Between 2001 and 2006, the average annual population 80 years and older in the states of Florida, Alabama, and Georgia was 850 409, 156 290, and 215 065, respectively. The Tablepresents MVC fatality rates for Florida, Alabama, and Georgia motor vehicle occupants overall and for drivers 80 years and older. With respect to Florida, while annual fatality rates generally increased in the 6-year span, the test for linear trend was not significant (P = .06). In contrast, annual fatality rates among drivers 80 years and older demonstrated a significant downward linear trend (P = .01).The prelaw fatality rate among both age groups was similar while postlaw rates differed considerably. The prelaw fatality rates for occupants of all ages and those 80 years and older were 14.91 and 14.88 deaths per 100 000 persons per year, respectively. Postlaw fatality rates increased slightly to 15.21 for all-aged occupants while decreasing to 12.34 for those 80 years and older. When comparing prelaw and postlaw periods, the fatality rate, adjusted for age, race, and sex, among all-aged occupants increased by 6% (RR, 1.06; 95% CI, 0.99-1.14); conversely, fatalities among drivers 80 years and older decreased significantly by 17% (RR, 0.83; 95% CI, 0.72-0.98).