The debate about elderly driving in the United States has taken a new step. The Department of Transportation has announced a measure that will directly affect those over 65 years old. Although the intention is to improve road safety, not all those involved view this change favorably.
The decision is based on concerning figures. According to the National Highway Traffic Safety Administration (NHTSA), accidents involving older drivers rose from 13.7% in 2023 to 14.7% in 2024. In response to this trend, several states such as California, Florida, and Texas have decided to act. Now, renewing a license will require passing exams that were not previously mandatory.

A new regulation to strengthen safety
Until July 2025, renewals could be done almost automatically. Starting from that date, those over 65 years old will have to undergo periodic tests. These will include vision exams, cognitive assessments, and practical driving tests.
The goal is clear: to ensure that drivers keep the physical and mental conditions necessary to operate a vehicle safely. NHTSA warns that, if no action is taken, the percentage of accidents could continue to rise. These evaluations aim to prevent accidents and protect both the driver and other road users.

The tests will not be identical across the country. Each state will have leeway to set its own requirements and starting ages. What will be common is the need to carry out more frequent and thorough checks than the current ones.
How states will apply this measure
California, the most populous state, will require vision tests starting at age 70. Florida will focus on cognitive assessments, which will be mandatory from age 80. Texas, meanwhile, will apply all tests to those who are 79 years old or older.
The renewal schedule will also change: between ages 70 and 80, the license will be renewed every four years after a vision exam. From ages 81 to 86, the frequency will be every two years, with a cognitive test if necessary. Starting at age 87, renewal will be annual and with a mandatory practical exam.
In addition, a voluntary notification system will be implemented. Family members, neighbors, or doctors will be able to alert authorities if they believe an older driver poses a risk. The goal is not to limit freedom, but to prevent accidents resulting from vision, memory, or reflex problems.
This new regulatory framework aims to balance personal autonomy with public safety. Although some perceive it as a restriction, authorities argue that it is a preventive measure that will save lives.