From March 1, 2026, Australian motorists aged 65 and older are required to undergo periodic medical assessments to maintain their driver’s licence. The new rule reflects updated road safety policies designed to ensure that age-related health issues such as vision decline, cognitive impairment and chronic medical conditions do not compromise safe driving.
While retaining the freedom to drive remains a priority, authorities have introduced these changes to make sure that older drivers are medically fit behind the wheel. This article explains who must comply, the types of tests involved, timelines, costs, and practical steps seniors can take to meet the requirements without stress.
Key Takeaways
• Mandatory medical assessments for drivers aged 65+ begin March 1, 2026
• Tests centre on vision, cognition and physical ability
• Medical certificates required for licence renewal
• Costs and processes vary by state and territory
• Early preparation can prevent delays and licence issues
Why the New Rule Matters
Australia’s population is ageing: more seniors are driving longer than in past generations. While this contributes to mobility and independence, health factors often associated with ageing can impact safe driving — including:
• Reduced visual acuity
• Slower reaction times
• Balance and mobility limitations
• Cognitive changes
Road safety authorities and transport departments have introduced structured medical assessments to ensure those risks are identified and managed appropriately.
Who Must Undergo Assessments
The requirements apply to:
• All drivers aged 65 and older
• Licence holders seeking renewal after March 1, 2026
• Drivers seeking to upgrade or reissue licences in this age group
In most states and territories, medical assessments become a condition of licence renewal for those turning 65 or older. Drivers will be notified by mail or email ahead of their licence expiry date.
Importantly, failing to undergo required medical checks can lead to licence suspension until cleared.
What Medical Tests Are Required
The scope of required testing typically includes:
Vision Assessment
Drivers must demonstrate adequate visual acuity and field of vision. This may be done through:
• Optometrist examination
• Ophthalmologist report
• In-clinic vision screening
Vision standards vary by jurisdiction but generally require clear distance and peripheral sight adequate for driving tasks.
Cognitive Screening
Tests may evaluate:
• Short-term memory
• Attention and concentration
• Judgement and decision-making
These assessments are designed to identify early cognitive impairment that could impact driving.
Physical and Health Evaluation
Primary care physicians may review:
• Chronic health conditions (e.g., diabetes, Parkinson’s disease)
• Mobility and balance
• Medication side effects
• Cardiovascular health
Doctors provide a medical certificate stating fitness to drive, which seniors must submit with their licence renewal application.
Renewal and Medical Certificate Timeline
Before renewing a licence, drivers aged 65+ should:
- Schedule a medical assessment with a GP or specialist
- Obtain a completed medical fitness certificate (often called Form 1 or equivalent)
- Submit the certificate with the renewal application
- Repeat assessments at intervals specified by the licensing authority
The frequency of follow-up tests is based on medical advice and regulatory guidelines.
Costs to Expect
Costs depend on the practitioner and state/territory:
• Vision tests with optometrists may cost between $60–$100+
• GP medical certificates typically range from $50–$150+
• Specialist evaluations (neurological or cognitive) may cost more
Some seniors with concession cards might be eligible for bulk-billing or reduced fees, but this varies by provider.
State and Territory Differences
Each region administers the rule differently:
| State / Territory | Medical Certificate Required | Frequency of Retest | Notes |
|---|---|---|---|
| New South Wales | Yes | Every 2 years or per doctor’s advice | Vision & GP report |
| Victoria | Yes | Annual if flagged | Cognitive screens common |
| Queensland | Yes | Every 2–3 years | Vision compulsory |
| WA | Yes | Varies | Medical reports reviewed by authorities |
| South Australia | Yes | Controlled by medical advice | Conditional licences possible |
| Tasmania | Yes | Every 2–5 years | Doctor recommendation |
| ACT | Yes | Case-by-case | Specialist tests possible |
| NT | Yes | Based on health profile | Interpreter support available |
Note: Specific criteria and processes vary; seniors should check local transport authority websites for exact details.
How to Prepare
Taking action early can ease licence renewal:
• Book eye exams early — vision testing is often the first step
• Maintain up-to-date health records with your GP
• Discuss any medications that affect alertness or reaction time
• Arrange transport options proactively in case of temporary licence suspension
Real Stories from Seniors
Many older drivers have mixed views about the new rules. For 70-year-old retiree Margaret from Brisbane, the checks offer peace of mind.
“I want to be sure I’m safe on the road,” she said. “The tests are straightforward, and my GP helped me through it.”
Another driver, 68-year-old Sydney resident Thomas, found the process confusing at first.
“I didn’t know what forms to fill out,” he said. “But once I booked an appointment and asked questions, it went smoothly.”
Their stories highlight the importance of early preparation and clear communication with healthcare providers.
What Happens If You Don’t Comply
Drivers who fail to complete required medical checks or submit certificates on time may face:
• Delays in licence renewal
• Temporary licence suspension
• Re-testing requirements
Authorities typically issue reminders ahead of expiry dates, but it’s the driver’s responsibility to act.
Final Thoughts
The March 1, 2026 rule for medical tests among drivers aged 65 and older reflects a broader emphasis on safety without stripping independence. By acting early, getting the right assessments, and staying informed about local requirements, seniors can navigate the changes confidently.
Preparing well not only ensures licence continuity but also contributes to safer roads for everyone — a goal that benefits all Australians as the population grows older and more mobile.