Decree No. 204 / 2025 Coll.
Ordinance amending Decree No. 277 / 2004 Coll., on the determination of medical fitness to drive motor vehicles, medical fitness to drive motor vehicles, with the condition and necessity of a medical certificate certifying health reasons for which safety belts cannot be fastened on the seat of a motor vehicle, as amended
Valid
Effective from 01.07.2025
204
DECLARATION
of 19 June 2025
amending Decree No 277 / 2004 Coll., on the determination of medical fitness to drive motor vehicles, medical fitness to drive motor vehicles with the condition and requirements of a medical certificate certifying health reasons for which a safety belt cannot be fastened on the seat of a motor vehicle (Ordinance on medical fitness to drive motor vehicles), as amended
According to Section 137 (3) of Act No. 361 / 2000 Coll., on road traffic and on amendments to certain laws (Road Traffic Act), as amended by Act No. 411 / 2005 Coll., Act No. 101 / 2013 Coll. and Act No. 271 / 2023 Coll., to implement Sections 84 (7) and 85 (7) of the Road Traffic Act:
Decree No 277 / 2004 Coll., on the determination of the medical fitness to drive motor vehicles, medical fitness to drive motor vehicles with the condition and formalities of a medical certificate certifying the medical reasons for which the safety belt cannot be fastened to the seat of the motor vehicle (the certificate on fitness to drive motor vehicles), as amended by Decree No. 253 / 2007 Coll., Decree No. 72 / 2011 Coll., Decree No. 271 / 2015 Coll., Decree No. 37 / 2018 Coll., and Decree No. 445 / 2024 Coll., are amended as follows:
1. In footnote 1, the words "Commission Directive 2009 / 113 / EC of 25 August 2009 amending Directive 2006 / 126 / EC of the European Parliament and of the Council on driving licences' shall be inserted after the words" Directive 2006 / 126 / EC of the European Parliament and of the Council of 20 December 2006 on driving licences (recast) '.
2. In Article 6 (1), the words "a professional examination may be replaced by an examination by a medical assessor if he is able to assess the stage of the disease listed in Annex 3 and is able to assess the fitness to drive motor vehicles' shall be added at the end of the text in point (c).
3. In Article 6 (1) (d), the word "always' is deleted and, at the end of the text of point (d), the words" a professional examination may be replaced by an examination by an assessor, if it has the necessary information on the health status of the report from the doctor or clinical psychologist in whose continuous care the person is under consideration, and on the basis of that report and its examination it is able to assess the fitness to drive motor vehicles'.
4. In Article 6 (1), the words "a professional examination may be replaced by an examination by a medical assessor if he has the necessary information on the medical condition of a neurologist's report and, on the basis of that report and his examination, is able to assess the medical fitness to drive motor vehicles' shall be added at the end of the text of point (e).
5. In Annex No 3, Chapter IV, entry 1, group 1 reads as follows:
"Group 1
(a) peripheral vascular disease, which means an aneurysm of the thoracic and abdominal aorta, the maximum diameter of the aorta being such that there is a serious risk of sudden rupture, thereby causing the driver to suddenly become unfit to drive the vehicle;
(b) heart valve disease including aortic regurgitation or aortic stenosis, mitral regurgitation or mitral stenosis, if the functional capacity is estimated to be New York Heart Association (NYHA) IV or if a syncope occurred,
(c) Brugado syndrome with syncope or after circulatory arrest,
(d) heart failure with NYHA IV classification. ';
6. In Annex 3, Chapter IV, item 1, Group 2, points (a) to (e) read:
"(a) a disease of large (central) arteries which means an aneurysm of the thoracic aorta, abdominal aorta and pelvic arteries, the maximum diameter of the aorta or pelvic artery being such that there is a serious risk of sudden rupture, which in turn causes the driver to suddenly become incompetent to drive the vehicle;
(b) heart valve disease in NYHA III or IV or with ejection fraction below 35%, mitral stenosis with severe pulmonary hypertension, echocardiographically diagnosed serious aortic stenosis or aortic stenosis causing syncope; the exception is fully asymptomatic severe aortic stenosis if a stress test has been performed without an abnormal result;
c. Hypertrophic cardiomyopathy with syncope in the past, or if two or more of the following conditions are met:
1. the thickness of the left ventricle wall is more than 3 cm;
2. non-sustained ventricular tachycardia has been documented;
3. sudden death of a relative at first instance,
4. there is no increase in blood pressure during exercise,
(d) long QT syndrome with syncope or documented torsade des pointes or QTc greater than 500 ms;
(e) Brugado's syndrome with syncope or after circulatory arrest, "
7. In Annex 3, Chapter IV, item 2, Group 1 (a):
"(a) bradyarrhythmias which mean damage to the sinus node function and transfer disorder, or tachyarrhythmias which mean supraventricular and ventricular arrhythmias that caused syncope,"
8. In Annex No 3, Chapter IV, item 2, Group 1, points (c) and (d) are as follows:
"(c) after implantation or replacement of a defibrillator, or after adequate or disproportionate discharge of the defibrillator,
(d) a syncope which means temporary loss of consciousness and muscle tone characterised by rapid onset, short duration and spontaneous recovery, which occurs as a result of total underblood supply of brain tissue which is caused by reflexive or unclear aetiology, '.
9. In Annex 3, Chapter IV, item 2, Group 1 (n), the word "malignant 'is replaced by" insufficiently corrected arterial'.
10. In Annex 3, Chapter IV, item 2, Group 1, point (p):
"(p) hypertrophic cardiomyopathy, if there is no evidence of syncope,"
11. In Annex 3, Chapter IV, item 2, Group 1 (q), the word "minor 'is replaced by the word" larger'.
12. In Annex 3, Chapter IV, item 2, Group 1, point (r) is deleted.
Points (s) and (t) to date shall be renumbered as points (r) and (s).
13. in Annex 3, Chapter IV, item 2, Group 1 (r):
"(r) sustained ventricular tachyarrhythmias associated with structural heart disease."
14. In Annex 3, Chapter IV, entry 2, Group 1, point (s) is deleted.
15. in Annex 3, Chapter IV, item 2, Group 2, points (a) to (c) read:
"(a) bradyarrhythmias which mean damage to sinus node function and transfer disorder, or tachyarrhythmias which mean supraventricular and ventricular arrhythmias that caused syncope;
(b) bradyarrhythmias which include impairment of the sinus node function, atrioventricular block of grade II Möbitz type, atrioventricular block of the third degree or alternating arm block,
(c) tachyarrhythmias which include persistent ventricular tachycardia or persistent polymorphic ventricular tachycardia with an indication for implantation of the defibrillator; ';
16. In Annex 3, Chapter IV, item 2, Group 2 (f), the word "reflective 'shall be deleted and the words" which mean temporary loss of consciousness and muscle tone characterised by rapid onset, short duration and spontaneous recovery due to total blood loss of brain tissue caused by reflexive or unclear aetiology' shall be added.
17. In Annex 3, Chapter IV, item 2, Group 2 (n), the words "provided that the left ventricular ejection fraction is at least 35% 'are deleted.
18. In Annex 3, Chapter IV, item 2, Group 2, points (q) and (r) are deleted.
Points (s) and (t) shall be renumbered as points (q) and (r).
19. In Annex 3, Chapter IV, item 2, Group 2, the word "increased 'shall be inserted at the beginning of point (q).
20. In Annex 3, Chapter IV, entry 3, including the title, reads:
"3. Other cardiomyopathy
For applicants or drivers with specific cardiomyopathy, such as right ventricular arrhythmogenic cardiomyopathy, non-compact cardiomyopathy, catecholanergic polymorphic tachycardia and short QT syndrome, or other new cardiomyopathy that may be defined, the individual risk of sudden motor vehicle incapacity shall be assessed. ';
Efficacy
This Decree shall take effect on 1 July 2025.
Minister for Health:
Prof. MUDr. Válek, CSc., MBA, EBIR, v. r.
Sign in for notes, favorites and notifications
Regulation Information
| Citation | Decree No. 204 / 2025 Coll., amending Decree No. 277 / 2004 Coll., on the determination of medical fitness for the driving of motor vehicles, medical fitness for the driving of motor vehicles with the condition and formalities of a medical certificate certifying medical reasons for which safety belts cannot be fastened to the seat of a motor vehicle (Motor Vehicle Health Order), as amended |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 24.06.2025 |
|---|---|
| Effective from | 01.07.2025 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
Comments 0