FAA Eases Policy on Special Issuance Medical Conditions

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Key Takeaways:

  • The Federal Air Surgeon has released the "Certificates an AME Can Issue" (CACI) list, streamlining the medical certification process for pilots.
  • Under CACI, Aviation Medical Examiners (AMEs) can now directly issue medical certificates for pilots with common conditions such as arthritis, asthma, glaucoma, and hypertension, eliminating the need for a special issuance.
  • AMEs can use their discretion, requiring documentation from the applicant, but are no longer required to forward this information 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.

The AME will need to have documentation to certify the pilot, but does not have to forward the documentation to the FAA. The Experimental Aircraft Association is hosting a webinar with Aeromedical Advisory Council member and senior AME Greg Pinnell at 8 p.m. EDT Wednesday, April 17.

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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