The Coast Guard is seeking public comment on the policy clarification proposed in this document regarding the specific medical documentation the Coast Guard will consider in determining whether a medical waiver is warranted for merchant mariners with cardiomyopathy, diabetes mellitus, or obstructive sleep apnea. Coast Guard Clarifies Reporting Requirements in NVIC 01-15, Further Thoughts on Defense of Drug Cases, Coast Guards Pro Bono Program Leaves Serious Questions Unanswered, Commandant Affirms Another Drug-Related Dismissal On Procedural Grounds, Coast Guard Modifies Medical Waivers For Mariners With ICDs, Pilot John Cota Sues Coast Guard Over Refusal To Return License, NTSB Overturns Commandant On Imposition Of Excessive Sanctions, Two Recent Developments In Medical Waiver Application Proceedings, Recent Hopeful Developments In Coast Guard Handling Of Medical Waivers Requests, Just How Random Do You Have To Be, Anyway ? 46 CFR 10.302 contains the medical standards that merchant mariners must meet prior to being issued a merchant mariner credential (MMC). New Documents Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. This repetition of headings to form internal navigation links Therefore, the disqualifying medical conditions for one branch is the same for another branch, yet the rate of approving medical waivers is different. on The Coast Guard may grant a waiver if an applicant for an MMC does not possess the vision, hearing or general physical condition necessary and extenuating circumstances warrant special padding: 0in 5.4pt 0in 5.4pt; In some cases, mariners with these conditions were granted waivers; in other cases, the conditions were deemed an unacceptable risk and medical certification was denied. Shane Steiner, Chief, Division of Operational Medicine, Commandant (CG-1121). 4. .telerik-reTable-4 td.telerik-reTableFooterEvenCol-4 History of anaphylaxis or systemic allergic reactions to stinging insects, food or food additives, Any allergic condition that requires use of emergency medication interventions (Epinephrine auto-injector), Eight or more teeth with multi-surface caries (cavities) that have not been corrected prior to arrival. QUESTION: What about Medical Waivers? The answer is no based on the current Department of Defense regulations. Federal Register. These criteria seek to discern those individuals with cardiomyopathy who have factors that mitigate their risk, and who have prognostic indicators suggestive of a low risk of sudden incapacitation or adverse cardiac event. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. Complete all required information in the necessary fillable areas. The following disorders are generally automatic disqualifiers in the Coast Guard: However, the Coast Guard (like other branches) is starting to apply more waivers to anxiety and depression than in the past. The list is comparable to the other branches of the military. font-size: 10pt; padding: 0in 5.4pt 0in 5.4pt; As a result, contacting a congressperson will not change anything about the matter. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Nick Anderson has been serving on Active Duty in the U.S. Navy for the last 10 years. pjI >vBS5GBD)CkoO_4ciA\>w"!,3K[Db[fH}2LbIIMC\^D)1Y|,BC>p`B7zrHcafn~ [{Bj publication in the future. { (c) Medical waivers may be granted with specific conditions to which the applicant must adhere, such as more frequent monitoring of the medical conditions, submission of medical exams and/or tests at varying intervals to track the ongoing status of the medical condition, or operational limitations in the manner the mariner may serve under the MMC. line-height: 115%; Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. The Coast Guard recruiter MAY, but is NOT REQUIRED, to contact HQ for a waiver to send you to MEPS for further processing. border-collapse: collapse; Refractive error corrected by orthokeratology, kerato-refractive, PRK, laser or any other corneal enhancement have numerous criteria to meet in order to be qualified. Submitting comments: If you submit a comment, please include the docket number for this document (USCG-2015-0090) and provide a reason for each suggestion or recommendation. A. border-width: 1pt; This information is not part of the official Federal Register document. .telerik-reTable-4 td.telerik-reTableOddCol-4 For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. (j)AVL%K"h2mlF3>C^effmj:i Links from these pages to non-Coast Guard sites are provided as a customer service and do not represent any implicit or explicit endorsement by the United States Coast Guard of any commercial or private issues or products presented there. In general, expect at least two weeks to a month to hear back on a military medical waiver. padding: 0in 5.4pt 0in 5.4pt; Our state-specific browser-based samples and simple instructions eradicate human-prone faults. establishing the XML-based Federal Register as an ACFR-sanctioned New recruits spend their first few days of basic training at MEPS making sure they pass all the medical requirements. Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. padding: 0in 5.4pt 0in 5.4pt; padding: 0in 5.4pt 0in 5.4pt; Learn more about the medical waiver process for the Army, Navy, Air Force, Marines, and Coast Guard. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. Guide, Incorporation border-left-style: solid; color: #FFFFFF; We recommend that you include your name and a mailing address, an email address, or a telephone number in the body of your document so that we can contact you if we have questions regarding your submission. The staff is still activily working on the reviews and all you can do is continue to pray and wait. for better understanding how a document is structured but .telerik-reTable-4 Unfortunately, there is no method of an appeal for recruits that get denied for a medical waiver. The Waiver for our DD just came through, Full Apppointment Letter with cadet number was right after that on "Bears Den" posted. Related Article How To Join The US Army. For example, breaking a foot inhibits you from carrying out the functions for duty. border-left-style: solid; Abnormalities which interfere with wearing military equipment or are disfiguring. See the Public Participation and Request for Comments portion of the SUPPLEMENTARY INFORMATION section below for instructions on submitting comments. IV. Anyone else out there? Document page views are updated periodically throughout the day and are cumulative counts for this document. and the absence of impairing diabetic complications, then mariners with a consistent pattern of HbA1c levels of less than or equal to 10% may be considered for a waiver, with annual reporting requirements. My son received the email stating his waiver was granted and he was fully accepted while he was in line for graduation (May 23) !! Coast Guard Medical Manual and Medically Related Instructions/Manuals (CG-112) Contact your local Health Safety & Work Life Regional Practice or CG SUPRT 24/7/365. NVIC 04-08, Condition # 193: Diabetes mellitus treated with insulin or with history of diabetic ketoacidosis (DKA). <>>> Enclosure (3) to Navigation and Vessel Inspection Circular 04-08, Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials, Item number 179, specifies that sleep apnea and other sleep disorders are subject to further review. 3 0 obj JavaScript is disabled. This important process will resume as soon as those employees return to work. Keep in mind that MEPS does not belong to any particular branch, but rather the Department of Defense. { Highest customer reviews on one of the most highly-trusted product review platforms. January 29 - Deadline for Regular Admissions forms and scores. Planning, Wills { Use of medications to reduce symptoms of ADD or ADHD within the previous 24 months. Availability of DD-2808 Report of Medical Examination and DD-2807-1 Report of Medical Use professional pre-built templates to fill in and sign documents online faster. Many service members that are fit for full duty and undergoing prolonged (greater than 12 months) treatment for mental and/or behavioral conditions will no longer require retention waivers and will not be subject to a medical evaluation board. Theft, Personal Forms, Real Estate Born and raised in Huntsville, Alabama, Nick enlisted in the Navy at the age of 17. The OFR/GPO partnership is committed to presenting accurate and reliable #1 Internet-trusted security seal. The steps for potentially obtaining a medical waiver include: Submit a complete medical prescreen form to the recruiter, who forwards it to the Military Entrance Processing Station (MEPS). The U.S. Armed Forces employ several guidelines to make sure recruits are eligible for service. Your request will be forwarded to the Coast Guard Personnel Service Center (PSC) who will review your DoDMERB exam results, medical history, our Chief Medical Officer's recommendation, and your appeal letter. Does the Coast Guard offer medical waivers? on their medical certificate indicating the mariner may not serve under the authority of the endorsement unless corrective lenses are worn and spare lenses are carried onboard a vessel. These can be useful .telerik-reTable-4 td.telerik-reTableFooterLastCol-4 Speak to an Air Force recruiter if you have any of the following conditions: Its also difficult to join the Air Force with the following mental health conditions: Related Article Military Disqualifications For Mental Health: 9 Common Conditions. (3) Mail: Docket Management Facility (M-30), U.S. Department of Transportation, West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE., Washington, DC 20590-0001. Looking for help now? on This prototype edition of the Related Article 20 Health Conditions That May Disqualify You From Military. on We have been receiving word that the Coast Guard's National Maritime Center (NMC) is trying to be more lenient (some might even say reasonable) in their reviewing of mariners' medical records, and in their processing of medical waiver requests. You may review a Privacy Act system of records notice regarding our public dockets in the January 17, 2008, issue of the Federal Register (73 FR 3316). Any waivers being granted? The Department of Defense sets the medical standards for people who wish to join the U.S. military. documents in the last year, 513 The Department of Defense established the medical standards for every branch of the military. NVIC 04-08 Condition #81, Anti-tachycardia devices or implantable cardioverter defibrillators directs that conditions requiring use of these devices are generally not waiverable. Enclosure (7) to NVIC 04-08 contains the criteria for consideration for a medical waiver for conditions requiring use of these devices. margin-bottom: 10.0pt; Can Fear of Covid-19 Become A Valid Defense To Desertion? The medical doctor assigned to you at MEPS has the ability to indicate on your records if a waiver is recommended for your case. The new ICD standards, published as Enclosure (7) to NVIC, can be accessed at www.uscg.mil/nmc. This document is issued under the authority of 5 U.S.C. (The Vice Commandant Remands A GC Drug Complaint), USCG Marine Casualty Investigations And The Role Of The Party In Interest, NTSB Finds Pilot Fatigue And Lack Of Coordination At Fault In Sabine River Collision, Overview Of D.O.T. It may not display this or other websites correctly. { .telerik-reTable-4 td.telerik-reTableLastCol-4 documents in the last year, by the Executive Office of the President background-color: #FFFFFF; Medical Waivers For Coast Guard Judgment Graded exercise testing may be required. documents in the last year, 282 Mariners with anti-tachycardia devices or implantable cardioverter defibrillators (ICDs) have, since the September 15, 2008 promulgation of NVIC 04-08, had to face the near-impossible task of getting the Coast Guard NMC to issue them a medical waiver. Before you reach MEPS youll complete the form Medical Prescreen of Medical History Report. For example, someone with Schizophrenia is likely to get denied by every military branch, while another recruit with a small curvature of scoliosis might have better luck the second time around. The United States Army will analyze infections and other conditions of the head, eyes, ears, nose, mouth, and neck. Medical conditions that are automatic disqualifiers (like bipolar disorder) means that youll likely be denied an appointment with MEPS. Individuals with these conditions may be denied medical certification unless they meet the criteria for a medical waiver. All Rights Reserved. These individuals may be denied medical certification. border-color: #4F81BD; DEC. 2646, at 5 (McDonald)(2004), so the changes will likely not help the two mariners noted above. Applicants who fail the American Optical Company PIP test shall be considered qualified if they pass a Computerized Color Vision Test (CCVT). Now, working with a Coast Guard Medical Certificate Form Pdf requires not more than 5 minutes. } Its possible to try and enlist in another branch after another denied your military medical waiver. Historical waiver information and electronic physical exam (EPE) data are ONLY accessible through AERO. The MMC application package must be submitted to your local REC. daily Federal Register on FederalRegister.gov will remain an unofficial III. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic episodes,[3] This site displays a prototype of a Web 2.0 version of the daily Recent, severe hypoglycemic episode is an episode of hypoglycemia within the prior 12 months resulting in seizure, loss of consciousness or altered consciousness, or requiring assistance from another person for treatment. Background: The Coast Guard is releasing a new version of the Merchant Mariner Credential Medical Evaluation Report (CG-719 K) and the Merchant Mariner Evaluation of Fitness for Entry Level Ratings . include documents scheduled for later issues, at the request 10.303 Medical waivers, limitations, and restrictions. The Coast Guard has been using an interim policy of an eight-year seizure-free period for determining whether or not a waiver is warranted. Violation of them with potential risks associated with uscga policy, or questioning does getting cleared me for coast guard medical waiver process for. Justification: Although poorly controlled diabetes can lead to long term diabetic complications, the consequences of hypoglycemia pose an immediate threat of sudden incapacitation with risk to public and maritime safety. Register (ACFR) issues a regulation granting it official legal status. on The facts are that these conditions are treatable, and we want members to get the treatment they need and remain in the Coast Guard.. the current document as it appeared on Public Inspection on margin-top: 0in; In cases where the mariner does not meet the medical standards in 46 CFR 10.302, waivers may be granted when the Coast Guard determines that extenuating circumstances warrant special consideration. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators ("ICD's") have, since the September 15, 2008 promulgation of NVIC 04-08, had to face the near-impossible task of getting the Coast Guard NMC to issue them a medical waiver. If the military deems you unfit for service, you may have a chance of receiving a military medical waiver. Related Article Can You Join The Military With Autism? All forms can be found on the CG-612 web site. This PDF is Relevant information about this document from Regulations.gov provides additional context. [QUOTE="S_Austin, post: 643219, member: 41419". ); (2) The applicant does not have a prior history of ventricular fibrillation or episodes of sustained ventricular tachycardia within the last three years; (3) The ICD or anti-tachycardia device was implanted more than three years ago; (4) The ICD has not fired nor has the applicant required anti-tachycardia pacing therapy within the last three years; (5) There are no additional risk factors for inappropriate shock such as uncontrolled atrial fibrillation; (6) The applicant's left ventricular ejection fraction is greater than 35% with a steady or improving trend; (7) There is no history of any symptomatic or clinically significant heart failure in the past two years; (8) There is no evidence of significant reversible ischemia on myocardial perfusionimaging exercise stress testing; (9) The applicant's exercise capacity on formal stress testing (using standard Bruce Protocol) is greater than or equal to the 8 METs (metabolic equivalents); (10) The applicant's treating cardiologist or electrophysiologist provides a written assessment of the individual that supports a determination that the mariner is at low risk for future arrhythmia, adverse cardiac event or sudden incapacitation based upon objective testing and standard evaluation tools; (11) The applicant does not have any other medical conditions which may alone, or incombination with an ICD or anti-tachycardia device, affect the mariner's fitness. documents in the last year, by the Energy Department better and aid in comparing the online edition to the print edition. { border-bottom-style: solid; TJURJ'8nt5ZK@9u%u +{(sTL~:QPe8J{&oFK,=o!A9pbKkKdT gtn;k=k k(_[sw",9q+4;Bl!t>M'(ex{{Ub>Tv>&D TC[>yPJT$R7}1BC9-IZ]ecE?A!$u'dxP[9kc%73yD9+SNg{? 02/17/2015 at 8:45 am. Publication Number. October 15 - Early Action deadline. To submit your comment online, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Submit a Comment on the line associated with this document. Each military branch handles medical waiver reviews differently but usually goes through several layers of approval. If you have any questions on forms, contact the Forms Management Officer at: uscg.forms@uscg.mil. font-family: Tahoma; Regardless, its still very difficult to receive a waiver for more serious mental health problems. documents in the last year, 122 If the doctor recommends you for a waiver then you still have a shot at receiving approval. What Constitutes Timely Reporting To The Coast Guard? } You may also visit the Docket Management Facility in Room W12-140 on the ground floor of the Department of Transportation West Building, 1200 New Jersey Avenue SE., Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. { New updates to Coast Guard policy loosen restrictions and impacts on service members undergoing mental and behavioral health treatment for conditions including (but not limited to) anxiety and depressive disorders. Current or history of use of hearing aids. padding: 0in 5.4pt 0in 5.4pt; 7101 et seq. stream documents in the last year, 11 .telerik-reTable-4 tr.telerik-reTableOddRow-4 During his deployments onboard the USS Fort McHenry, he traveled to 23 countries on four continents, sailing roughly 42,000 nautical miles across 30 seas and five oceans. NVIC 04-08, Condition #194: Diabetes requiring oral medication. } } If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8 1/2 by 11 inches, suitable for copying and electronic filing. The Rule Of Continuing Jurisdiction A Case Of First Impression, Death Of A Mariner During The Pendancy Of A Coast Guard-Filed Appeal, Three Strikes And Youre Out For The Coast Guard, Close But No Cigar: An Unusual, And Almost Successful, Battle Of The Experts In An ALJ Case. { Once a doctor at MEPS makes a recommendation the decision is left up to the Marine Corps to approve the waiver or not. For OSA treated by other means, submit a polysomnogram demonstrating the effectiveness of the alternative therapy. I know of one that came through this past Wednesday. .telerik-reTable-4 tr.telerik-reTableEvenRow-4 Unfortunately, the Commandant has held that regulation changes are not to be applied retroactively unless expressly so stated in the regulation itself, APP. documents in the last year, 467 Can You Join The Military With Scoliosis? Justification: The Coast Guard recognizes that there is significant clinical variation within the population of individuals with cardiomyopathy, and that not all individuals with cardiomyopathy carry the same risks of sudden incapacitation or sudden death. If You Have ADHD, What Can You Do To Enlist? Related Article Can You Join The Military With Scoliosis? If treated with CPAP/BiPAP, the evaluation should include a compliance information report from the positive airway pressure device that covers the preceding 12 months. Speak to a recruiter if you have any of the following: Its very hard to receive a medical waiver for the following mental health disorders: Related Article: Can You Join The Military With Asthma? documents in the last year, 83