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FAA Eases Policy on Special Issuance Medical Conditions

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Key Takeaways:

  • The Federal Air Surgeon has expanded the "Certificates an AME Can Issue" (CACI) list, allowing certified aviation medical examiners (AMEs) to approve medical certificates for more conditions.
  • This change simplifies the medical certification process for pilots with conditions such as arthritis, asthma, glaucoma, hypertension, and migraines, as they no longer require a lengthy special issuance.
  • AMEs can now issue medical certificates for these specific conditions based on their own discretion and required documentation, without needing to forward it 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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