It's Official: HIMS Reform Is Now on the Federal Docket
The FAA has accepted Pilots for HIMS Reform's petition for rulemaking for review. Now the aviation community has a place to put its voice into the federal record.
Read It. Comment. Share It.
Regulations.gov is currently displaying a Comment button for the P4HR petition. Go directly to the federal docket, read the petition, and put your experience and views into the record.
There are moments in an advocacy movement when something changes. This is one of them.
For more than a year, Pilots for HIMS Reform has researched, documented, written, questioned, challenged, testified, met, filed, published, and pushed for something the aviation community has been told for far too long could not — or would not — change.
Today, our demand for reform is no longer simply sitting on a P4HR webpage.
It is sitting on a United States government website.
It has a federal docket number.
And the Federal Aviation Administration has formally accepted our petition for review.
Regulatory Docket No. FAA-2026-10399 is live.
The FAA Has Formally Acknowledged the Petition
On August 24, 2026, the FAA's Office of Rulemaking sent Pilots for HIMS Reform an acknowledgement letter regarding our August 20 petition for rulemaking.
The first sentence matters:
FAA Office of Rulemaking “The Federal Aviation Administration (FAA) has received and begun processing your petition for rulemaking.”
The FAA assigned the matter Regulatory Docket No. FAA-2026-10399.
More importantly, after its initial review, the FAA told P4HR:
FAA Initial Review “Your petition contains sufficient information to be accepted by the FAA for review.”
That is an important procedural milestone.
It does not mean the FAA has granted the petition. It does not mean the reforms we have requested are already becoming regulations.
But it means something very real:
The petition made it through the door.
The FAA has accepted it for review, begun processing it, and placed the matter into an official federal regulatory docket.
Look at What Is Now Before the FAA
The FAA's own acknowledgement summarizes just how broad this petition is.
According to the agency, the proposed rulemaking addresses: special issuance certification, HIMS monitoring, substance-related and psychiatric aeromedical review, independent medical evaluation, agency decision deadlines, and transition to unrestricted medical certification.
Those are not peripheral questions. They go directly to the structure of the FAA aeromedical system and to issues pilots and their families have been raising for years:
P4HR's petition asks the FAA to address those questions through actual regulation rather than leaving enormous portions of this system dependent upon unwritten practices, subjective interpretation, and administrative discretion.
Now We Need the Aviation Community
This is where you come in.
If you are a pilot, comment.
If you have been through HIMS, comment.
If you have been through the FAA psychiatric certification process, comment.
If you are an air traffic controller, medical professional, AME, family member, spouse, union representative, peer-support volunteer, general aviation pilot, airline pilot, military aviator, or simply someone who believes federal medical regulation should be transparent, evidence-based, fair, and consistent:
Comment. Put your voice into the record.
Please Don't Waste Your Comment
We want numbers.
But we also want substance.
The strongest possible federal record will not be hundreds of identical copied-and-pasted sentences. It will be pilots, aviation professionals, physicians, families, and others independently explaining what they have experienced, what they have observed, and what reforms they believe are needed.
Tell the FAA what you have actually seen.
- Tell them what worked — and what did not.
- Tell them about unexplained delays.
- Tell them about years of successful recovery.
- Tell them about indefinite or extended monitoring.
- Tell them about the financial and professional costs.
- Tell them if the system created fear around seeking treatment.
- Tell them about arbitrary or inconsistent requirements.
- Tell them about medical professionals constrained by the system.
- Tell them whether independent medical review would improve fairness.
- Tell them why objective standards could improve aviation safety.
And if you disagree with some portion of our petition, tell them that too.
We want a serious regulatory conversation.
A public record demonstrating that aviation professionals across the country are paying attention to these issues is much harder to ignore than complaints made quietly and individually behind closed doors.
How to Help Right Now
1. Read the Petition
Search FAA-2026-10399 on Regulations.gov and understand what P4HR is actually asking the FAA to consider.
2. Submit a Substantive Comment
Explain who you are, why the issue matters to you, what you have experienced or observed, and what reforms you believe would improve the aeromedical system.
3. Share the Docket Everywhere
Send it to pilots, controllers, AMEs, physicians, mental-health professionals, union representatives, safety professionals, aviation organizations, family members, lawmakers, journalists, and anyone else who has a legitimate interest in aeromedical reform.
4. Join P4HR
Numbers matter when we walk into meetings, contact Congress, attend industry events, communicate with regulators, and demonstrate that these concerns extend far beyond a handful of individuals.
Yes. We Are Asking for Money.
We hate making that ask.
But we are going to make it.
Because look at the screen.
FAA-2026-10399.
That docket did not appear because we complained on social media. It did not appear because somebody else promised to fix the problem for us.
It exists because people volunteered countless hours, dug through records, researched regulations and medical literature, documented experiences, drafted proposed reforms, challenged conventional thinking, built a coalition, and finally put a comprehensive petition in front of the United States government.
And now the FAA is processing it.
Research, regulatory filings, document collection, travel, outreach, website infrastructure, communications, events, and advocacy all cost real money.
If you have ever said, “Someone needs to do something about HIMS,” we are asking you to help the people who are doing it.
If P4HR's work has helped you, support us. If our reporting has informed you, support us. If you believe pilots deserve objective standards and due process, support us.
And if you cannot donate, comment. If you cannot comment publicly, share the docket. If you cannot share your own story, send this article to somebody who can.
There is something every person reading this can do.
This Is Bigger Than P4HR
Ultimately, this petition is not about whether the FAA agrees with Pilots for HIMS Reform.
It is about whether America's aeromedical regulatory system should be capable of explaining its decisions.
It is about whether medical monitoring should have identifiable endpoints.
It is about whether two similarly situated pilots should receive similar treatment.
It is about whether disputed medical judgments should be independently reviewable.
It is about whether standards affecting careers, families, health, and livelihoods should be written down.
And it is about whether aviation safety is best served when pilots trust the medical system enough to seek help — or when they fear what may happen if they do.
Those questions belong to the entire aviation community.
Now they are before the FAA.
From a Coalition to the Federal Record
When Pilots for HIMS Reform began, there was no guarantee anyone would listen.
There still is not.
There is no guarantee this petition will be granted. There is no guarantee the FAA will agree with us.
The FAA has already informed P4HR that, because of the complexity of the request, it currently expects its decision on the petition to take longer than 120 days.
Fine.
We have been told to wait before.
We are not going anywhere.
The difference today is that there is now an official place in the federal government's own regulatory system where this fight exists.
Remember This Number.
Share that number. Read the petition. Comment on the docket. Support the work. Help us build a federal record the FAA, Congress, the aviation industry, and everyone responsible for the future of aeromedical policy cannot ignore.
For everyone who has ever felt powerless inside this system:
You have a place to put your voice now.
Use it.
Read. Comment. Share. Support. Donate.
The petition has reached Washington.
Now let's make sure Washington understands just how many people
are standing behind it.
Go to the Federal Docket