FAA Decides Not to Implement Controversial Medical Denial Proposal

The news came during a listening session on Wednesday, where the agency said it would instead review feedback from stakeholders aimed at improving the pilot medical certification process.

“I like to talk about safety being a team sport and certainly this is part of that process to make things better,” said acting FAA Administrator Chris Rocheleau in his opening remarks. “Clearly there are things that are not working for everyone.” 

Dr. Susan Northrup, FAA's federal air surgeon, acknowledged significant challenges, including a surge in applications—reaching a record 450,000 in 2024—and a sharp increase in special issuance cases, which require more time and documentation.

To streamline the process, the FAA is enhancing its MedXPress portal and working with industry groups to modernize medical procedures. Stakeholders also developed a checklist for pilots to prepare for exams and proposed several improvements — from simplifying forms and creating flowcharts for common diagnoses to sharing pilot testimonials.

The session included input from nearly a dozen pilot associations including the Aircraft Owners and Pilots Association, which praised the FAA’s latest decision.

“Dr. Northrup and her team are working to reduce delays in the FAA’s medical system and improve clarity and transparency in the application process—changes which are long overdue and which we very much support, said AOPA president and CEO Darren Pleasance. “Clear and detailed guidance on what medical documentation is required up front will help in reducing that burden.”

Editor's note: This article first appeared on AVweb.