A driver who has had an episode of borderline hypertension should be:

In the context of a driver with a history of borderline hypertension, the appropriate course of action involves a reassessment within a specific timeframe—typically within three months. This approach allows for monitoring the driver's blood pressure levels to determine if they have stabilized within the normal range or if further medical intervention is needed. By conducting a follow-up assessment, medical examiners can ensure that the driver’s condition does not pose a risk to their health or safety while operating a commercial vehicle.

Certifying a driver immediately after a history of borderline hypertension could overlook potential fluctuations in their condition that might affect their driving capabilities. Likewise, disqualification until stable may be overly cautious, as many individuals with borderline hypertension can manage their condition effectively with lifestyle modifications or minimal medical oversight.

Automatically granting a two-year certificate without reassessment would fail to account for the evolving nature of the driver’s health status, which could lead to safety issues on the road. Therefore, requiring a reassessment within three months strikes a balance between ensuring public safety and providing the driver a reasonable pathway to regain their certification if their health improves.