like to see the law or ordinance that allows that.


24 posted on 07/12/2013 8:27:11 PM PDT by jurroppi1
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To: Toespi

What is a CPAP machine?


25 posted on 07/12/2013 8:28:00 PM PDT by dalereed
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To: Toespi
I use a CPAP and this concerns me. Does his CPAP use have some diagnosed effect on his driving ability? I was having afternoon drowsiness and the Doc noticed my neck size had increased dramatically -- a symptom of sleep apnia and nighttime oxygen starvation. But I drive just fine, with or without CPAP although the CPAP and an oxygen generator help with daytime alertness.

I can almost see why insurance and Medicare would want to know about the machine's use, though I have MAJOR privacy concerns about the method allegedly used. As a conservative I'm really upsset about the obvious waste and fraud I see in this program. My supplier seems interested only in how much stuff they can bill Medicare/insurance for, and my pulmonary M.D. seems to be getting wealthier and wealthier by prescribing as much equipment as possible. "Free" government money seems to invite corruption.

26 posted on 07/12/2013 8:28:01 PM PDT by Bernard Marx
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To: Toespi
Anyone familiar with this?

My wife has to use one of those machines. The medical supply company that we rent it from says that it has an internal record-keeping device that records the duration of time for each 24 hour day that it's used. If it isn't used enough to qualify for Medicare reimbursement the feds won't pay for it. IIRC the minimum time is 4 hours, but I'm not 100% sure of that. Which make good sense IMHO, Medicare and Medicaid shouldn't be paying for anything that isn't necessary.

27 posted on 07/12/2013 8:30:42 PM PDT by epow ("It is the duty of the patriot to protect his country from its government." Thomas Paine)
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To: Toespi
It would have to communicate with the web to do that. That means either a wired connection or hooking up to your router, or at the very least a phone line.

I suppose they are claiming he has Narcolepsy, and may fall asleep suddenly. I have sleep apnea and have used a CPAP for about 14 years. I love it and don't even take a nap without it.

My doctor had me come in for a sleep study, then stick around for a "nap study" the next morning. It was a nap study, so every time after they woke me up, I went back to napping. (It beat the hell out of being at work!)

The guy got all excited and told me I had Narcolepsy and was unsafe to drive because I could fall asleep at any time. I told him he was crazy and asked him if that meant he would be prescribing amphetamines for me, and he quickly stammered "well no, he couldn't do THAT." That was the last I heard of that nonsense, and that was at least 10 years ago.

28 posted on 07/12/2013 8:30:47 PM PDT by Slump Tester (What if I'm pregnant Teddy? Errr-ahh -Calm down Mary Jo, we'll cross that bridge when we come to it)
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To: dalereed

CPAP - Continuous Positive Airway Pressure
Used to treat Sleep Apnea, and other disorders


29 posted on 07/12/2013 8:31:15 PM PDT by HangnJudge
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To: Toespi

The understanding I was given had to do with whether insurance would pay for it so it had to be proven it was being used to meet clinical requirements. This requirement about relating it to your DL was not part of any discussion but the poster above noting the CDL requirement may be different is probably on target.


30 posted on 07/12/2013 8:31:36 PM PDT by T-Bird45 (It feels like the seventies, and it shouldn't.)
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To: Toespi

Mine has an SD card that records the nightly usage. Every year before I have to take my DOT physical (I truck) I have to have the SD card read by Apria Healthcare. They print a report on my usage and I then have to take that to the doctor that performs the physical (70% usage is the minimum requirement for the DOT, that’s 21/30 nights per month minimum). No usage, no job.

So, yes, you are being monitored if your’s has an SD card that inserts on the back side of the machine. But real time monitoring? Nah.


31 posted on 07/12/2013 8:33:40 PM PDT by CARTOUCHE (Pity Bathouse Barry and his housemate Michelle the Miserable. Prisoners in their Marxist Universe.)
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To: VAFreedom

Not wi-fi. Communication with the Smart Meter is not done that way, but THROUGH AND ON THE POWER LINE.

110 volts 60 Hz can carry a signal of micro voltage amplitude and kHz frequency for data transmission without affecting motors, etc.

Clear now?


32 posted on 07/12/2013 8:35:26 PM PDT by noprogs (Borders, Language, Culture....all should be preserved)
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To: GraceG

Unintended liberal consequences.


Oh no. INTENDED consequences......this is the bunch who want the earth’s population halved.


33 posted on 07/12/2013 8:36:25 PM PDT by S.O.S121.500 (Any law repugnant to the Constitutuon is null and void.....ENFORCE THE BILL OF RIGHTS! It's the Law.)
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To: Toespi

My wife has cpap with what amounts to a wireless phone plugged into the back. The doctor’s office can call it and retrieve sleep time/usage and other data to make sure the patient is in “compliance”:

1-a-Patient actually using machine per doctors instructions
b-doctor can look at data to see if there are any problems

2 - Insurance carrier wants to make sure that patient is using the machine, since they are paying for it or renting it and pretty expensive for some units and expendable supplies.

I’m wondering if the doctor was concerned about patient falling asleep while driving. If patient doesn’t use cpap and fell asleep at the wheel and killed himself or others, the doctor may have some legal liability. Therefore the doctor may be required to turn in the patient to the DMV, causing the patient to loose his license.

http://www.cpaptalk.com/viewtopic.php?t=85846


34 posted on 07/12/2013 8:38:53 PM PDT by haffast (Books serve to show a man that those original thoughts of his aren't very new at all. -Abe Lincoln)
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To: Toespi

If you don’t mind, what is a CPAP?


35 posted on 07/12/2013 8:41:05 PM PDT by PghBaldy (12/14 - 930am -rampage begins... 12/15 - 1030am - Obama's advance team scouts photo-op locations.)
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To: DannyTN; Toespi

Your doctor is correct.


36 posted on 07/12/2013 8:48:11 PM PDT by 2ndDivisionVet (I'll raise $2million for Sarah Palin's next run. What'll you do?)
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To: 2ndDivisionVet

BFL


37 posted on 07/12/2013 8:56:34 PM PDT by 2ndDivisionVet (I'll raise $2million for Sarah Palin's next run. What'll you do?)
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To: Bernard Marx
"Free" government money seems to invite corruption.

No doubt about that, but my and my wife's Medicare coverage is anything but free. If we had been allowed to put the money we paid in to Medicare since it became mandatory in the 1960's until retirement in 1997 in an interest-bearing account or a good stock brokerage firm, we probably wouldn't need any government assistance for our medical expenses. IMHO Medicare should be restricted to paying only for very costly medical treatments and/or devices that most working persons or families can't afford, and the Medicare tax rate should be reduced accordingly. However, since we both paid Medicare tax every year for 40 years I don't feel guilty about accepting reimbursement for our necessary expenses, emphasis on "necessary".

38 posted on 07/12/2013 9:01:55 PM PDT by epow ("It is the duty of the patriot to protect his country from its government." Thomas Paine)
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To: DannyTN

Nope!

Tis true.

For Insurance to cover, I must use it a minimum of 4 hrs. a night, 75% of the time.

That is for moderate sleep apnea and no impact to my driving.

If it were severe, I’m sure the driving restrictions would apply.

The doctor/Ins monitoring is from a thumb drive I pull from the CPAP and plug into a PC and then log into my account.


39 posted on 07/12/2013 9:02:41 PM PDT by G Larry (Let his days be few; and let another take his office. Psalms 109:8)
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To: Toespi
My dad got a letter from United Health Care/medicare (I know United is separate from medicare, but that is what the letter said) they want to send someone to his house to talk with him about his health care and make sure he was making the best decisions for his health. I was livid. I told him to not answer a call or the door for anyone saying they want to come to his house. Should someone come and insist on coming in, I told him to carry one of his guns with him to the door. They will get the idea he means what he says. His doctor has been doing an excellent just caring for him. We do not need a bureaucrat’s opinion.
40 posted on 07/12/2013 9:03:47 PM PDT by Linda Frances (Woe to those who call evil good and good evil, who put darkness for light and light for darkness)
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To: DannyTN

I think so too.....losing your drivers license?...they don’t take away licenses of convicted child rapists or illegals...


41 posted on 07/12/2013 9:04:49 PM PDT by cherry
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To: epow

Thanks for your response. But it has absolutely nothing to do with what I posted even though I pretty much agree with it.


42 posted on 07/12/2013 9:05:18 PM PDT by Bernard Marx
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To: epow

Quote” What should a CMV driver do after learning that they have sleep apnea?
Each state sets its own medical standards for driving a commercial motor vehicle in intrastate commerce. Many States have adopted the medical regulations found under Section 391.41(b)(5) of the FMCSRs and have determined that sleep apnea is a disqualifying condition. Each State has the jurisdictional authority to suspend a CDL if a person has sleep apnea. Medical examiners and CMV drivers should check with their Department of Motor Vehicles for more information about medical standards in their State.

What level of sleep apnea (mild, moderate, severe) disqualifies a CMV driver?
The disqualifying level of sleep apnea is moderate to severe, which interferes with safe driving. The medical examiner must qualify and determine a driver’s medical fitness for duty.

What are the obligations of a motor carrier concerning an employee with sleep apnea?
A motor carrier may not require or permit a driver to operate a CMV if the driver has a condition, including sleep apnea, that would affect his or her ability to safely operate the vehicle.

http://www.fmcsa.dot.gov/safety-security/sleep-apnea/industry/commercial-drivers.aspx


43 posted on 07/12/2013 9:07:28 PM PDT by Pikachu_Dad (Impeach Sen Quinn)
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To: Toespi

I would be screwed because just like I sleep walk, I take off cpap mask in my sleep. Luckily they have documentation of it when I went for the sleep study with it on (after the one saying I needed it) and I was recorded taking it off 14 times while the attendant kept putting it back on.


44 posted on 07/12/2013 9:08:48 PM PDT by autumnraine (America how long will you be so deaf and dumb to thoe tumbril wheels carrying you to the guillotine?)
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To: Toespi

Read here


New Medical Certification Requirements: A Guide for Commercial Driver’s License (CDL) Holders
Print
Related Links
State by State Instructions
CDL - Medical Certification Requirements (FAQs)

Note: Starting January 30, 2012 and no later than January 30, 2014, all CDL holders must provide information to their SDLA regarding the type of commercial motor vehicle operation they drive in or expect to drive in with their CDL. Drivers operating in certain types of commerce will be required to submit a current medical examiner’s certificate to their SDLA to obtain a “certified” medical status as part of their driving record. CDL holders required to have a ”certified” medical status who fail to provide and keep up-to-date their medical examiner’s certificate with their SDLA will become ”not-certified” and they may lose their CDL.

For specific State by State requirements for drivers and information related to how a State is handling the Medical Certification requirements, and to determine who to contact for additional information, click on the following link: http://www.aamva.org/aamva/DocumentDisplay.aspx?id={687D99D3-FFB5-4B76-BD6F-F5EF54728BE0

What is changing? State driver licensing agencies (SDLAs) will be adding your medical certification status and the information on your medical examiner’s certificate to your Commercial driver’s license system (CDLIS) record.

When does this change start? This change starts on January 30, 2012.

What is not changing? The driver physical qualification requirements are not changing.

What are CDL holders required to do?

You must determine what type of commerce you operate in. You must certify to your SDLA to one of the four types of commerce you operate in as listed below,
Interstate non-excepted: You are an Interstate non-excepted driver and must meet the Federal DOT medical card requirements (e.g. – you are “not excepted”).

Interstate excepted: You are an Interstate excepted driver and do not have to meet the Federal DOT medical card requirements.

Intrastate non-excepted: You are an Intrastate non-excepted driver and are required to meet the medical requirements for your State.

Intrastate excepted: You are an Intrastate excepted driver and do not have to meet the medical requirements for your State.
If you are subject to the DOT medical card requirements, provide a copy of each new DOT medical card to your SDLA prior to the expiration of the current DOT medical card.”
http://www.fmcsa.dot.gov/registration-licensing/cdl/cdl-general-info.aspx


45 posted on 07/12/2013 9:08:55 PM PDT by Pikachu_Dad (Impeach Sen Quinn)
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To: Ray76

And “Message
zonk

Posts: 4,093
Joined: Feb 2012
Machine: S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: H5i
CPAP Pressure: 10/14
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Australia

Post: #1Sleep Apnea and the law
[Parts of this thread copied from the old forum]
By BikerEric - May 9 2010
______________________________________________________________

According to DOT ( Department of Transportation) Rules and regulations
If you are diagnosed with OSA and are left untreated OR not following your treatment regimen , Your DOT driver’s certificate can/will be withdrawn. ( Basically you have failed your DOT physical)
_____________________________________________________________
DOT Health and Safety Guidelines

Are your drivers compliant with current medical fitness standards?

The Department of Transportation, Federal Motor Safety Administration (FMCSA) recently proposed updates to existing guidelines regarding compliance with medical fitness standards related directly and indirectly to respiratory dysfunctions, including sleep apnea.

Physical qualifications, related to respiratory dysfunction for drivers, state that “a person is physically qualified to drive a commercial motor vehicle (CMV) if that person has no established medical history or clinical diagnosis of a respiratory dysfunction likely to interfere with his/her ability to control and drive a commercial motor vehicle safely. If the medical examiner detects a respiratory dysfunction, that in anyway is likely to interfere with the driver’s ability to safely control and drive a commercial motor vehicle, the driver must be referred to a specialist for further evaluation and therapy.”3
http://www.fmcsa.dot.gov/rules-regulatio...reg=391.41
FMCSA Rules and Regulations Section 391.41
_____________________________________________________________

In the State of Maryland ‘Sleep Apnea” is one of several medical reasons you can lose your Driver’s License entirely!
____________________________________________________________

Approval by Driver Wellness & Safety and/or the Medical Advisory Board is required if you have any of the conditions listed below. If you have a listed condition and you are applying for a learner’s permit, you must have approval prior to the issuance of the permit. If your driver’s license has been revoked and you have asked to have it reinstated, you may be referred by the MVA for review by Driver Wellness and Safety and/or the Medical Advisory Board.

1. Cerebral Palsy;
2. Diabetes requiring insulin;
3. Epilepsy;
4. Multiple sclerosis;
5. Muscular dystrophy;
6. Irregular heart rhythm or heart condition;
7. Stroke, ministroke, or transient ischemic attack (TIA);
8. Alcohol dependence or abuse;
9. Drug or substance dependence or abuse;
10. Loss of limb or limbs;
11. Traumatic brain injury;
12. Bipolar disorder;
13. Schizophrenic disorders;
14. Panic attack disorder;
15. Impaired or loss of consciousness, fainting, blackout, or seizure;
16. Disorder which prevents a corrected minimum visual acuity of 20/70 in each eye and a field of vision of at least 110 degrees;
17. Parkinson’s disease;
18. Dementia, for example, Alzheimer’s disease or multi-infarct dementia;
19. Sleep disorders, for example, narcolepsy or sleep apnea; or
20. Autism.

For a variety of other reasons, your name also may be given to the MVA for possible referral to the Board, by any of the following:

* Law enforcement agencies
* Judges or attorneys
* Private physicians, hospitals or health care providers
* Complaints from private citizens (after investigation by the MVA)

If you are referred, the MVA’s Driver Wellness and Safety Division (DW&S) will send you an information packet indicating additional information needed from you. The DW&S may then decide to refer you for an MAB evaluation.

The MAB does not perform medical examinations. The physician evaluating your situation primarily depends upon reports from your physician or treatment source. However, the physician may ask you to come in for an interview.
_____________________________________________________________

Just an FYI for those of you that didn’t know how serious this can be to your ability to make a living or even your freedom to move about.
“It is said , that some suffer from insanity, I, however, Choose to enjoy it”

http://www.fmcsa.dot.gov/registration-licensing/cdl/cdl-general-info.aspx


46 posted on 07/12/2013 9:13:01 PM PDT by Pikachu_Dad (Impeach Sen Quinn)
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To: GraceG
Unintended liberal consequences.

I wouldn't bet on it.

47 posted on 07/12/2013 9:15:26 PM PDT by E. Pluribus Unum (Who could have guessed that one day pro wrestling would be less fake than mainstream journalism?)
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To: Pikachu_Dad

I understand about disability, no dispute. Many of these conditions (dementia, autism, low vision/blindness, etc.) can be diagnosed and driving prohibited. It’s the spying that is objectionable. The OP mentioned a CPAP. CPAP is often used for sleep apnea. I don’t see any great interference with driving.


48 posted on 07/12/2013 9:22:13 PM PDT by Ray76 (Do you reject Obama? And all his works? And all his empty promises?)
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To: Toespi

They must have been joking with you.


49 posted on 07/12/2013 9:23:39 PM PDT by Vendome (Don't take life so seriously, you won't live through it anyway)
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To: Toespi

I just got one too. It has a memory chip but it is not monitored by anybody as far as I know.


50 posted on 07/12/2013 9:25:09 PM PDT by Some Fat Guy in L.A. (Still bitterly clinging to rational thought despite it's unfashionability)
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