Driver Licensing – Self–Reporting of Medical Conditions

HB 646 requires Maryland’s Motor Vehicle Administration (MVA) to prioritize a medical provider’s report or referral - not its own assessment - as the main factor in deciding whether to issue, refuse, or cancel a driver’s license for individuals who self-report certain medical conditions. The MVA may still request additional testing for those reporting conditions, and must create an expedited process for issuing learner’s permits to people whose medical conditions have improved but who need to complete driver education or testing. This bill directly affects drivers and applicants who self-report qualifying medical conditions, such as those impacting vision, cognition, or physical ability. It shifts decision-making authority to medical professionals while maintaining MVA flexibility for safety reviews.