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Reports have begun emerging that a Baltimore school bus driver might have had a medical issue just before a fatal crash with an oncoming city bus in that city on November 1.

Stephen Richards, director of the Southeastern Transportation Center at the UT, spoke with ABC News about those concerns, and about the issue of how often medical files for drivers are reviewed.

The STC is housed under the Tickle College of Engineering.

“The fact that no certificate had been turned in, and the public agency that kept track of that certificate … had recognized that he should not be driving, that’s where the breakdown occurred,” Richards told ABC. “If there’s lag time before the entire system caught it with that, they may need to look at that and enact some safeguards.”

The crash killed six people, including the driver.

ABC News story can be seen here