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(j) Diagnostic procedures.
(3) 
(a) Licensing standards. No endorsement or license may be issued to, renewed by, or held by a person who does not meet the applicable medical review standards for conditions affecting cerebrovascular function of this subsection.
(b) Medical standards for school bus and passenger endorsements. A person who applies for, renews, or holds a school bus or passenger endorsement shall meet all of the following cerebrovascular function criteria:
1. Physician or APNP certifies that the person is reliable in following the person’s prescribed treatment program.
2. Blood pressure reading shows a systolic pressure of 180 millimeters of mercury or less and a diastolic pressure of 105 millimeters of mercury or less, with or without medication.
3. Any cerebrovascular incident, such as a cerebrovascular accident or endarterectomy, occurred more than 6 months ago.
4. There are no current residual motor deficits that interfere with safe driving.
5. There is no impaired reasoning or judgment, as assessed by a physician or APNP.
(c) Medical standards for all classes of operators licenses. A person who applies for, renews, or holds any classification of operator’s license shall meet all of the following cerebrovascular function criteria:
1. There is no motor deficit preventing safe driving.
2. There is no impairment of reasoning or judgment preventing safe operation of a vehicle, as assessed by a physician or APNP.
3. There are no medications interfering with the person’s ability to operate a motor vehicle safely.
History: Cr. Register, April, 1991, No. 424, eff. 5-1-91; am. (1) (a), (b), r. (1) (e), (3) (b) 1., (c) 3., renum. (3) (b) 2. to 6. to be (3) (b) 1. to 5. and am. 4., (3) (c) 4. to be (3) (c) 3., Register, June, 1996, No. 486, eff. 7-1-96; CR 04-117: am. (3) (b) 1. and 3. Register April 2005 No. 592, eff. 5-1-05; CR 06-099: am. (3) (b) 1. and 5. and (c) 2., Register June 2007 No. 618, eff. 7-1-07.
Trans 112.08 Conditions affecting endocrine function.
(1) With respect to conditions affecting endocrine function, the review boards, when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:
(a) Diabetes mellitus.
(b) Pituitary disorders.
(c) Thyroid disorders.
(d) Parathyroid disorders.
(e) Adrenal dysfunction.
(2) The department may require information on a person’s functional ability including, but not limited to, the following:
(a) Hypoglycemia.
(b) Hyperglycemia.
(c) Complications of condition.
(d) Reliability of the person in following a prescribed treatment program.
(e) Weakness.
(f) Fluid and electrolyte imbalance.
(g) Mental changes.
(h) Hypokalemia.
(i) Frequency of symptoms.
(3) 
(a) Licensing standards. No license or endorsement may be issued to, renewed by, or held by a person who does not meet the applicable medical review standards for conditions affecting endocrine functions of this subsection.
(b) Medical standards for school bus and passenger endorsements. A person who applies for, renews, or holds a school bus or passenger endorsement shall meet all of the following endocrine function criteria:
1. The person is in a treatment program certified by a physician or APNP as appropriate for adequate control of the condition.
2. The person has non-insulin requiring diabetes that is controlled.
3. There is no weakness, tremor, lethargy, or motor impairment interfering with safe driving.
4. The person monitors his or her blood sugar levels as advised by a physician or APNP, and is knowledgeable about the condition.
(c) Medical standards for all classes of operators licenses. A person who applies for, renews, or holds any classification of operator’s license may not evidence any frequent or functionally impairing hypoglycemic reactions.
History: Cr. Register, April, 1991, No. 424, eff. 5-1-91; r. (2) (j), (3) (b) 3., 4., 6., renum. (3) (b) 5. and 7. to be (3) (b) 3. and 4. and am. 4., am. (3) (c), Register, June, 1996, No. 486, eff. 7-1-96; CR 06-099: am. (3) (b) 1. and 4., Register June 2007 No. 618, eff. 7-1-07.
Trans 112.10 Conditions affecting neurological or neuromuscular function.
(1) With respect to conditions affecting neurological or neuromuscular function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:
(a) Brain injury.
(b) Cerebral palsy.
(c) Multiple sclerosis.
(d) Muscular dystrophy.
(e) Myasthenia gravis.
(f) Neuralgia or neuritis.
(g) Parkinson’s disease or other extrapyramidal disorders or symptoms.
(h) Poliomyelitis.
(i) Seizure disorders.
(j) Spinal cord injury.
(2) The department may require information on functional ability including, but not limited to, the following:
(a) Episodes of altered consciousness or loss of bodily control.
(b) Degree of functional impairment, including the extent to which loss of muscle tone, range of motion, spasm, or fatigue affects functional ability.
(3) 
(a) Licensing standards. No license or endorsement may be issued to, renewed by, or held by a person who does not meet the medical review standards for conditions affecting neurological or neuromuscular function of this subsection.
(b) Medical standards for school bus and passenger endorsements. A person who applies for, renews, or holds a school bus or passenger endorsement shall meet all of the following neuromuscular function criteria:
1. Any neurological or neuromuscular condition is controlled.
2. The person’s driving is not impaired by weakness, numbness, or muscle spasm, or the person adequately compensates for any paralysis or paresthesia while driving.
3. The person is knowledgeable about the neuromuscular or neurological condition.
4. There are no episodes of altered consciousness or loss of bodily control caused by a neurological condition unless one of the following apply:
a. There has been a single, nonrecurring episode of altered consciousness or loss of bodily control that occurred more than 2 years prior to the application, the cause has been identified, and no treatment is required.
b. A seizure disorder has been diagnosed, but the person has been episode-free for at least 5 years preceding application and has not required treatment for at least 5 years preceding application.
c. Narcolepsy has been diagnosed as the cause of the episode, there have been no episodes of loss of consciousness for the past 2 years and the person’s physician or APNP indicates treatment has been successful.
(bm) Medical standards for commercial driver licenses. A person who applies for, renews, or holds a commercial driver license may not have been subject to any episodes of altered consciousness or loss of bodily control caused by a neurological condition unless one of the following apply:
1. There has been a single, nonrecurring episode of altered consciousness or loss of bodily control occurring at least 2 years preceding application, and the cause of the episode has been identified and no treatment is required.
2. A seizure disorder has been diagnosed, but the person has been episode-free for at least 5 years preceding application.
(c) Medical standards for all classes of operators licenses. A person who applies for, renews, or holds for any classification of operator’s license shall meet all of the following neuromuscular function criteria:
1. The person may not have had an episode of altered consciousness or loss of bodily control caused by a neurological condition for the 3 month period preceding medical review by the department under this chapter.
2. The person adequately compensates for any paralysis or sensory deficit when operating a vehicle.
3. Fatigue, weakness, muscle spasm, pain or tremor at rest does not impair safe driving, as assessed by a physician or APNP or determined through a driving evaluation.
4. There is no decline in cognition to an extent that interferes with safe driving.
History: Cr. Register, April, 1991, No. 424, eff. 5-1-91; renum. (3) (c) 6. to be (3) (bm) and am. Register, October, 1991, No. 430, eff. 11-1-91; renum. (1) (a) to (i) to be (1) (b) to (j), (1) (j) to be (1) (a), (3) (b) 6. to be (3) (b) 4. and am. 4.a., (c) 5. to be (c) 4., r. and recr. (2) (b), (3) (c) 1., am. (3) (b) 1., 3., (bm) 1., (c) 3., r. (3) (b) 4., 5., (c) 4., cr. (3) (b) 4. c., Register, June, 1996, No. 486, eff. 7-1-96; CR 06-099: am. (3) (b) 4. c. and (c) 3., Register June 2007 No. 618, eff. 7-1-07.
Trans 112.12 Conditions affecting psychosocial, mental or emotional function.
(1) With respect to conditions affecting psychosocial, mental or emotional function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:
(a) Schizophrenia.
(b) Personality disorders.
(c) Bipolar disorder.
(d) Delusional disorders.
(e) Dementia and organic brain syndrome.
(f) Other mood disorders.
(2) The department may require information on functional ability including, but not limited to, the following:
(a) Impaired impulse control.
(b) Reality testing and orientation.
(c) Impaired affect or mood.
(d) Asocial, anti-social or dissocial behaviors.
(e) Impulse control.
(f) Suicidal risk.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.