Aviation Medication Transparency Act of 2026

The bill now covers 'medical clearance' in addition to 'medical certification,' broadening applicability beyond traditional medical certificates to include other forms of aviation medical authorization.

Over-the-counter medications are now explicitly included alongside prescription medications, both in the purpose statement and in the list requirements.

The consultation requirement was expanded to include professional pilot flight training schools certified under part 141, the Civil Aviation Medical Association, and organizations representing general aviation operators and pilots. The 'any other stakeholder' determination authority shifted from the Working Group to the Administrator.

The list must now include contra-indications associated with allowed medications and whether FAA review may be required for a given medication, providing more detailed safety information to aviation stakeholders.

The list must now be made available on MedXPress (the FAA's medical portal) in addition to being publicly available on the FAA website, ensuring it reaches individuals at the point when they first seek certification or clearance.

The update frequency changed from a fixed annual schedule to an event-driven trigger: the list must be updated whenever relevant information in the Guide for Aviation Medical Examiners or other FAA medical certification policy is updated.

A new savings clause (subsection e) protects the Administrator from liability if an airman, air traffic control specialist, or applicant relies on the published list and experiences an adverse medical reaction, causes harm to persons or property, or is deemed ineligible for certification or clearance.

The 'Do Not Issue' list reference was expanded to 'Do Not Issue or Do Not Fly,' incorporating both designations into the transparency requirements.

The short title year changed from 2025 to 2026, and the stabilization time requirement was narrowed from 'minimum and average period' to just 'minimum period' with an added 'if practicable' qualifier.