Discretionary Medical Issuance

FAR 67.115 Discretionary Medical Issuance

FAR 67.115 lets applicants who don't meet second-class medical standards apply for discretionary issuance under §67.401. Learn how it works for pilots.

In Plain English

FAR 67.115 is a short but important safety net for pilots seeking a second-class medical certificate. If you don't meet one or more of the standard medical requirements found in §§ 67.103 through 67.113 (eye, ear/nose/throat, mental, neurologic, cardiovascular, or general medical standards), you aren't automatically disqualified.

Instead, you may apply for a discretionary issuance under § 67.401, commonly known as a Special Issuance Authorization or, in some cases, a Statement of Demonstrated Ability (SODA).

Why this matters operationally:

  • It gives commercial-level pilots a path to keep flying after developing a disqualifying condition.
  • The FAA Federal Air Surgeon evaluates each case individually, often requiring additional medical documentation, testing, or limitations.
  • Authorizations may be time-limited and conditional — you must follow any restrictions placed on the certificate.

In short, FAR 67.115 doesn't lower the medical bar; it simply opens the door to case-by-case review when standard criteria aren't met.

Regulation Text
14 CFR § 67.115
§ 67.115 Discretionary issuance. A person who does not meet the provisions of §§ 67.103 through 67.113 may apply for the discretionary issuance of a certificate under § 67.401.
Oral Exam Questions a DPE Might Ask
Q1If you can't meet the second-class medical standards, are you permanently disqualified?
No. Under FAR 67.115, an applicant who doesn't meet §§ 67.103 through 67.113 may apply for discretionary issuance of a certificate under § 67.401.
Q2Which regulation governs the discretionary issuance process referenced in the second-class medical standards?
FAR 67.115 directs applicants to § 67.401, which is the authority for discretionary (special) issuance of medical certificates.
Q3What sections must an applicant fail to meet before invoking FAR 67.115?
Per FAR 67.115, the applicant must not meet the second-class medical provisions of §§ 67.103 through 67.113, which cover eye, ENT, mental, neurologic, cardiovascular, and general medical standards.
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FAR 67.115 — Discretionary Issuance of Second-Class Medical