Supporting the Physiatrist, Strengthening the Specialty

On December 16, the U.S. Department of Transportation (DOT) unveiled a groundbreaking final rule that will significantly improve air travel for passengers with disabilities, particularly for those who use wheelchairs and scooters. This new rule is a major achievement for your Academy, whose advocacy efforts align with the improved standards outlined in the final rule.  The rule mandates more rigorous standards for accommodating passengers with disabilities, better training for airline staff, and comprehensive protections against mishandled or delayed wheelchairs. The rule specifically improves the hands-on training airline employees and contractors who assist passengers or handle wheelchairs receive. This is critical, as improper handling or inadequate assistance has led to serious injuries in the past. Secretary Pete Buttigieg emphasized the importance of this change, saying, “Every passenger deserves safe, dignified travel when they fly,” noting that these new standards will hold airlines accountable when they fail to provide fair treatment to passengers with disabilities.

Back in June 2024, AAPM&R submitted comments to the DOT in support of improving wheelchair accessibility and reducing health risks for passengers who must transfer from their personal wheelchairs into airplane seats. While the final rule does not fully address AAPM&R's request to allow passengers to stay in their own wheelchairs during flights, it sets the groundwork for further improvements. The rule requires airlines to ensure passengers receive timely and safe assistance, including a guarantee that their personal wheelchairs are promptly returned in good condition. If a wheelchair is delayed, airlines must transport it to the passenger’s destination within 24 hours for domestic flights, and 30 hours for international flights. In addition to these protections, the rule ensures that airlines notify passengers about the status of their wheelchairs, both before departure and upon arrival, and provides passengers with the right to file claims if their wheelchairs are mishandled. Airlines will also be required to provide loaner wheelchairs and reimburse passengers for transportation costs if their wheelchair is delayed.

AAPM&R’s efforts extend beyond comments during the DOT's rulemaking. In 2023, the Academy successfully introduced a resolution at the American Medical Association (AMA) House of Delegates (HOD), which shifted AMA policy in this space. The AMA now advocates both Congress and the Federal Aviation Administration push for enhanced flight accommodations for wheelchair users. These efforts have not only garnered support for improved air travel policies but have also helped raise awareness of the significant challenges faced by passengers with disabilities.

This final rule is a significant step forward, reflecting the tireless advocacy of AAPM&R and the disability community at large. While there is still work to be done, this milestone lays the foundation for safer, more inclusive air travel for all.

On December 16, the U.S. Department of Transportation (DOT) unveiled a groundbreaking final rule that will significantly improve air travel for passengers with disabilities, particularly for those who use wheelchairs and scooters. This new rule is a major achievement for your Academy, whose advocacy efforts align with the improved standards outlined in the final rule.  The rule mandates more rigorous standards for accommodating passengers with disabilities, better training for airline staff, and comprehensive protections against mishandled or delayed wheelchairs. The rule specifically improves the hands-on training airline employees and contractors who assist passengers or handle wheelchairs receive. This is critical, as improper handling or inadequate assistance has led to serious injuries in the past. Secretary Pete Buttigieg emphasized the importance of this change, saying, “Every passenger deserves safe, dignified travel when they fly,” noting that these new standards will hold airlines accountable when they fail to provide fair treatment to passengers with disabilities.

Back in June 2024, AAPM&R submitted comments to the DOT in support of improving wheelchair accessibility and reducing health risks for passengers who must transfer from their personal wheelchairs into airplane seats. While the final rule does not fully address AAPM&R's request to allow passengers to stay in their own wheelchairs during flights, it sets the groundwork for further improvements. The rule requires airlines to ensure passengers receive timely and safe assistance, including a guarantee that their personal wheelchairs are promptly returned in good condition. If a wheelchair is delayed, airlines must transport it to the passenger’s destination within 24 hours for domestic flights, and 30 hours for international flights. In addition to these protections, the rule ensures that airlines notify passengers about the status of their wheelchairs, both before departure and upon arrival, and provides passengers with the right to file claims if their wheelchairs are mishandled. Airlines will also be required to provide loaner wheelchairs and reimburse passengers for transportation costs if their wheelchair is delayed.

AAPM&R’s efforts extend beyond comments during the DOT's rulemaking. In 2023, the Academy successfully introduced a resolution at the American Medical Association (AMA) House of Delegates (HOD), which shifted AMA policy in this space. The AMA now advocates both Congress and the Federal Aviation Administration push for enhanced flight accommodations for wheelchair users. These efforts have not only garnered support for improved air travel policies but have also helped raise awareness of the significant challenges faced by passengers with disabilities.

This final rule is a significant step forward, reflecting the tireless advocacy of AAPM&R and the disability community at large. While there is still work to be done, this milestone lays the foundation for safer, more inclusive air travel for all.