Specialized programs

Pilots and addiction: FAA regulations and treatment options

Published August 25, 2025 · 7 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Pilots face unique addiction treatment challenges because their FAA medical certificate is at stake. However, the HIMS (Human Intervention Motivation Study) program has provided a pathway to career preservation since 1973.

The HIMS program

FAA's program for identifying, treating, and monitoring pilots with substance use disorders. Participants receive treatment while working toward return to duty. Success rate exceeds 85% for pilots who complete the program.

Requirements

Completion of approved inpatient treatment. Ongoing monitoring for minimum 3 years. Regular FAA medical evaluations. Participation in AA or equivalent program. Peer monitoring by designated HIMS Aviation Medical Examiners.

Career preservation

Self-disclosure and treatment-seeking are career-protective. Concealment and continued use are career-ending. The HIMS program has returned over 5,000 pilots to the cockpit with an outstanding safety record.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

Can pilots fly after rehab?

Yes. The FAA HIMS program provides a structured pathway for return to duty after addiction treatment with an 85%+ success rate.

Will I lose my pilot certificate for addiction?

Seeking treatment through HIMS is career-protective. Concealment is career-ending. The program has returned over 5,000 pilots to flight.

How long before a pilot can fly again after treatment?

Typically 6-12 months minimum, including treatment completion, demonstrated sobriety, and FAA medical recertification.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.