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FAA Eases Policy on Special Issuance Medical Conditions

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Key Takeaways:

  • The Federal Air Surgeon has introduced the "Certificates an AME Can Issue" (CACI) list, allowing Aviation Medical Examiners (AMEs) to directly issue medical certificates for certain conditions.
  • This new process streamlines the airman's medical certificate process, eliminating the need for a lengthy special issuance from the FAA for conditions like arthritis, asthma, glaucoma, and hypertension.
  • AMEs will now use their discretion and required documentation to certify pilots for these conditions, without forwarding the documentation to the FAA.
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The Federal Air Surgeon has released a long list of medical conditions that no longer require a special issuance for an airman’s medical certificate. The list is called “Certificates an AME Can Issue” or “CACI.”

The special issuance process can be lengthy and frustrating, so this is good news for many pilots. Now, a certified aviation medical examiner (AME) can issue a medical certificate using his or her own discretion for applicants with the following conditions: arthritis, asthma, glaucoma, chronic hepatitis C, hypertension, hypothyroidism, migraine and chronic headache, pre-diabetes, and renal (liver) cancer. More diagnoses are expected to be added to the list in the coming months.

Mark Phelps

Mark Phelps is a senior editor at AVweb. He is an instrument rated private pilot and former owner of a Grumman American AA1B and a V-tail Bonanza.

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