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On-road Testing. Illinois is the only state that requires a road test for older drivers to renew their
license (starting at age 75).
Changes in age-based on-road testing requirements:
• New Hampshire removed its road test requirement for drivers over the age of 75 when
renewing a license.
Reporting of Medical Conditions
Self-reporting. Forty-seven states (92.2%) ask an applicant to self-report medical conditions
during license renewal regardless of age. Of these, 17 (33.3%) ask an applicant to self-report
irrespective of whether the renewal is in person, online, or via mail. The other 30 (58.8%) only
inquire if the renewal is in person. The remaining four states (7.8%) (Arkansas, Connecticut,
New Hampshire, and Pennsylvania) do not ever ask an applicant to self-report medical
conditions during license renewal.
Changes in self-reporting:
• Seventeen states (33.3%) (Alaska, California, Colorado, Georgia, Hawaii, Iowa, Maine,
Michigan, Nebraska, Nevada, New Mexico, New York, North Dakota, Utah, Vermont,
Virginia, and Wyoming) changed the requirement for reporting of medical conditions to
all renewals instead of only at in-person renewals.
• Connecticut no longer asks drivers to self-report during any routine license renewals.
Physician reporting. All states allow physicians to report a medically-at-risk driver, and those
reports are generally kept confidential. Exceptions to confidentiality are sometimes made when
reports are subpoenaed, admitted as evidence in review, or requested by the driver who was
reported. Six states (California, Delaware, Nevada, New Jersey, Oregon, and Pennsylvania) also
have circumstances under which physicians are required to report a medically-at-risk driver.
Most states (N = 37, 72.6%) protect physicians from civil damages as a result of a lawsuit for
reporting medically-at-risk drivers. States provide several methods for physicians to report
medically-at-risk drivers. The great majority of states (N = 42, 82.4%) have a physician reporting
form available to submit to the agency. Most of the states (N= 38, 74.5%) that allow physicians
to report have the form available online. In California, the form for reporting is also available
from the local county health officer. Almost all states (N = 48, 94.1%) will accept a letter from a
physician reporting a medically-at-risk driver.
Changes in physician reporting:
• Alaska, Indiana, Iowa, Maine, Michigan, and Montana now have fewer exceptions that
allow access to confidential reports made by physicians.
• Colorado, Iowa, Kansas, and Oklahoma now have a physician reporting form available
online.
• Georgia still accepts forms, but they are now only available online.
• Indiana still has forms available online, but removed the option for physicians to report
at-risk drivers by letter, and paper forms are no longer available from central or local
branch driver licensing offices.
• Kentucky and Michigan now protect physicians from civil damages.