679 

Federal Aviation Administration, DOT 

§ 67.401 

medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

§ 67.311

Cardiovascular. 

Cardiovascular standards for a third- 

class airman medical certificate are no 
established medical history or clinical 
diagnosis of any of the following: 

(a) Myocardial infarction; 
(b) Angina pectoris; 
(c) Coronary heart disease that has 

required treatment or, if untreated, 
that has been symptomatic or clini-
cally significant; 

(d) Cardiac valve replacement; 
(e) Permanent cardiac pacemaker im-

plantation; or 

(f) Heart replacement. 

§ 67.313

General medical condition. 

The general medical standards for a 

third-class airman medical certificate 
are: 

(a) No established medical history or 

clinical diagnosis of diabetes mellitus 
that requires insulin or any other 
hypoglycemic drug for control. 

(b) No other organic, functional, or 

structural disease, defect, or limitation 
that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied medical judgment relating to the 
condition involved, finds— 

(1) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(2) May reasonably be expected, for 

the maximum duration of the airman 
medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

(c) No medication or other treatment 

that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied medical judgment relating to the 
medication or other treatment in-
volved, finds— 

(1) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(2) May reasonably be expected, for 

the maximum duration of the airman 
medical certificate applied for or held, 
to make the person unable to perform 

those duties or exercise those privi-
leges. 

§ 67.315

Discretionary issuance. 

A person who does not meet the pro-

visions of §§ 67.303 through 67.313 may 
apply for the discretionary issuance of 
a certificate under § 67.401. 

Subpart E—Certification 

Procedures 

§ 67.401

Special issuance of medical 

certificates. 

(a) At the discretion of the Federal 

Air Surgeon, an Authorization for Spe-
cial Issuance of a Medical Certificate 
(Authorization), valid for a specified 
period, may be granted to a person who 
does not meet the provisions of sub-
parts B, C, or D of this part if the per-
son shows to the satisfaction of the 
Federal Air Surgeon that the duties 
authorized by the class of medical cer-
tificate applied for can be performed 
without endangering public safety dur-
ing the period in which the Authoriza-
tion would be in force. The Federal Air 
Surgeon may authorize a special med-
ical flight test, practical test, or med-
ical evaluation for this purpose. A med-
ical certificate of the appropriate class 
may be issued to a person who does not 
meet the provisions of subparts B, C, or 
D of this part if that person possesses a 
valid Authorization and is otherwise 
eligible. An airman medical certificate 
issued in accordance with this section 
shall expire no later than the end of 
the validity period or upon the with-
drawal of the Authorization upon 
which it is based. At the end of its 
specified validity period, for grant of a 
new Authorization, the person must 
again show to the satisfaction of the 
Federal Air Surgeon that the duties 
authorized by the class of medical cer-
tificate applied for can be performed 
without endangering public safety dur-
ing the period in which the Authoriza-
tion would be in force. 

(b) At the discretion of the Federal 

Air Surgeon, a Statement of Dem-
onstrated Ability (SODA) may be 
granted, instead of an Authorization, 
to a person whose disqualifying condi-
tion is static or nonprogressive and 

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