Within the Manchin Amendment, provisions have been made in regard to special-issuance medical certificates. Unless a pilot’s condition relative to the special issuance has deteriorated within the 10-year period of when the law is enacted, that individual still qualifies under the guidelines of the new legislation. However, for a pilot that falls outside the 10-year period or who is a first-time applicant with the “big three” medical conditions, a special issuance is required.
Without getting into specifics, the conditions involve serious cardiovascular history, neurological problems and psychological disorders. Once again, unless an affected pilot already has medical data recorded with the FAA, the new legislation relies on the honor system.