On November 19th, 2018, the Federal Insulin Use Exemption Program was ended, and the Insulin Use Standard was changed. In place of the Federal Exemption, the new standard will now allow CME’s to certify drivers who use insulin. To accomplish this, a new Insulin Treated Diabetes (ITDM) form (MCSA-5870) will need to be sent to the driver’s diabetes treating provider (doctor) by the CME. The treating provider will have to fill out the form and signify that the driver is safe to drive. Then the CME would be able to certify the driver.