1. (1) With respect to conditions affecting cerebrovascular function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:

   1. (a) Cerebro-vascular accident or stroke.
   2. (b) Transient ischemic attack or TIA.
   3. (c) Carotid artery occlusion.
   4. (d) Aneurysm.

2. (2) The department may require information on a person’s functional ability including, but not limited to, the following:

   1. (a) Hypertension.
   2. (b) Residual motor control effects, such as limb paralysis.
   3. (c) Memory loss.
   4. (d) Impaired reasoning and judgment.
   5. (e) Disorientation.
   6. (f) Visual disturbances.
   7. (g) Altered consciousness.
   8. (h) Compensatory mechanisms.
   9. (i) Medication effects and side effects.
   10. (j) Diagnostic procedures.

3. (3)

   1. (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.

   2. (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. 1. Physician or APNP certifies that the person is reliable in following the person’s prescribed treatment program.
      2. 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. 3. Any cerebrovascular incident, such as a cerebrovascular accident or endarterectomy, occurred more than 6 months ago.
      4. 4. There are no current residual motor deficits that interfere with safe driving.
      5. 5. There is no impaired reasoning or judgment, as assessed by a physician or APNP.

   3. (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. 1. There is no motor deficit preventing safe driving.
      2. 2. There is no impairment of reasoning or judgment preventing safe operation of a vehicle, as assessed by a physician or APNP.
      3. 3. There are no medications interfering with the person’s ability to operate a motor vehicle safely.

History

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.