AME Assisted Special Issuance (AASI)
Apr 2014
Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide pages 10-13, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).
AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is otherwise disqualifying under Title 14 of the Code of Federal Regulations (14 CFR) part 67.
The FAA specifies that a few select medical conditions that are initially disqualifying might be waiverable. If these pilots are first-time applicants for an AASI for a disqualifying disease/condition, and the applicant has all of the requisite medical information necessary for a determination, the AME will defer the certification decision and submit all required medical documentation to the AMCD or RFS.
Following the granting of an Authorization for Special Issuance of a Medical Certificate (Authorization) by the AMCD or RFS, an AME may reissue a medical certificate to an applicant with a medical history of an initially disqualifying condition once the AASI's specialized criteria is met and the applicant is otherwise qualified.
The AASI conditions listed first are those for which a pilot seeking any class of certification (1st, 2nd or 3rd). At the bottom are the 2 AASI conditions (CHD and Heart Valve Replacment) that are restricted to the issue of a third-class airman medical certificate only.
In all cases FAA physician (not an AME) provides the initial certification decision and grants the Authorization in accordance with 14 CFR 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the subsequent, periodic re-issuance determinations. Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the requisite medical information required for determination. Examiners may not issue initial Authorizations. All AMEs decisions or determinations are subject to review by the FAA.
AASI for All Classes
- Arthritis and/or Psoriasis
- Asthma
- Atrial Fibrillation
- Bladder Cancer
- Breast Cancer
- Chronic Lymphocytic Leukemia
- Chronic Obstructive Pulmonary Disease
- Colitis (Ulcerative or Crohn's Disease) or Irritable Bowel Syndrome
- Colon Cancer
- Deep Venous Thrombosis (DVT), Pulmonary Embolism (PE), and/ or Hypercoagulopathies
- Diabetes Mellitus - Type II Medication Controlled (Not Insulin)
- Glaucoma
- Hepatitis C Hyperthyroidism
- Hypothyroidism
- Lymphoma and Hodgkin's Disease
- Melanoma
- Migraine Headaches
- Mitral and Aortic Insufficiency
- Paroxysmal Atrial Tachycardia
- Prostate Cancer
- Renal Carcinoma
- Sleep Apnea
- Testicular Carcinoma
FAA AME Assisted Special Issuances Certificate Coversheet (pdf)
Special Issuances - AASI Limited to Third-Class Only
- Coronary Heart Disease (CHD) (to include):
- Angina Pectoris
- Atherectomy
- Brachytherapy
- Coronary Bypass Grafting
- Myocardial Infarction
- Percutaneous Transluminal Angioplasty (PTCA)
- Rotoblation
- Stent Insertion
- Valve Replacement
FAA AME Assisted Special Issuances Certificate Coversheet (pdf)
This page discussed AME Assisted Special Issuance (AASI)
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