Your Path Back to Flying: Understanding AME Reissuance Options
The Ison Law Firm is based in Florida and represents pilots nationwide.
A deferral or denial of your FAA medical certificate can halt your aviation career. After receiving FAA Authorization for Special Issuance, an AME may reissue your medical certificate once specialized criteria are met.
Certain Aviation Medical Examiners can help you bypass lengthy FAA medical review wait times. If you’re wondering whether your AME can reissue your certificate through the AASI process, the answer could save months of grounded time.
💡 Pro Tip: Before your next AME appointment, verify whether your examiner is authorized to perform AASI reissuances for your specific condition. Choosing the right one could dramatically speed up your return to flight status.
Reach out to the Ison Law Firm today for dedicated support. Give us a call at 855 598 7338 or contact us online to take the first step. The Ison Law Firm is based in Florida and represents pilots nationwide.
Your Legal Rights Under the FAA Medical Lawyer Framework
Under 14 CFR §67.401, the Federal Air Surgeon may grant an Authorization for Special Issuance to a person who does not meet standard medical provisions, if public safety is not endangered. Working with an FAA medical lawyer helps ensure you navigate this complex regulatory framework.
The authority under §67.401 is also exercised by the Manager, Aeromedical Certification Division (AMCD), and each Regional Flight Surgeon, providing multiple pathways to pursue your special issuance. Each AASI has specialized clinical criteria that your treating physicians must address.
The FAA’s Authorization letter includes attachments specifying information treating physicians must provide to support re-issuance. These are mandatory elements determining whether your AME can act on your behalf. If an Authorization or SODA is withdrawn, the holder may request review in writing within 60 days, and the FAA must issue a written final decision within 60 days of receiving the request.
💡 Pro Tip: Keep a detailed file of all medical documentation related to your condition. When pursuing AASI reissuance, organized records that directly address each FAA requirement can prevent unnecessary delays.
The AASI Timeline: From Application to Approval
The AASI timeline varies significantly based on whether this is your first special issuance or a renewal. Last updated August 28, 2024, the FAA AME Guide Special Issuances page reflects current procedures.
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Initial AASI applications require AME deferral to AMCD or Regional Flight Surgeon
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First-time special issuance processing typically takes 60-90 days, though complex cases can extend to 120 days
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Subsequent renewals through AASI can often be completed during your AME appointment
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When pilots with AASI authorization provide all required documentation to their AME, the AME can reissue medical certificates on the spot during the appointment, though no official FAA statistics specify an exact approval rate for properly documented AASI renewals.
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The FAA Reauthorization Act of 2024, signed May 16, 2024, expanded BasicMed provisions — including increasing the maximum takeoff weight to 12,500 pounds, increasing allowable passengers to 6, and expanding BasicMed eligibility to examiners administering practical tests or proficiency checks.
💡 Pro Tip: Schedule your AASI renewal appointment at least 60 days before your current medical expires. This buffer protects against unexpected documentation requirements while ensuring continuous certification.
Navigating AASI Success with Strategic Legal Support
Many pilots discover their treating physician’s letter missed critical FAA requirements. The Federal Air Surgeon may limit the duration of an Authorization, condition grant on later tests, and place operational limitations based on it.
At Ison Law Firm, pilots nationwide benefit from decades of aeromedical advocacy experience. Whether dealing with cardiovascular conditions, mental health concerns, or substance-related issues, having an FAA medical lawyer review your case before submission can identify potential problems before denial. An AME’s reissuance decision is subject to FAA review, meaning even a successful AME visit could face scrutiny if documentation isn’t perfect.
AASI success requires presenting your medical situation in terms the FAA understands—translating clinical assessments into aviation safety language, ensuring all required tests are current, and addressing concerns preemptively. A medical certificate issued under special-issuance Authorization expires no later than the end of the Authorization’s validity period or upon withdrawal.
💡 Pro Tip: Before submitting any medical documentation to the FAA, have it reviewed by someone familiar with aeromedical standards. A poorly worded statement could trigger unnecessary scrutiny or denial.
Common AASI-Eligible Conditions and Their Requirements
Understanding which conditions qualify for AASI reissuance helps pilots prepare appropriate documentation. The FAA AME Special Issuance Guide provides comprehensive listings of qualifying conditions.
Cardiovascular Conditions and AASI Pathways
Heart-related conditions represent one of the most common AASI categories. Pilots with histories of coronary artery disease, valve replacements, or arrhythmias may qualify for AME reissuance after meeting specific criteria. Your FAA medical lawyer can help ensure your cardiologist provides documentation addressing each FAA concern.
💡 Pro Tip: For cardiovascular AASI cases, maintain a relationship with a cardiologist familiar with aviation requirements. Some cardiologists specialize in pilot cases and understand nuanced documentation needs.
Protecting Your Certificate Through Proper Compliance
Maintaining your AASI authorization requires ongoing vigilance and compliance with all FAA conditions. Your continued ability to fly depends on meeting every requirement outlined in your authorization letter. Understanding 14 CFR § 67.401 – Special issuance of medical certificates helps you recognize the legal framework governing ongoing obligations.
Documentation and Reporting Requirements
Each AASI authorization comes with specific follow-up requirements including regular testing, physician reports, or lifestyle modifications. Missing a deadline or failing to submit required documentation can result in emergency revocation. Working with an FAA medical lawyer ensures you understand requirements and stay ahead of potential issues.
💡 Pro Tip: Create a compliance calendar with reminders set 90 days before each reporting deadline. This gives ample time to schedule appointments and gather documentation without rushing.
When AASI Isn’t Enough: Alternative Pathways
Sometimes the AASI process isn’t the right solution. Understanding when to pursue alternatives can save months of frustration and thousands in medical expenses.
BasicMed and Expanded Privileges
The FAA Reauthorization Act of 2024 brought significant changes to BasicMed eligibility. Section 815 expanded BasicMed privileges to examiners administering practical tests or proficiency checks. For pilots flying covered aircraft, the rule increases maximum takeoff weight from 6,000 pounds to 12,500 pounds and increases allowable passengers from 5 to 6 and occupants from 6 to 7. Section 815 became effective May 16, 2024; Section 828 became effective November 12, 2024, and the FAA published conforming regulations on November 18, 2024. These changes open new possibilities for pilots who might struggle with traditional medical certification.
💡 Pro Tip: If considering BasicMed as an alternative to AASI, evaluate your flying needs carefully. While BasicMed offers flexibility, it comes with operational limitations that might not suit all aviation activities.
Frequently Asked Questions
Understanding AASI Process Complexities
Pilots facing medical certification challenges often have similar concerns about the AASI process.
💡 Pro Tip: Document every interaction with the FAA and your AME. Having a clear paper trail helps resolve disputes or confusion about your certification status.
Taking Action on Your Medical Certificate
Understanding your options under the AASI process empowers you to make informed decisions about your aviation future.
💡 Pro Tip: Don’t wait until your medical expires to explore AASI options. Starting early gives you flexibility and prevents gaps in your flying privileges.
1. Can any AME reissue my medical certificate through AASI, or do I need to find a specific one?
Not all AMEs are authorized to perform AASI reissuances. You need an AME specifically designated by the FAA to handle your particular condition. An experienced FAA medical certificate attorney can help identify the right examiner for your situation.
2. What happens if my AME reissues my certificate but the FAA later disagrees with their decision?
An Examiner’s decision is subject to FAA review, meaning your certificate could potentially be revoked after issuance. Proper documentation and compliance with all AASI criteria is crucial. Legal representation from an aviation medical lawyer can help protect your certificate during any review.
3. How long does an AASI authorization last, and what happens when it expires?
An airman medical certificate issued under this section expires no later than the end of the validity period or upon withdrawal of the Authorization. Most AASI authorizations are time-limited and require periodic renewal with updated medical documentation meeting all specified criteria.
4. What’s the difference between AASI and SODA, and which one is better for my situation?
A Statement of Demonstrated Ability (SODA) may be granted for static or nonprogressive disqualifying conditions. Unlike AASI authorizations, a SODA does not expire and authorizes a designated aviation medical examiner to issue a medical certificate if the condition has not adversely changed. SODA is typically better for permanent, stable conditions, while AASI works for conditions requiring ongoing monitoring.
5. If I disagree with an FAA decision about my AASI, what are my options for appeal?
If an Authorization or SODA is withdrawn, you may request review within 60 days after service of the withdrawal letter, and the FAA must issue a written final decision within 60 days of receiving the request. This tight timeline makes immediate legal consultation crucial.
Work with a Trusted Aeromedical Lawyer
Navigating the AASI process requires strategic understanding of FAA regulations and attention to detail. Pilots across the United States trust Ison Law Firm to guide them through complex aeromedical challenges, from initial special issuance applications to maintaining ongoing compliance. With extensive experience in aviation law and deep understanding of FAA medical standards, you gain an advocate who speaks the language of both medicine and aviation safety.
Whether facing your first deferral or struggling with AASI renewal requirements, knowledgeable legal guidance makes the difference between frustration and success. Don’t let medical certification challenges ground your aviation dreams.
Your wings don’t have to remain clipped. Let the Ison Law Firm assist you in your journey back to the skies. Reach out at (855) 598-7338 or contact us to take flight with confidence.
