Massachusetts law about medical qualifications to operate a motor vehicle

A compilation of laws, regulations, and web sources on medical qualifications to operate a motor vehicle law.

Table of Contents

Massachusetts laws

75 yrs old Renew in person

MGL c.90, § 8 says, in part, "An applicant for the renewal of a license 75 years of age or older shall apply for a renewal in person at a registry branch office."

MGL c.90, § 8C Medical advisory board; standards of fitness for applicants for learner's permits and licenses

MGL c.90, § 22I Permits health care providers and law enforcement officers to report "cognitive or functional impairment or incapability to operate motor vehicle safely" to the Registry of Motor Vehicles.

Massachusetts regulations

105 CMR 309 Safe driving
"designate[s] for health care providers and the Registry of Motor Vehicles cognitive or functional impairments that are likely to affect a person's ability to safely operate a motor vehicle."

540 CMR 24 Medical qualifications for operators of motor vehicles
"provid[es] minimum physical and mental qualification standards determined to be necessary for the safe operation of a motor vehicle."

Web sources

Medical qualifications for commercial driver’s licenses, Mass. Registry of Motor Vehicles
Information on intrastate waivers related to vision, diabetes, cardiovascular, loss or impairment of limb, and deaf or hard of hearing as well as a link to the application form for commercial instrastate medical waivers.

Medical standards for school bus and school pupils (7D) driver’s licenses, Mass. Registry of Motor Vehicles,
Standards for medical conditions including vision, cardiovascular, diabetes, respiratory and epilepsy.  Links to certificate application and medical evaluation forms.

Medical standards related to driving, Mass. Registry of Motor Vehicles
Includes information on reporting an impaired driver, getting a disability plate or placard, and more. See also Medical standards for passenger (Class D) and motorcycle (Class M) driver's licenses.

Older drivers, Mass. Registry of Motor Vehicles
Includes information for older drivers, their families, and physicians on safe driving for the elderly and reporting concerns about health issues affecting driving ability.

Senior driver safety & mobility, American Automobile Association.
Includes evaluating your driving ability, improving your driving skills, and resources for family and friends.

Your health and driving safely, Mass. Medical Society, Nov. 2017.
Pamphlet with list of medical conditions that can affect driving as well as driving evaluation and driver training programs.

Print sources

Motor vehicle law and practice: with forms, 5th ed. (Mass. Practice v.11) Thomson Reuters, 2021 with supplement. Sections 3:86 to 3:103 Medical Issues Pertaining to License to Operate.



Within Massachusetts only

Within Massachusetts only


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Last updated: April 7, 2022