{"data":{"id":"us/14-cfr-68.9","jurisdiction":"us","citation":"14 CFR 68.9","heading":"Special Issuance process.","body":"(a) General. An individual who has met the qualifications to operate an aircraft under § 61.113(i) of this chapter and is seeking to act as a pilot in command or serve as a required flightcrew member under that section must have completed the process for obtaining an Authorization for Special Issuance of a Medical Certificate for each of the following:\n(1) A mental health disorder, limited to an established medical history or clinical diagnosis of—\n(i) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts;\n(ii) A psychosis, defined as a case in which an individual—\n(A) Has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of psychosis; or\n(B) May reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of psychosis;\n(iii) A bipolar disorder; or\n(iv) A substance dependence within the previous 2 years, as defined in § 67.307(a)(4) of this chapter.\n(2) A neurological disorder, limited to an established medical history or clinical diagnosis of any of the following:\n(i) Epilepsy;\n(ii) Disturbance of consciousness without satisfactory medical explanation of the cause; or\n(iii) A transient loss of control of nervous system functions without satisfactory medical explanation of the cause.\n(3) A cardiovascular condition, limited to a one-time special issuance for each diagnosis of the following:\n(i) Myocardial infarction;\n(ii) Coronary heart disease that has required treatment;\n(iii) Cardiac valve replacement; or\n(iv) Heart replacement.\n(b) Special rule for cardiovascular conditions. In the case of an individual with a cardiovascular condition, the process for obtaining an Authorization for Special Issuance of a Medical Certificate shall be satisfied with the successful completion of an appropriate clinical evaluation without a mandatory wait period.\n(c) Special rule for mental health conditions. (1) In the case of an individual with a clinically diagnosed mental health condition, the ability to operate an aircraft under § 61.113(i) of this chapter shall not apply if—\n(i) In the judgment of the individual's State-licensed medical specialist, the condition—\n(A) Renders the individual unable to safely perform the duties or exercise the airman privileges required to operate an aircraft under § 61.113(i) of this chapter; or\n(B) May reasonably be expected to make the individual unable to perform the duties or exercise the privileges required to operate an aircraft under § 61.113(i) of this chapter; or\n(ii) The individual's driver's license is revoked by the issuing agency as a result of a clinically diagnosed mental health condition.\n(2) Subject to paragraph (c)(1) of this section, an individual clinically diagnosed with a mental health condition shall certify every 2 years, in conjunction with the certification under § 68.3(b)(3), that the individual is under the care of a State-licensed medical specialist for that mental health condition.\n(d) Special rule for neurological conditions. (1) In the case of an individual with a clinically diagnosed neurological condition, the ability to operate an aircraft under § 61.113(i) of this chapter shall not apply if—\n(i) In the judgment of the individual's State-licensed medical specialist, the condition—\n(A) Renders the individual unable to safely perform the duties or exercise the airman privileges required to operate an aircraft under § 61.113(i) of this chapter; or\n(B) May reasonably be expected to make the individual unable to perform the duties or exercise the privileges required to operate an aircraft under § 61.113(i) of this chapter; or\n(ii) The individual's driver's license is revoked by the issuing agency as a result of a clinically diagnosed neurological condition.\n(2) Subject to paragraph (d)(1) of this section, an individual clinically diagnosed with a neurological condition shall certify every 2 years, in conjunction with the certification under § 68.3(b)(3), that the individual is under the care of a State-licensed medical specialist for that neurological condition.","path":["Title 14—Aeronautics and Space","CHAPTER I—FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION","SUBCHAPTER D—AIRMEN","PART 68—REQUIREMENTS FOR OPERATING CERTAIN SMALL AIRCRAFT WITHOUT A MEDICAL CERTIFICATE"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-14.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:24:20Z","sha256":"dbc1337fddb2e62ca35e35e0086c01c72a5d5434550fbe56e4ce5a2fba0c5879","source_id":"us-cfr","stale":true,"prev":"us/14-cfr-68.7","next":"us/14-cfr-68.11"},"notice":"GroundRules: Original legal text. Not legal advice."}