Hong Kong to lower age for commercial driver medical checks to 65
Hong Kong government proposes lowering the age for mandatory medical checks for commercial drivers from 70 to 65, with shorter licence validity for older drivers. The plan includes new assessment guidelines, use of eHealth system, and free health checks for those aged 65 and above. About 55,000 driv
The Hong Kong government has proposed lowering the age at which commercial vehicle drivers must submit medical examination certificates from 70 to 65, as part of efforts to enhance road safety amid an ageing population. The proposal, announced in a Legislative Council written reply on 7 October 2026, also includes shortening the validity period of formal driving licences for older drivers: those aged 65 to 67 would receive three-year licences, those aged 68 to 69 two-year licences, and those aged 70 or above one-year licences.
According to the government, the Transport Department has conducted a pilot scheme in the fourth quarter of 2025, inviting older commercial drivers and doctors to test proposed assessment guidelines and medical certificates. The trial results showed that assessments generally take about half an hour. The government is also working with the Health Bureau to allow doctors to issue medical certificates through the eHealth system and transmit results to the Transport Department, improving efficiency and accuracy.
As of the end of August 2026, there were approximately 55,000 commercial driving licence holders aged 70 or older, accounting for about 15 per cent of all commercial licence holders. The government said it has not made projections on how many drivers aged 65 or above would need to submit medical certificates annually, as renewals and new applications depend on individual choice.
On costs, the government noted that eligible drivers aged 65 or above can use Elderly Healthcare Vouchers to pay for medical assessments. It will also encourage more doctors to offer assessment services and add a doctor listing function to the eHealth mobile app to help drivers find providers. The Transport Department plans to adjust its annual 'Fit for Safe Driving' campaign to prioritise free health check appointments for drivers aged 65 or above.
The government said it is exploring with the Primary Care Office the possibility of using District Health Networks as supplementary assessment centres, with family doctors providing follow-up care, subject to operational capacity and resources. For drivers who initially fail a medical assessment, the proposal allows them to reapply for a commercial licence within three years of their licence expiring if they recover and submit a new medical certificate proving fitness to drive.
The government emphasised that the tighter medical requirements aim to help older drivers identify and prevent health issues early, potentially extending their safe driving years. It will monitor the impact of the measures on the commercial driving workforce and review the situation regularly.