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This rulemaking would build upon the National Registry (2126-AA97) and Medical Certification (2126-AA10) final rules. This rulemaking would (1) require certified medical examiners (MEs) performing physical examinations on drivers of commercial motor vehicles (CMV) to use a newly developed Medical Examination Report (MER) form; (2) require MEs to use a prescribed form for the medical examiner´s certificate; (3) require MEs to report results of all completed commercial drivers´ physical examinations (including the results of examinations where the driver was found not to be qualified) to FMCSA by close of business on the day of the examination; (4) transmit information from the Medical Examiner´s Certificate electronically from the National Registry system to the State Driver Licensing Agencies (SDLAs);(5) transmit to the SDLAs information about Medical Examiner´s Certificates that have been invalidated because a subsequent examination has found that the driver is not physically qualified; and (6) require the Agency to transmit medical variance information for such drivers electronically to the SDLAs.