Medical Marijuana: 5 Steps to Successfully Walking the Workplace Tightrope Tommy Eden, Partner Constangy, Brooks & Smith, LLP SAPAA Board Member Josephine Elizabeth Kenney, JD, MBA -HR Senior Compliance Counsel First Advantage SAPAA Board Member Medical Marijuana: 5 Steps to Successfully Walking the Workplace Tightrope Legal Disclaimer This presentation is for educational purposes only and is not intended as a substitute for the legal advice of an attorney knowledgeable of the issues covered as they relate to a user’s individual circumstances or a medical practitioner. The presenter makes no assurances regarding the accuracy or completeness of the following information. Legislative, regulatory, case law and medical developments regularly impact on general research and medical information. Visionaries? When Cheech and Chong Go to Work: 5 Steps to Dealing with Marijuana in the Workplace Constangy, Brooks & Smith, LLP Legal Disclaimer This presentation is for educational purposes only and is not intended as a substitute for the legal advice of an attorney knowledgeable of the issues covered as they relate to a user’s individual circumstances or a medical practitioner. The presenter makes no assurances regarding the accuracy or completeness of the following information. Legislative, regulatory, case law and medical developments regularly impact on general research and medical information. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 5 The first Cheech and Chong movie, “Up in Smoke” Released September 1978 followed by 11 other movies from 1980 to 1990 First States to legalize marijuana for medicinal purposes: •California: 1996 •Alaska: 1998 •Oregon: 1998 •Washington: 1998 •today 20 states and DC Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved The State Business of Pot Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved As Marijuana Goes Legit, Investors Rush In “Pot entrepreneurs have high expectations for a future market in legalized marijuana.” http://www.usatoday.com/story/money/business/2013/04 /07/medical-marijuana-industry-growing-billion-dollarbusiness/2018759/ Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Investors: Marijuana, Inc. • Hemp, Inc. is a publicly traded company (Stock Symbol HEMP) that is working to expand its infrastructure while investing in profitable, legal, and diversified ventures, bringing reward and value to its shareholders • Marijuana, Inc., a division of Hemp, Inc., is working toward a green future with HEMP and is working to expand it’s infrastructure in preparation for possible legalization of marijuana and hemp. • Marijuana, Inc. foresees and recognizes the possible benefits that may be derived from the many uses for industrial hemp and recognizing the profits that could be made Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Marijuana Candy Bust Prompts Drug Education •Cheeba Chews, chocolate taffy infused with the active substance in marijuana, that were found on a Kansas State student on spring break in Gulf Shores on March 23, 2013, has raised concerns with drug education advocates. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved The War on Marijuana: Is It Going, Going, Gone? August 29, 2013 U. S. Department of Justice MEMORANDUM FOR ALL UNITED STATES ATTORNEYS: Guidance Regarding Marijuana Enforcement Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 5 Steps an Employer can take to Successfully Walk the Tightrope 1. Understand the laws on Medical Marijuana that are specific to their State; 2. Adopt a pre-duty prescription medication and impairing effects substances safety policy; 3. Update employee job descriptions; 4. Adopt an ADA complaint handbook policy on reasonable accommodations; and 5. Let employees know your stance on Medical and Recreational Marijuana use. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 13 What does falling off “the Tightrope” look like? 1.Impaired forklift operator misgauges distance and injuries fellow employee with forks; 2.You open the mail and employee (who was about to be fired) files discrimination complaint under state Medical Marijuana law; 3.Impaired painter using propane torch to remove paint forgets to turn off flame and burns down your factory; 4.You are notified by a state EEOC agency that you have been served with an ADA Charge for failure to reasonably accommodate; or 5.Worker with Medical Marijuana permit feels empowered and smokes during lunch break to “ease the pain,” etc. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 15 State Medical Marijuana Statutory Considerations: 1.Who the law applies to 2.Quantity of Marijuana Permitted 3.How the Marijuana may be obtained/access – Medical Marijuana Dispensaries/variations 4.The liability protections 5.The statutory requirements for authorized use and the illnesses/medical conditions covered by each statute as applicable NOTE: Each state law varies significantly and a short summary and the full text of each state law can be found at: http://www.sapaa.com/page/wp_statelaws_glance Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 16 Alaska Sections 17.37.010-.080 (2002) Applicability: Law applies to patient, caregiver and alternate caregiver and physician Quantity Allowed: Less than or equal to 1oz. Usable, 6 plants with only 3 able to produce usable product. How Obtained: Growing permitted, otherwise not specified Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Alaska (cont.) Liability Protections: Patient and caregiver have defense if criminally prosecuted if registered and in compliance with the law Statutory Requirements for Authorized Use: Registry Card required and obtained from State Department of Health and Human Services. Statement signed by physician, sworn application from patient, statement form parent or guardian and annual renewal. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Arizona An initiative measure amending Title 36, Arizona Revised Statutes. By adding Chapter 28.1; Amending Section 42-201, Arizona Revised Statutes. Signed by the Governor. Implementation period will end April 13, 2011. Rulemaking has been an ongoing process. Regular program updates are provided on Arizona’s Website: http://www.azdhs.gov/medicalmarij uana/ Retrieved October 25, 2012. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Arizona (cont.) Applicability: Physicians and qualifying patients, visiting qualifying patients and designated caregivers Quantity Allowed: Two and one half ounces of usable marijuana How Obtained: Through dispensaries which will be taxed and started to open in July 2012. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Arizona (cont.) Liability Protections: Numerous protections including a discrimination prohibition with limited exceptions. Protects patients with debilitating conditions, their physicians and providers, from arrest and prosecution, criminal and other penalties and property forfeiture if such patients engage in the medical use of Marijuana. Statutory Requirements for Authorized Use: Registry Card required identifying person as a qualifying patient, registered caregiver or a registered non-profit Medical Marijuana dispensary agent. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved California Cal. Health and Safety Code Sections 11362.583 Applicability: Law applies to physicians, patients and caregivers Quantity Allowed: 8oz. or less dried; or 6 or less mature; or 12 or less immature plants How Obtained: Growing permitted – otherwise not specified Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved California (cont.) Liability Protections: Physicians: protected from criminal prosecution when recommending Marijuana for medical use Patients and Caregivers: protected from arrest for possession, transportation, delivery or cultivation if patient or caregiver has a valid I.D. (NOTE: I.D. card is voluntary). Statutory Requirements for Authorized Use: No Registry Card required. I.D. Cards issued by State Department of Health. I.D. Cards are voluntary and must be renewed annually. New information must be verified by County Health Department Efforts to improve California Medical Marijuana laws thwarted in 2011. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Colorado Colo. Const. Art. XVIII Section 14 Applicability: Law applies to physicians, patients and caregivers Quantity Allowed: Less than or equal to 2oz or 6 plants with only 3 able to produce usable product. Patient may raise an affirmative defense if greater amount is needed for debilitating condition. How Obtained: Growing is permitted but details not specified. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Colorado (cont.) Liability Protections: Physicians: protected from criminal prosecution when recommending Marijuana for medical use Patients and Caregivers: have an affirmative defense if physician diagnosed and advised use of Medical Marijuana permitted quantity and if registered with I.D. Card. Statutory Requirements for Authorized Use: Registry Card required. Must be Colorado resident and registered with Colorado Department of Public Health and Environment. Current Colorado physician diagnosis required (2 physicians diagnosis required for minors). Annual renewal with written documentation provided. Update: Medical Marijuana Dispensaries Near Schools Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Connecticut HB 5389 (Effective October 1, 2012) Regulations to be published. Applicability: Law applies to patient, guardian of patient, caregiver, dispensary producer and physician Quantity Allowed: Amount reasonable necessary to ensure the uninterrupted availability for a period of one month, as determined by the Department of Consumer Protection. Specific amounts to be provided no later than 1/1/2013 by Department of Consumer Protection. How Obtained: Through Dispensaries and producers. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Connecticut (cont.) Liability Protections: Qualifying patient, guardian and caregiver protected from arrest for possession, transportation, delivery or cultivation of Medical Marijuana if foregoing has a valid registration certificate from the Department of Consumer Protection – Validation is not to exceed one year. Law includes a restrictive and detailed provision that states that no employer may refuse to hire a person or may discharge, penalize or threaten an employee solely on the basis of such person’s or employees status as a qualifying patient or caregiver. Some exceptions may apply. Statutory Requirements for Authorized Use: Valid registration certificate from the Department of Consumer Protection required for physician, patient, dispensary and producers. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Delaware Title 16 Chapter 49A Delaware Code (2011) Applicability: Law applies to physician, patient and caregiver 21 years or older. Quantity Allowed: Patients 18 years or older may possess 6oz. of Marijuana How Obtained: Growing not permitted at home. State Regulated Non-Profit Distribution System by Compassion Centers Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Delaware (cont.) Liability Protections: Physicians: protected when recommending Marijuana for medical use. Patient: no arrest for possession of Medical Marijuana if they have a valid I.D. card. Caregivers, visiting patients under certain conditions and compassion centers and their employees protected. Discrimination prohibited by school, landlord or employer, with limited exceptions. Statutory Requirements for Authorized Use: Identification card required, copy of physician state required. Identification cards issued by State Department of Human Services. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Hawaii Stat. Ann. Sections 329-121-128 (2004) Applicability: Law applies to physicians, patients and caregivers Quantity Allowed: Less than or equal to 3 mature or 4 immature plants with yield of 1oz if usable. How Obtained: Growing is permitted but details not specified. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Hawaii (cont.) Liability Protections: Physicians: protected from criminal prosecution when recommending Marijuana for medical use in writing Patients and Caregivers: have an affirmative defense if physician advised use of Medical Marijuana, explained the risks/benefits of use, and if registered with I.D. card. Statutory Requirements for Authorized Use: Registry Card required. Must be registered with Hawaii Department of Public Safety. Patient needs written documentation from physician that use outweighs risks and that the amount permitted will not be exceeded. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Illinois 625 ILCS 5/11-502.1 Compassionate Use of Medical Cannabis Pilot Program Act – Effective January 1, 2014 – Act Repealed 4 years after its effective date Applicability: Physicians, person diagnosed by a physician as having a debilitating medical condition, primary caregiver Quantity Allowed: No more than 2.5 ounces of usable cannabis during a 14-day period that is derived solely from intrastate source How Obtained: 22 Cultivation Centers authorized with associated taxation and security program Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Illinois (cont.) Liability Protections: Protection from arrest Statutory Requirements for Authorized Use: Registry Identification Card issued by the Department of Health Note: The law does not prohibit an employer from enforcing a policy concerning drug testing, zero tolerance, or a drug free workplace provided the policy is applied in a non-discriminatory manner Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Maine ME Rev. Stat. Ann. Tit. 22 Sections 2383-B (2004) Applicability: Law applies to physicians, patients and caregivers Quantity Allowed: Less than or equal to 2.5 oz of usable product or 6 or less plants with no more than 3 mature and flowering. How Obtained: September 2010 Legislation – Medical Marijuana Dispensaries established – 8 Dispensaries now listed Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Maine (cont.) Liability Protections: Physicians, patients and caregivers – Liability protections not covered in statute. Statutory Requirements for Authorized Use: No state patient registry based on 2010 legislation but documentation of use is required. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Massachusetts Applicability: The Massachusetts Medical Marijuana Ballot initiative passed (63% voted in favor) and is effective January 1, 2013. (An Initiative Petition for a Law for the Humanitarian Medical Use of Marijuana Petition Number 11-11) Quantity Allowed: Amount permitted for 60-day supply to be considered by Department of Public Health within 120-days of the law’s effective date. How Obtained: Through “Treatment Centers” cultivation/growing by exceptions for patient and caregivers. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Massachusetts (cont.) Liability Protections: Protection for qualifying patients, caregivers, physicians and health care professionals, and “Dispensary Agents.” Statutory Requirements for Authorized Use: Written certificate from doctor/bona fide relationship with the patient and full patient assessment required. Registration card required – issued by the Department of Public Health. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Michigan Voter ballot driven legislation. Applicability: Qualified patients and primary caregivers. Quantity Allowed: 12 plants in an enclosed, locked facility or 2.5 oz usable Marijuana. Primary caregivers may keep up to 60 plants (12 for each of 5 patients and 12.5 oz of usable Marijuana in an enclosed, locked facility). How Obtained: Law does not address. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Michigan (cont.) Liability Protections: Qualifying patients and caregivers – not subject to arrest, prosecution or penalization in any manner. Statutory Requirements for Authorized Use: Registry Card required and issued through Bureau of Health Services. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Montana Authority: A Medical Marijuana initiative vote expanded the restrictions on the use of Medical Marijuana per SB0423 on November 6, 2012. Reaffirmed SB0423 which was effective July 1, 2011. Applicability: Law applies to physicians, patients and caregivers Quantity Allowed: Less than or equal to 6 plants and/or 1oz of usable marijuana. How Obtained: Qualifying patient may grow Marijuana or designate a provider (limited to three patients). Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Montana (cont.) Liability Protections: Qualifying patients and caregivers – not subject to arrest, prosecution or penalization in any manner (this section requires review and interpretation relative to new qualifying patients). Marijuana growers may not accept anything of value in exchange for services and products. Local governments authorized to regulate Marijuana providers. Statutory Requirements for Authorized Use: Registry Card required. Patient must have written documentation from physician. Patients and physicians must register with the Montana Department of Health. Registration must be renewed annually. NOTE: Confusing law – requires additional review and study. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Nevada Nev. Rev. Stat. Section 453A (Supp. 2001) Applicability: Law applies to physicians, patients and caregivers. Quantity Allowed: Less than or equal to 1oz of usable Marijuana or 3 mature or 4 immature plants. How Obtained: Growing is permitted through Department of Agriculture – may also grow to provide and establish a seed bank. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Nevada (cont.) Liability Protections: Physicians: protected from criminal prosecution when recommending Marijuana for medical use – written documentation required. Patients and Caregivers: have a affirmative defense if physician diagnosed and advised use of Medical Marijuana, explained the risks and benefits to patient and if within quantity permitted by statute. Statutory Requirements for Authorized Use: Written documentation from physician and Registry Card required. Physicians and patients must register with the Department of Agriculture. Documentation from attending physician must be updated annually. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Hampshire New Hampshire HB492: An Act relative to the legalization and regulation of marijuana – Regulations expected for marijuana distribution by October 1, 2013 Applicability: Legalization for personal use by persons 21 or older. Quantity Allowed: Up to one ounce legal How Obtained: State Licensed and Taxed distribution system. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Hampshire (cont.) Liability Protections: Protections similar to alcohol and regulated similar to alcohol Statutory Requirements for Authorized Use: Licensing of marijuana wholesale, retail, cultivation. And testing facilities. Associated taxation requirements authorized relative to sale of marijuana Special provisions relative to employers, driving Employers, Driving, Minors, and Control of Property Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Jersey N.J.S.A. 24:61 The New Jersey Medical Marijuana Law was signed into law in January of 2010. the Department of Health and Senior Services has established a process to register qualified patients, caregivers, and alternative treatment centers and has begun to approve alternative treatment centers. Updates are available from: The Department of Health and Senior Services (600) 292-7837 and by checking: http://www.state.nj.us/health/medicalmarijuana/ Retrieved October 25, 2012 Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Jersey (cont.) Applicability: Law applies to physicians, primary caregivers, and those authorized to produce Marijuana for medical purposes. Quantity Allowed: 90-day supply of usable Marijuana. How Obtained: New type of pharmacy – called alternative treatment centers – centers starting to open. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Jersey (cont.) Liability Protections: Protection from arrest, prosecution, property forfeiture, and criminal and other penalties for patients, physicians, primary caregivers, and those who are authorized to produce Medical Marijuana for medical purposes. Statutory Requirements for Authorized Use: Registry Identification cards will be issued by the Department of Health and Human Services which will identify a person as a registered qualifying patient or a primary caregiver. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Mexico Senate Substitute for Senate Bill 523 Effective July 1, 2007 Applicability: Law applies to physicians, patients and caregivers and licensed producers. Quantity Allowed: 6oz of usable medical cannabis is allowed at any given time. How Obtained: Department of Health licensed producers. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved New Mexico (cont.) Liability Protections: Physicians and Licensed Producers: not subject to arrest, prosecution, criminal or other penalties or property forfeiture. Patients and Caregivers: not subject to arrest, prosecution, criminal or other penalties or property forfeiture. Statutory Requirements for Authorized Use: Registry ID card required. Written certification from practitioner, registered with Department of Health and renewed annually. Program Information and details available at: http://www.health.state.nm.us/idb/medical_cannabis.shtml Retrieved October 25, 2012. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Oregon OR. Rev. Stat. Sections 475.300 to .346 (2003 & Supp. 2004) Applicability: Law applies to patients and caregivers. Quantity Allowed: Less than or equal to 1oz of usable Marijuana or 3 mature or 4 immature plants. How Obtained: Growing is permitted but details not specified. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Oregon (cont.) Liability Protections: Patients and Caregivers – have an affirmative defense if physician diagnosed and advised use of Medical Marijuana, explained the risks and benefits to patient and if within quantity permitted by statute. Statutory Requirements for Authorized Use: Written documentation from physician and Registry Card required. Patients and caregivers must be registered with Oregon Department of Human Resources, Health Division. Documentation from attending physician must be updated annually. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Rhode Island 2005 H.B. 6052, RI GEN. LAWS Section 21-28.6 Applicability: Law applies to physicians, patients and caregivers. Quantity Allowed: 12 plants and/or 2.5oz of usable Marijuana. How Obtained: Not specified. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Rhode Island (cont.) Liability Protections: Patients and Caregivers -- not subject to arrest, prosecution, criminal or other penalties and property forfeiture. No school, employer or landlord may refuse to enroll, employ or lease, or otherwise penalize solely for his/her status as a registered, qualified patient or registered primary caregiver. Statutory Requirements for Authorized Use: Registry card required. Written certification from practitioner registered with Department of Health required and must be renewed annually. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Vermont VT. Stat. Ann. Tit. 18, Sections 4472-4474 (2004) Applicability: Law applies to physicians, patients and caregivers. Quantity Allowed: Less than or equal to 1 mature or 2 immature plants or 2oz of usable Marijuana. How Obtained: Growing is permitted but details not specified. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Vermont (cont.) Liability Protections: Physicians, Patients and Caregivers – have an affirmative defense if physician advised use of Medical Marijuana if within quantity permitted by statute. State level criminal penalties on use, possession and cultivation of Marijuana by patients removed effective July 1, 2007. Statutory Requirements for Authorized Use: Written documentation from physician and Registry Card with photo required. Patients and Caregivers must be registered with Vermont Department of Public Safety (Three Physician Review Board involved in issuance process). Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Washington Wash. Rev. Code Ann. Section 69.51A (Supp. 2003) Applicability: Law applies to physicians, patients and caregivers. Quantity Allowed: No more than a 60-day supply. How Obtained: Not specified in statute. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Washington (cont.) Liability Protections: Physicians and Patients have an affirmative defense if diagnosed, physician advised use of Medical Marijuana and patient and licensed physician (M.D.) are Washington residents. Statutory Requirements for Authorized Use: None, but documentation of use is required. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved District of Columbia D.C. Law 13-315; 57 DCR 3360 as Amended Applicability: Physicians, patients and caregivers. Quantity Allowed: Maximum amount is 2oz of dried Marijuana. Mayor has authority to change quantity through rulemaking. How Obtained: From “Cultivation Centers” as defined in the statute. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved District of Columbia (cont.) Liability Protections: Protections from sanctions for physicians, patients and their caregivers, otherwise not specified. Statutory Requirements for Authorized Use: Registration with the Mayor pursuant to statutory requirements. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Federal Law v. State Law Federal Law and theses state laws conflict due to Federal Law and Policy – especially 21 United States Code Section 812 (b)(1) Schedule I c (17) prohibiting tetrahydrocannabinoids. Medical Marijuana is not a legitimate medical explanation under DOT although Marinol is. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 61 DOT’s Position – October 22, 2009: The Department of Transportation’s Drug and Alcohol Testing Regulation – 49 CFR Part 40, at 40.151(e) – does not authorize “medical marijuana” under a state law to be a valid medical explanation for a transportation employee’s positive drug test result. -- Jim L. Swart, Director Office of the Secretary of Transportation, Office of Policy and Compliance, Department of Transportation Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 62 DOT’s Position – December 3, 2012: Recently, some states passed initiatives to permit use of marijuana for so-called “recreational” purposes. We want to make it perfectly clear that the state initiatives will have no bearing on the Department of Transportation’s regulated drug testing program. The Department of Transportation’s Drug and Alcohol Testing Regulation – 49 CFR Part 40 – does not authorize the use of Schedule I drugs, including marijuana, for any reason. -- Jim L. Swart, Director Office of the Secretary of Transportation, Office of Policy and Compliance, Department of Transportation Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 63 Marijuana: Marijuana is Classified as a Schedule I Drug by the DEA Drugs are classified as Schedule I Drugs if: (A) The drug or other substance has a high potential for abuse. (B) The drug or other substance has no currently accepted medical use in treatment in the United States. (C) There is a lack of accepted safety for use of the drug or other substance under medical supervision. Smoked Marijuana v. Dronabinol/Marionol v. Sativex NOTE: No drugs administered by smoking have been approved by the FDA Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 64 Medical Marijuana Case Law Gonzales v. Raich 545 U.S. 1 (2005) Roe v. Teletech Customer Care Management, 060607 WAWDC, C07-5149 RBL (W.D. Wash. 2007) Ross v. Ragingwire Telecommunications, Inc., 42 Cal. 4th 920, S138130 (Sup Ct. Cal 2008) Johnson v. Columbia Falls Aluminum Co., LLC, 033109 MTSC, DA 08-0358 (MT Sup Ct 2009) Emerald Steel Fabricators, Inc. v. Bureau of Labor and Industries, 348 Or. 159 (Or. 2010) Beinor v. Industrial Claim Appeals Office of Colorado (Ct of Appeals of CO, 7th Div.) (CO. 2011) Casias v. Wal-Mart Stores, Inc., 764 F. Supp. @d 914 (W.D. Mich. 2011) Coats v. Dish Network LLC, (CO Ct Appeals April 25, 2013) Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 65 5 Steps an Employer can take to Successfully Walk the Tightrope 1. Understand the laws on Medical Marijuana that are specific to their State; 2. Adopt a pre-duty prescription medication and impairing effects substances safety policy; 3. Update employee job descriptions; 4. Adopt an ADA complaint handbook policy on reasonable accommodations; and 5. Let employees know your stance on Medical and Recreational Marijuana use. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 66 Step 2: Adopt A Pre-duty Prescription Medication And Impairing Effects Substance Safety Policy •Requires employees working in safety-sensitive classification to pre-duty disclose that they have taken an impairing effect prescription or other substance; •Define safety-sensitive and list job classifications if possible; •Make it part of the employer’s safety policy; •Employee does not have to disclose drug or medical condition to comply with policy; •Once disclosed, employer reserves right to send employee for fitnessfor-duty evaluation with copy of job description; •Encourages employees to first provide their own physician a copy of their job description and make a fitness-for-duty determination; and •Employer reserves right to make final fitness-for-duty determination, maybe using Medical Review Office (MRO). Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 67 5 Steps an Employer can take to Successfully Walk the Tightrope 1. Understand the laws on Medical Marijuana that are specific to their State; 2. Adopt a pre-duty prescription medication and impairing effects substances safety policy; 3. Update employee job descriptions; 4. Adopt an ADA complaint handbook policy on reasonable accommodations; and 5. Let employees know your stance on Medical and Recreational Marijuana use. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 68 Step 3: Update Employee Job Descriptions •Every job description to be in compliance with the Americans with Disability Act (ADA) should list “Essential Job Functions.” •If the employee works in a safety-sensitive job category, one of the essential functions listed should be “the ability to work in a constant state of alertness and in a safe manner.” •Educate yourself on the workplace related impairing effects of Marijuana. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 69 Step 3: Update Employee Job Descriptions (cont) Workplace Related Impairing Effects of Marijuana Include: •Inability to accurately gauge lengths of time and distance as well as impairment of hearing and vision and short term memory •Inability to cope with sudden changes in surrounding and/or emergency situations •Loss of balance •Visual and/or auditory hallucinations •Non-caring, uncommitted, unconcerned attitude •Decreased cognitive reasoning •Decreased motor coordination •Inability to concentrate or remain focused on a single thought or idea •Increased drowsiness, fatigue and lethargy Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 70 Step 3: Update Employee Job Descriptions (cont) Workplace Related Impairing Effects of Marijuana Include: Marijuana: Causes an inability to concentrate or remain focused on a single thought or idea. Increased drowsiness, fatigue and lethargy. Inability to accurately gauge lengths of time and distance as well as impairment of hearing and vision and short term memory. Inability to cope with sudden changes in surrounding and/or emergency situations. Loss of balance. Visual and/or auditory hallucinations. Non-caring, uncommitted, unconcerned attitude. C. B. Thuss, Jr., M.D., MRO SAPAA Board Member Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 71 5 Steps an Employer can take to Successfully Walk the Tightrope 1. Understand the laws on Medical Marijuana that are specific to their State; 2. Adopt a pre-duty prescription medication and impairing effects substances safety policy; 3. Update employee job descriptions; 4. Adopt an ADA complaint handbook policy on reasonable accommodations; and 5. Let employees know your stance on Medical and Recreational Marijuana use. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 72 Step 4: Adopt an ADA Compliant Handbook Policy on Reasonable Accommodation •State in your pre-duty prescription medication and impairing effects disclosure policy that you do not accommodate the use of medical or recreational Marijuana by safetysensitive employees; •Having ADA reasonable accommodation handbook language that discusses the typical interactive steps is a good risk reduction practice; •The linchpin of the ADA is an individualized assessments based on essential job duties; and •Suggest use of consulting MRO/Occupational Physician to guide you through the ADA reasonable accommodation dance steps. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 73 5 Steps an Employer can take to Successfully Walk the Tightrope 1. Understand the laws on Medical Marijuana that are specific to their State; 2. Adopt a pre-duty prescription medication and impairing effects substances safety policy; 3. Update employee job descriptions; 4. Adopt an ADA complaint handbook policy on reasonable accommodations; and 5. Let employees know your stance on Medical and Recreational Marijuana use. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 74 Step 5: Let Employees Know Your Stance on Medical and Recreational Marijuana Use •Include clear information about the Employer’s position on Medical Marijuana in its Drug and Alcohol Testing Policy. •In your employee awareness session, go through the workplace related impairing effects of Marijuana. •Make it all about safety. •Watch the state laws carefully and do not take adverse action or impose disciplinary consequences against an employee or applicant that makes a Medical Marijuana claim without consulting knowledgeable legal counsel. •Treat medical and recreational Marijuana like any other impairing effect prescription medication or substance. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 75 Five Action Plan Puzzle Pieces The issues surrounding medical and recreational Marijuana use are complex and will continue to “grow.” Fitting together the following puzzle pieces now will keep your business from “going up in smoke.” “If it wasn’t for marijuana there wouldn’t be any pot” Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved 76 5 Action Plan Puzzle Pieces 1. Adopt a pre-duty prescription medication and impairing effects substances safety policy; 2. Update employee job descriptions 3. Adopt an ADA complaint handbook policy on reasonable accommodation; 4. Let employees know your stance on medical and recreational Marijuana use; and 5. Adopt a state specific legally compliant Drug-Free Workplace Policy and Forms which cover medical and recreational marijuana. Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Success: Because you can own this face of pure accomplishment Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Future for “Up in Smoke” •10 States with Pending Legislation to Legalize Medical Marijuana (as of Apr. 3, 2013) •Alabama •Florida •Illinois •Iowa •Kansas •Kentucky •Missouri You're not hallucinating (but they are)... It's the legendary tokers jokers Cheech & Chong as you've never seen them before -- in their very first Animated Movie. •New Hampshire •New York •West Virginia Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved Contact Information and Questions Josephine Elizabeth Kenney, J.D., MBA – Human Resources Senior Compliance Counsel First Advantage Josephine.Kenney@fadv.com Thomas (Tommy) M. Eden, III Attorney Constangy, Brooks & Smith, LLP Management Labor and Employment Law Firm “The Employers’ Law Firm Since 1946 www.Constangy.com Email: teden@Constangy.com Mobile : 205-222-8030 Constangy, Brooks and Smith, LLP ©2013 All Rights Reserved