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14 CFR Ch. I (1–1–19 Edition)

§ 67.309

or disorganized behavior, or other com-
monly accepted symptoms of this con-
dition; or

(ii) The individual may reasonably be

expected to manifest delusions, hallu-
cinations, grossly bizarre or disorga-
nized behavior, or other commonly ac-
cepted symptoms of this condition.

(3) A bipolar disorder.
(4) Substance dependence, except

where there is established clinical evi-
dence, satisfactory to the Federal Air
Surgeon, of recovery, including sus-
tained total abstinence from the sub-
stance(s) for not less than the pre-
ceding 2 years. As used in this sec-
tion—

(i) ‘‘Substance’’ includes: alcohol;

other sedatives and hypnotics;
anxiolytics; opioids; central nervous
system stimulants such as cocaine, am-
phetamines, and similarly acting
sympathomimetics; hallucinogens;
phencyclidine or similarly acting
arylcyclohexylamines; cannabis;
inhalants; and other psychoactive
drugs and chemicals; and

(ii) ‘‘Substance dependence’’ means a

condition in which a person is depend-
ent on a substance, other than tobacco
or ordinary xanthine-containing (e.g.,
caffeine) beverages, as evidenced by—

(A) Increased tolerance;
(B) Manifestation of withdrawal

symptoms;

physical health or impairment of so-
cial, personal, or occupational func-
tioning.

(b) No substance abuse within the

preceding 2 years defined as:

(1) Use of a substance in a situation

in which that use was physically haz-
ardous, if there has been at any other
time an instance of the use of a sub-
stance also in a situation in which that
use was physically hazardous;

(2) A verified positive drug test re-

sult, an alcohol test result of 0.04 or
greater alcohol concentration, or a re-
fusal to submit to a drug or alcohol
test required by the U.S. Department
of Transportation or an agency of the
U.S. Department of Transportation; or

(3) Misuse of a substance that the

Federal Air Surgeon, based on case his-
tory and appropriate, qualified medical

judgment relating to the substance in-
volved, finds—

(i) Makes the person unable to safely

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

(ii) 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.

neurosis, or other mental condition
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.

[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as
amended by Amdt. 67–19, 71 FR 35764, June
21, 2006]

§ 67.309

Neurologic.

Neurologic standards for a third-class

airman medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) Epilepsy;
(2) A disturbance of consciousness

without satisfactory medical expla-
nation of the cause; or

(3) A transient loss of control of nerv-

ous system function(s) without satis-
factory medical explanation of the
cause.

(b) No other seizure disorder, disturb-

ance of consciousness, or neurologic
condition that the Federal Air Sur-
geon, based on the case history and ap-
propriate, qualified 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

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