Netherlands Updates Driving License Rules: No More Mandatory Checks for ADD/ADHD, New Theory Exam Format

The Netherlands is implementing several changes to its driving license regulations, including the elimination of mandatory medical evaluations for individuals with ADD and ADHD, and a revamped theory exam set to launch on April 7th. These updates aim to streamline the process while maintaining road safety standards.

End of Mandatory Driver’s License Checks for ADD/ADHD

As of recently, individuals diagnosed with Attention Deficit Disorder (ADD) or Attention-Deficit/Hyperactivity Disorder (ADHD) are no longer required to undergo mandatory medical evaluations as part of the driver’s license application process. This change, announced in August 2025, reflects a shift in policy regarding neurodiversity and driving ability.

Yet, it’s significant to note that driving schools and the Central Bureau of Driving Permits (CBR) still have the responsibility to assess a candidate’s fitness to drive. Concerns remain that individuals struggling with these conditions should be identified during training, and testing.

New Theory Exam Format

The CBR is introducing a new format for the driving license theory exam, effective April 7th. The key change involves replacing static images with short animated videos to assess hazard recognition skills.

Here’s what’s changing:

• Hazard Recognition: Candidates will now analyze short animated videos depicting traffic scenarios, focusing on perception and prediction skills. They will be asked to identify potential hazards and how to respond.
• Reduced Question Count: The exam will be shortened from 65 to 50 questions.
• Simplified Structure: The exam will be conducted as a single, comprehensive category, rather than being divided into three parts.
• Passing Score: A score of at least 44 correct answers out of 50 is required to pass within a 30-minute time limit.

Despite these changes, the CBR assures that the difficulty level of the exam will remain consistent with the previous format. The goal is to more effectively evaluate a candidate’s knowledge of traffic rules and their ability to apply them in real-world situations.

Stricter Rules for Driving Schools and Tests

Recent measures, introduced in May 2024, aim to combat fraud and improve the overall quality of driver education. These stricter rules include:

• Mandatory Lessons: Candidates can no longer apply for a test solely based on experience gained independently.
• Expanded Skill Requirements: Drivers will be required to demonstrate proficiency in skills such as driving in the dark and at higher speeds (130 kph).
• Social Behavior Test: A new assessment of social behavior will be incorporated into the evaluation process.
• Instructor Qualifications: Driving instructors must hold diplomas from accredited training institutes and undergo regular testing (every five years) to maintain their licenses.

Driving Under the Influence Regulations

The Netherlands maintains strict regulations regarding driving under the influence of alcohol, drugs, or medication. Regulations differ for novice and experienced drivers:

• Novice Drivers: Maximum blood alcohol content of 0.2 per mille (88 μg/l).
• Experienced Drivers: Maximum blood alcohol content of 0.5 per mille (220 μg/l).

The same limits apply to cyclists. The regulations regarding drugs are particularly strict, advising against driving after even a single dose.

These changes reflect the Netherlands’ ongoing commitment to road safety and a modern, effective driver licensing system.