Medical Fitness to Drive and a Voluntary State Reporting Law

This project evaluated the functional impact and efficacy of Missouri’s Voluntary Reporting Law (House Bill HB-1536) for drivers considered as potentially unfit due to real or suspected medical-functional deficit or compromise. Passed in 1998, HB-1536 provides a voluntary, legal process whereby concerned family members, police officers, physicians, license office staff, and others can report a driver for re-evaluation and possible license revocation. The reporter’s identity is maintained as confidential, and HB-1536 provides civil immunity protection from prosecution for breach of patient confidentiality (if applicable). HB-1536 is non-specific with respect to age, such that a 20-year-old with psychosis can be reported as readily as an 80-year-old with dementia. However, historically, most of those reported were 50 years of age or older (93%). HB-1536 is administered through the driver licensing authority in Missouri, the Department of Revenue (DOR), in cooperation with the Missouri State Highway Patrol (MSHP) which provides on-road testing services utilizing a standardized operational test applied to all prospective drivers regardless of age or functional condition.

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