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Self-driving cars move forward. Can we say the same for epileptic driving rights?
The future of autonomous vehicles is almost a certainty, but for people with seizures and epilepsy who are dependent and reliant on having transportation for their day-to-day activities, it is anything but. The self-driving cars of the future could offer independence and freedom for those who are not legally able to obtain a driver’s license due to their medical conditions. However, as the autonomous vehicles of the future approach with every passing day, it seems that the states and laws that surround epilepsy and driving may need re-examining, especially as companies like Tesla move toward a future involving self-driving cars.
Laws regarding epilepsy and driver’s licenses vary from state to state. However, what may be more striking than the fact that those who suffer from seizures are rarely granted driving privileges is the fact that many states have not started to prepare for a future with them on the road as passengers. The simple fact is that companies are moving closer and closer to solving autonomy every single day. Legislation has not moved forward at the pace of autonomy, which begs the question: What if self-driving cars come before those with epilepsy have the right to operate them?
According to the California Department of Motor Vehicles, what lies ahead for autonomy really depends on the companies that handle the issue. For companies like Tesla, the goal is obvious: create a car that can take away the hassle of driving and make things safer for more people. However, some of the companies involved in the fight for autonomous vehicles may not realize the act of service they are doing for those who have not had the opportunity to drive or operate a motor vehicle due to a neurological condition.
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The California DMV told Teslarati that it allows those with epilepsy or conditions involving seizures to be evaluated by the State to ensure they remain safe behind the wheel. “If you lose consciousness for a short period of time, you can also lose control of your vehicle, which can result in serious accidents or death,” the California DMV writes on its website. Those who are interested in obtaining a driver’s license will undergo an evaluation, which uses the “Lapse of Consciousness Consolidation Table” as a benchmark to determine whether a person seems capable of driving a vehicle.
Obviously, whether the person receives driving privileges or not is completely dependent on the symptoms, severity, and causes of their condition. The chart is extensive and uses ten pages of tables to evaluate a potential driver, leaving no room for personal interpretation or grey areas. Additionally, provisionally available license grants are possible depending on a lapse of time in between episodes. However, it requires full medical transparency from the driver, including regular check-ins that are technically written and law-abiding statements. Falsifying the status of one’s condition can ultimately result in the suspension and possible revocation of a driver’s license.
While all of these details provide some color to the potential rights of those who would be interested in obtaining the privilege to drive a vehicle, there is still a major miscommunication on the potential of what self-driving cars could do for people who are not eligible for a license. Additionally, it could benefit some drivers who may be fit to drive but are uncomfortable with disclosing medical information with relation to the HIPAA act. When Level 5 autonomy is reached by a company, laws and legislation will have to be written or revised to include those who would like to have their vehicle drive them to a destination. Unfortunately, while companies chip away and move closer to this goal, the lack of knowledge on the part of DMVs at the current time was shocking. Relatively no detail was given by the California DMV, where Tesla was located until late September. Meanwhile, Waymo and Pony.ai still call California home in Mountain View and Fremont, respectively.
While the evaluation process is clear and concise, it only takes into account the instances where those with epilepsy would be able to drive a car, and not in the instance that a car drives itself. Essentially, the preparedness of government agencies to cater to those with disorders could result in even more time wasted for those who are affected.
The status of the self-driving industry is also moving forward at a tremendous rate. Tesla is expanding its Full Self-Driving Beta program and is focusing on gathering more data with the help of its Beta fleet to make its neural network more robust. Waymo is launching somewhat successful moves toward autonomous driving, and Pony.ai is launching Robotaxis in Beijing.
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States need to begin working toward clarifying the situation between self-driving cars and the epileptic. There is too much room for interpretation currently, and the issue is much more serious than just “hitching a ride.” The revolutionary change that has already started occurring with electric cars will see something extremely similar with self-driving vehicles: a lack of understanding and infrastructure that could potentially delay progression and derail advancement in the way people with neurological disorders get from place to place.
Don’t hesitate to contact us with tips! Email us at tips@teslarati.com, or you can email me directly at joey@teslarati.com.
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Tesla lands approval for Robotaxi operation in third U.S. state
On Tuesday, Tesla officially received regulatory approval from the State of Arizona, making it the third state for the company to receive approval in.
Tesla has officially landed approval to operate its Robotaxi ride-hailing service in its third U.S. state, as it has landed a regulatory green light from the State of Arizona’s Department of Transportation.
Tesla has been working to expand to new U.S. states after launching in Texas and California earlier this year. Recently, it said it was hoping to land in Nevada, Arizona, and Florida, expanding to five new cities in those three states.
On Tuesday, Tesla officially received regulatory approval from the State of Arizona, making it the third state for the company to receive approval in:
BREAKING: Tesla has officially received approval from the Arizona Department of Transportation to launch its Robotaxi service on public roads in the state!
I just confirmed directly with the Arizona DOT that @Tesla applied for a Transportation Network Company permit on Nov 13th.… pic.twitter.com/iKbwfGfiju
— Sawyer Merritt (@SawyerMerritt) November 18, 2025
Tesla has also been working on approvals in Nevada and Florida, and it has also had Robotaxi test mules spotted in Pennsylvania.
The interesting thing about the Arizona approval is the fact that Tesla has not received an approval for any specific city; it appears that it can operate statewide. However, early on, Tesla will likely confine its operation to just one or two cities to keep things safe and controlled.
Over the past few months, Robotaxi mules have been spotted in portions of Phoenix and surrounding cities, such as Scottsdale, as the company has been attempting to cross off all the regulatory Ts that it is confronted with as it attempts to expand the ride-hailing service.
It appears the company will be operating it similarly to how it does in Texas, which differs from its California program. In Austin, there is no Safety Monitor in the driver’s seat, unless the route requires freeway travel. In California, there is always a Safety Monitor in the driver’s seat. However, this is unconfirmed.
Earlier today, Tesla enabled its Robotaxi app to be utilized for ride-hailing for anyone using the iOS platform.
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Tesla ride-hailing Safety Monitor dozes off during Bay Area ride
We won’t try to blame the camera person for the incident, because it clearly is not their fault. But it seems somewhat interesting that they did not try to wake the driver up and potentially contact Tesla immediately to alert them of the situation.
A Tesla Robotaxi Safety Monitor appeared to doze off during a ride in the California Bay Area, almost ironically proving the need for autonomous vehicles.
The instance was captured on camera and posted to Reddit in the r/sanfrancisco subreddit by u/ohmichael. They wrote that they have used Tesla’s ride-hailing service in the Bay Area in the past and had pleasant experiences.
However, this one was slightly different. They wrote:
“I took a Tesla Robotaxi in SF just over a week ago. I have used the service a few times before and it has always been great. I actually felt safer than in a regular rideshare.
This time was different. The safety driver literally fell asleep at least three times during the ride. Each time the car’s pay attention safety alert went off and the beeping is what woke him back up.
I reported it through the app to the Robotaxi support team and told them I had videos, but I never got a response.
I held off on posting anything because I wanted to give Tesla a chance to respond privately. It has been more than a week now and this feels like a serious issue for other riders too.
Has anyone else seen this happen?”
My Tesla Robotaxi “safety” driver fell asleep
byu/ohmichael insanfrancisco
The driver eventually woke up after prompts from the vehicle, but it is pretty alarming to see someone like this while they’re ultimately responsible for what happens with the ride.
We won’t try to blame the camera person for the incident, because it clearly is not their fault. But it seems somewhat interesting that they did not try to wake the driver up and potentially contact Tesla immediately to alert them of the situation.
They should have probably left the vehicle immediately.
Tesla’s ride-hailing service in the Bay Area differs from the one that is currently active in Austin, Texas, due to local regulations. In Austin, there is no Safety Monitor in the driver’s seat unless the route requires the highway.
Tesla plans to remove the Safety Monitors in Austin by the end of the year.
Tesla has officially opened Robotaxi access to everyone and everyone, but there is one catch: you have to have an iPhone.
Tesla’s Robotaxi service in Austin and its ride-hailing service in the Bay Area were both officially launched to the public today, giving anyone using the iOS platform the ability to simply download the app and utilize it for a ride in either of those locations.
It has been in operation for several months: it launched in Austin in late June and in the Bay Area about a month later. In Austin, there is nobody in the driver’s seat unless the route takes you on the freeway.
In the Bay Area, there is someone in the driver’s seat at all times.
The platform was initially launched to those who were specifically invited to Austin to try it out.
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Slowly, Tesla launched the platform to more people, hoping to expand the number of rides and get more valuable data on its performance in both regions to help local regulatory agencies relax some of the constraints that were placed on it.
Additionally, Tesla had its own in-house restrictions, like the presence of Safety Monitors in the vehicles. However, CEO Elon Musk has maintained that these monitors were present for safety reasons specifically, but revealed the plan was to remove them by the end of the year.
Now, Tesla is opening up Robotaxi to anyone who wants to try it, as many people reported today that they were able to access the app and immediately fetch a ride if they were in the area.
We also confirmed it ourselves, as it was shown that we could grab a ride in the Bay Area if we wanted to:
🚨 Tesla Robotaxi ride-hailing Service in Austin and the Bay Area has opened up for anyone on iOS
Go download the app and, if you’re in the area, hail a ride from Robotaxi pic.twitter.com/1CgzG0xk1J
— TESLARATI (@Teslarati) November 18, 2025
The launch of a more public Robotaxi network that allows anyone to access it seems to be a serious move of confidence by Tesla, as it is no longer confining the service to influencers who are handpicked by the company.
In the coming weeks, we expect Tesla to then rid these vehicles of the Safety Monitors as Musk predicted. If it can come through on that by the end of the year, the six-month period where Tesla went from launching Robotaxi to enabling driverless rides is incredibly impressive.
Tesla lands approval for Robotaxi operation in third U.S. state
Tesla ride-hailing Safety Monitor dozes off during Bay Area ride
