2014, the National Registry rule requires all Medical Examiners (ME) who conduct physical examinations and issue medical certifications for interstate CMV drivers to complete training on FMCSA’s physical qualification standards, pass a certification test, and demonstrate competence through periodic training and testing. CMV drivers whose medical certifications expire must use MEs on the National Registry for their examinations. FMCSA has reached its goal of at least 40,000 certified MEs signing onto the registry, meaning drivers can now find certified medical examiners throughout the country who can competently perform their medical exam. FMCSA is preparing to issue a follow-on “National Registry 2” rulemaking that will require MEs to submit medical certificate information on a daily basis. These daily updates, which FMCSA will transmit to states electronically, will dramatically decrease the chance of drivers falsifying medical cards. ELDT- Entry Level Driver Trains Program and TPR- Training Provider Registry On February 7, 2022, new regulations have been put into place regarding obtaining a commercial driver's license, upgrading an existing CDL license or obtaining a passenger, school bus or hazmat endorsement. The new regulation adjusted the minimum training standards. As of Feb. 7, 2022 training providers will be required to register with the TPR and upload documents to confirm applicants for CDL licenses have met the EDLT minimum standards. CSA overhaul In 2015 a Congressional mandate, that was part of the Fixing America’s Surface Transportation Act (FAST Act), directed a full review of the CSA program by the Inspector General of the U.S. Department of Transportation and the National Academy of Sciences (NAS). The review (study) was named the "Correlation Study Corrective Action Plan". The FMCSA had already started implementing changes in the CSA but withdrew these after the study was published. Fleet mileage will be included in the new plan and the FMCSA will study sharing information with the International Registration Plan (IRP) and International Fuel Tax Agreement (IFTA) organizations with consideration of incentives for voluntary mileage updates. The FMCSA will partner with the National Highway Traffic Safety Administration in getting states to participate in uniform crash reporting standards. In September 2018 the FMCSA began small-scale testing using an Item Response Theory (IRT) model to replace the Safety Measurement System with plans for full testing in 2019. The FMCSA currently uses percentile comparisons (relative rankings) of similar fleets when computing the "Behavioral Analysis and Safety Improvement Categories" (BASIC) scores but will study if