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Presented by
Tony Fiore + Luis Alcalde
CANNABIS SATIVA
An annual herbaceous flowering
plant indigenous to eastern Asia but
now of cosmopolitan distribution due
to widespread cultivation
It has been cultivated throughout
recorded history, used as a source of
industrial fiber, seed oil, food,
recreation, religious and spiritual
moods and medicine
2 Most Dominant
CANNABINOIDS
Tetrahydrocannabinol (THC)
the psychoactive effects of cannabis
Cannabidiol (CBD)
thought to have many beneficial
health effects in humans
HEMP MARIJUANA
Cannabis Sativa
THC < 0.3%
Clothing, body oil and lotions,
biodegradable plastics, paper, pet
food, oil for candles, lanterns, paint,
biodiesel, construction materials
CBD oil extracts
Cannabis Sativa
THC > 10%
High levels of CBD
Medicine
Recreational
Require an employer to permit or
accommodate an employee's use,
possession, or distribution of
medical marijuana
R.C. 3796.28 (A)
Rights of an Employer
Requires an employer to permit or
accommodate an employee's use, possession,
or distribution of medical marijuana
Nothing in this chapter does any of the following:
Prohibits an employer from refusing to hire,
discharging, disciplining, or otherwise taking
an adverse employment action against a
person with respect to hire, tenure, terms,
conditions, or privileges of employment
because of that person's use, possession, or
distribution of medical marijuana
Prohibits an employer from establishing and
enforcing a drug testing policy, drug-free
workplace policy, or zero-tolerance drug policy
R.C. 3796.28 (A)
Rights of an Employer
Interferes with any federal restrictions on
employment
Nothing in this chapter does any of the following:
Permits a person to commence a cause of
action against an employer for refusing to
hire, discharging, disciplining, discriminating,
retaliating, or otherwise taking an adverse
employment action against a person with
respect to hire, tenure, terms, conditions, or
privileges of employment related to medical
marijuana
Affects the authority of the administrator of
workers' compensation to grant rebates or
discounts on premium rates to employers that
participate in a drug-free workplace program
3796.28 (B) – Unemployment Compensation
A person who is discharged from employment
because of that person's use of medical marijuana
shall be considered to have been discharged for just
cause for purposes of division (D) of
section 4141.29 of the Revised Code if the person's
use of medical marijuana was in violation of an
employer's drug-free workplace policy, zero-
tolerance policy, or other formal program or policy
regulating the use of medical marijuana
Trump
Administration
HJR 42
Was terminated from employment
with his/her most recent employer
(state law) because of the unlawful
use of controlled substances
Is an individual for whom suitable
work (state law) is only available in an
occupation that regularly conducts
drug testing (DOL Secretary regs)
Subsection (1) to
Section 303, SSA
Prohibit an employer from
establishing + enforcing a drug
testing policy, drug-free workplace
policy, or zero-tolerance policy
Prohibit an employer from refusing
to hire, firing, disciplining, or
otherwise taking an adverse
employment action against a
person because of that person's
use, possession, or distribution of
medical marijuana
Permit a person to sue an
employer for taking any of
those actions
Interfere with any federal
restrictions on employment,
including U.S. Department of
Transportation regulations
Affect authority of the
Administrator of Workers'
Compensation to grant rebates or
discounts on premium rates to
employers that participate in a
drug-free workplace program
The Ohio Bureau of
Workers’ Compensation
will not pay for medical
marijuana
Pays only for drugs approved by FDA
Pays only for prescriptions dispensed
by a registered pharmacist from an
enrolled provider
Pharmaceutical formulary does not
list marijuana as a drug approved for
reimbursement
RC 4123.54
“Rebuttable presumption" retained for
medical marijuana
“Rebuttable presumption” arises that an
employee is intoxicated and that the
intoxication was the proximate cause of
the injury where a qualifying chemical test
shows the presence of a cannabinoids in
excess of the statutory limit
Qualifying Chemical
TEST
Issued within 32
hours of injury
Administered after
employer had
“reasonable cause”
Specific, objective
facts +
reported use
+ Workplace Issues
62.6%
of all adult illegal drug users
are employed full time, as
are most binge and heavy
alcohol users
Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Behavioral Health Statistics and Quality
+ Workplace Issues
56.9%
of all adult illegal drug users
are employed part time, as
are most binge and heavy
alcohol users
Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Behavioral Health Statistics and Quality
+ Workplace Issues
Compared with non-substance
users, substance using
employees are more likely to:
Change jobs frequently
Be late/absent from work
Be less productive
Be involved in a workplace
accident or file WC claim
Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Behavioral Health Statistics and Quality
Ways to Drug
Test Employees
Pre-employment testing
Random testing
Reasonable
suspicion/cause testing
Post-accident testing
Return-to-duty testing
Follow-up testing
This usually involves collecting
urine samples to test for drugs
such as marijuana, cocaine,
amphetamines, PCP, and opiates
Benefits of
Drug Testing
Important experiences to share
Improvements in morale and
productivity, and decreases in
absenteeism, accidents, downtime,
turnover, and theft
Better health status among
employees and family members
and decreased use of medical
benefits by these same groups
Some organizations qualify for
incentives, such as decreased costs
for workers’ compensation and
other kinds of insurance
Drug Testing
Resources
Local Counsel/Attorney
Substance Abuse and Mental Health
Services Administration (SAMHSA),
Division of Workplace Programs
U.S. Department of Labor (DOL),
eLaws Drug-Free Workplace
Advisor
U.S. Department of Transportation
(DOT), Office of Drug & Alcohol
Policy & Compliance
Resources for Drug Addiction
DrugAbuse.com 1-(877) 978-1930
Boys Town National Hotline 1 (800) 448-3000
Covenant House Teen Hotline (NineLine) 1 (800) 999-9999
National Council on Alcoholism and Drug Dependence,
Inc. (NCADD)
1 (800) NCA-CALL (622-2255)
National Institute on Drug Abuse (NIDA) 1 (800) 662-HELP (4357)
Substance Abuse and Mental Health Services
Administration (SAMHSA) National Helpline
1 (800) 662-HELP (4357)
1 (800) 487-4889 (TDD)
National Suicide Prevention Lifeline 1 (800) 273-TALK (8255)
The Partnership at Drugfree.org 1 (855) DRUG-FREE (378-4373)
Majority of state supreme court cases have
upheld that employers are not obligated to
accommodate the use of medical
marijuana—even outside the workplace
Several medical marijuana states have implicit
employee protections in place, where the law
mentions only on-the-job consumption or
impairment as grounds for termination:
Colorado, Hawaii, Michigan, Montana, New
Jersey, New Mexico + Vermont
MASSACHUSETTS
Supreme Judicial Court
ruled that a company that fired an
employee with a legal medicinal
marijuana prescription, which she
used only after work, for failing a
drug test could constitute
discrimination against her handicap
Under Ohio’s Act, a person who is fired
for using medical marijuana is
considered to have been fired for just
cause under the Unemployment
Compensation Law if the person
violated an employer drug-free
workplace policy, zero-tolerance policy,
or other formal policy regulating the
use of medical marijuana
TOUGH QUESTION
Despite Ohio law . . . how to deal with
cannabis in the workplace in light of its new
business, social and political acceptance?
Company Reputation
Federal Funding
Third-Party Employee Benefits
3 Action
STEPSfor Employers
Adopt policies that emphasize it is illegal
to work under the influence or consume
drugs at the workplace + consequences
for not obeying policies
1
Work with a reputable drug testing
company that administers random testing
and complies with all state and federal
regulations
2
Watch for law changes at the federal and
state level on medical marijuana or
fighting opioid addiction
3
The issue that needs resolved now is…
What level of marijuana in a
person’s system constitutes
“impairment” similar to
alcohol at 0.8%
Marijuana remains
illegal under federal law
33 states + District of
Columbia have legalized
some form of medical
marijuana as of 2018
11 of the 30 medical
marijuana states have
legalized the recreational
use of marijuana
Cannabis Courses at
Ohio + U.S. Colleges
Associate of Applied Science in Laboratory Sciences
Major in Cannabis Laboratory Course of Study Course
Psychology of Cannabis course
Cannabis Science and Medicine
Medicinal Cannabis and Chronic Pain
Cannabis Research Center
Alcohol companies
continue to buy
marijuana
companies + create
cannabis products
Canadian Cannabis
Companies Go
International
More than 2 dozen
countries have legalized
medical marijuana
Full legislation in
Uruguay with sales
underway July 2019
Israel as a hub of research
Currently full recreational
use legal federally in Canada
Not in my
BACKYARD
In 2020, MPP is lobbying +
building coalitions to regulate
marijuana like alcohol in several
states that don’t have the option
of voter initiatives: Connecticut
+ Vermont (current law allows
possession and home
cultivation of cannabis)
Advancing medical marijuana-
related bills — Kentucky and
South Carolina — 2020 medical
marijuana ballot initiative in
Nebraska
DECRIMINALIZATION
FEDERAL
LEGISLATION
“None of the funds made
available in this Act to the
Department of Justice
may be used to prevent
any of the states from
implementing their own
laws that authorize the
use, distribution,
possession, or cultivation
of medical marijuana.”
FEDERAL
ILLEGALITY
DEA Drug Schedules
Description Drug Examples
Schedule I drugs, substances, or chemicals are defined as drugs
with no currently accepted medical use and a high potential for
abuse. Schedule I drugs are the most dangerous drugs of all the
drug schedules with potentially severe psychological or physical
dependence.
Heroin, lysergic acid diethylamide (LSD), marijuana (cannabis),
3,4-methylenedioxymethamphetamine (ecstasy), methaqualone,
and peyote
Schedule II drugs, substances, or chemicals are defined as drugs
with a high potential for abuse, with use potentially leading to
severe psychological or physical dependence. These drugs are
also considered dangerous.
Combination products with less than 15 milligrams of
hydrocodone per dosage unit (Vicodin), cocaine,
methamphetamine, methadone, hydromorphone (Dilaudid),
meperidine (Demerol), oxycodone (OxyContin), fentanyl,
Dexedrine, Adderall, and Ritalin
Schedule III drugs, substances, or chemicals are defined as drugs
with a moderate to low potential for physical and psychological
dependence. Schedule III drugs abuse potential is less than
Schedule I and Schedule II drugs but more than Schedule IV.
Products containing less than 90 milligrams of codeine per
dosage unit (Tylenol with codeine), ketamine, anabolic steroids,
testosterone
Schedule IV drugs, substances, or chemicals are defined as drugs
with a low potential for abuse and low risk of dependence.
Xanax, Soma, Darvon, Darvocet, Valium, Ativan, Talwin, Ambien,
Tram
Schedule V drugs, substances, or chemicals are defined as drugs
with lower potential for abuse than Schedule IV and consist of
preparations containing limited quantities of certain narcotics.
Schedule V drugs are generally used for antidiarrheal, antitussive,
and analgesic purposes.
Cough preparations with less than 200 milligrams of codeine or
per 100 milliliters (Robitussin AC), Lomotil, Motofen, Lyrica,
Parepectolin
303(l)(1)(A)(i) SSA - (“controlled substance” has the meaning given such term in
section 102 of the Controlled Substances Act (21 U.S.C. 802)
Factors Determinative of Control
or Removal from Schedules
1. Actual or relative potential for abuse
2. Scientific evidence of its pharmacological effect, if known
3. State of current scientific knowledge regarding the drug
or other substance
4. History and current pattern of abuse
5. Scope, duration, and significance of abuse
6. What, if any, risk there is to the public health
7. Psychic or physiological dependence liability
8. Whether the substance is an immediate precursor of a
substance already controlled under this subchapter.
Tony Fiore
afiore@keglerbrown.com
keglerbrown.com/fiore
614.462.5428
@TonyFioreEsq
Luis Alcalde
lalcalde@keglerbrown.com
keglerbrown.com/alcalde
614-462-5480

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The Impact of Medical Marijuana in Ohio Workplaces

  • 1. Presented by Tony Fiore + Luis Alcalde
  • 2. CANNABIS SATIVA An annual herbaceous flowering plant indigenous to eastern Asia but now of cosmopolitan distribution due to widespread cultivation It has been cultivated throughout recorded history, used as a source of industrial fiber, seed oil, food, recreation, religious and spiritual moods and medicine
  • 3.
  • 4. 2 Most Dominant CANNABINOIDS Tetrahydrocannabinol (THC) the psychoactive effects of cannabis Cannabidiol (CBD) thought to have many beneficial health effects in humans
  • 5. HEMP MARIJUANA Cannabis Sativa THC < 0.3% Clothing, body oil and lotions, biodegradable plastics, paper, pet food, oil for candles, lanterns, paint, biodiesel, construction materials CBD oil extracts Cannabis Sativa THC > 10% High levels of CBD Medicine Recreational
  • 6.
  • 7. Require an employer to permit or accommodate an employee's use, possession, or distribution of medical marijuana
  • 8. R.C. 3796.28 (A) Rights of an Employer Requires an employer to permit or accommodate an employee's use, possession, or distribution of medical marijuana Nothing in this chapter does any of the following: Prohibits an employer from refusing to hire, discharging, disciplining, or otherwise taking an adverse employment action against a person with respect to hire, tenure, terms, conditions, or privileges of employment because of that person's use, possession, or distribution of medical marijuana Prohibits an employer from establishing and enforcing a drug testing policy, drug-free workplace policy, or zero-tolerance drug policy
  • 9. R.C. 3796.28 (A) Rights of an Employer Interferes with any federal restrictions on employment Nothing in this chapter does any of the following: Permits a person to commence a cause of action against an employer for refusing to hire, discharging, disciplining, discriminating, retaliating, or otherwise taking an adverse employment action against a person with respect to hire, tenure, terms, conditions, or privileges of employment related to medical marijuana Affects the authority of the administrator of workers' compensation to grant rebates or discounts on premium rates to employers that participate in a drug-free workplace program
  • 10. 3796.28 (B) – Unemployment Compensation A person who is discharged from employment because of that person's use of medical marijuana shall be considered to have been discharged for just cause for purposes of division (D) of section 4141.29 of the Revised Code if the person's use of medical marijuana was in violation of an employer's drug-free workplace policy, zero- tolerance policy, or other formal program or policy regulating the use of medical marijuana
  • 11.
  • 13. Was terminated from employment with his/her most recent employer (state law) because of the unlawful use of controlled substances Is an individual for whom suitable work (state law) is only available in an occupation that regularly conducts drug testing (DOL Secretary regs) Subsection (1) to Section 303, SSA
  • 14. Prohibit an employer from establishing + enforcing a drug testing policy, drug-free workplace policy, or zero-tolerance policy
  • 15. Prohibit an employer from refusing to hire, firing, disciplining, or otherwise taking an adverse employment action against a person because of that person's use, possession, or distribution of medical marijuana
  • 16. Permit a person to sue an employer for taking any of those actions
  • 17. Interfere with any federal restrictions on employment, including U.S. Department of Transportation regulations
  • 18. Affect authority of the Administrator of Workers' Compensation to grant rebates or discounts on premium rates to employers that participate in a drug-free workplace program
  • 19. The Ohio Bureau of Workers’ Compensation will not pay for medical marijuana
  • 20. Pays only for drugs approved by FDA Pays only for prescriptions dispensed by a registered pharmacist from an enrolled provider Pharmaceutical formulary does not list marijuana as a drug approved for reimbursement
  • 21. RC 4123.54 “Rebuttable presumption" retained for medical marijuana “Rebuttable presumption” arises that an employee is intoxicated and that the intoxication was the proximate cause of the injury where a qualifying chemical test shows the presence of a cannabinoids in excess of the statutory limit
  • 22. Qualifying Chemical TEST Issued within 32 hours of injury Administered after employer had “reasonable cause” Specific, objective facts + reported use
  • 23. + Workplace Issues 62.6% of all adult illegal drug users are employed full time, as are most binge and heavy alcohol users Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality
  • 24. + Workplace Issues 56.9% of all adult illegal drug users are employed part time, as are most binge and heavy alcohol users Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality
  • 25. + Workplace Issues Compared with non-substance users, substance using employees are more likely to: Change jobs frequently Be late/absent from work Be less productive Be involved in a workplace accident or file WC claim Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality
  • 26. Ways to Drug Test Employees Pre-employment testing Random testing Reasonable suspicion/cause testing Post-accident testing Return-to-duty testing Follow-up testing This usually involves collecting urine samples to test for drugs such as marijuana, cocaine, amphetamines, PCP, and opiates
  • 27. Benefits of Drug Testing Important experiences to share Improvements in morale and productivity, and decreases in absenteeism, accidents, downtime, turnover, and theft Better health status among employees and family members and decreased use of medical benefits by these same groups Some organizations qualify for incentives, such as decreased costs for workers’ compensation and other kinds of insurance
  • 28. Drug Testing Resources Local Counsel/Attorney Substance Abuse and Mental Health Services Administration (SAMHSA), Division of Workplace Programs U.S. Department of Labor (DOL), eLaws Drug-Free Workplace Advisor U.S. Department of Transportation (DOT), Office of Drug & Alcohol Policy & Compliance
  • 29. Resources for Drug Addiction DrugAbuse.com 1-(877) 978-1930 Boys Town National Hotline 1 (800) 448-3000 Covenant House Teen Hotline (NineLine) 1 (800) 999-9999 National Council on Alcoholism and Drug Dependence, Inc. (NCADD) 1 (800) NCA-CALL (622-2255) National Institute on Drug Abuse (NIDA) 1 (800) 662-HELP (4357) Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline 1 (800) 662-HELP (4357) 1 (800) 487-4889 (TDD) National Suicide Prevention Lifeline 1 (800) 273-TALK (8255) The Partnership at Drugfree.org 1 (855) DRUG-FREE (378-4373)
  • 30. Majority of state supreme court cases have upheld that employers are not obligated to accommodate the use of medical marijuana—even outside the workplace Several medical marijuana states have implicit employee protections in place, where the law mentions only on-the-job consumption or impairment as grounds for termination: Colorado, Hawaii, Michigan, Montana, New Jersey, New Mexico + Vermont
  • 31. MASSACHUSETTS Supreme Judicial Court ruled that a company that fired an employee with a legal medicinal marijuana prescription, which she used only after work, for failing a drug test could constitute discrimination against her handicap
  • 32. Under Ohio’s Act, a person who is fired for using medical marijuana is considered to have been fired for just cause under the Unemployment Compensation Law if the person violated an employer drug-free workplace policy, zero-tolerance policy, or other formal policy regulating the use of medical marijuana
  • 33. TOUGH QUESTION Despite Ohio law . . . how to deal with cannabis in the workplace in light of its new business, social and political acceptance?
  • 38. Adopt policies that emphasize it is illegal to work under the influence or consume drugs at the workplace + consequences for not obeying policies 1
  • 39. Work with a reputable drug testing company that administers random testing and complies with all state and federal regulations 2
  • 40. Watch for law changes at the federal and state level on medical marijuana or fighting opioid addiction 3
  • 41. The issue that needs resolved now is… What level of marijuana in a person’s system constitutes “impairment” similar to alcohol at 0.8%
  • 42. Marijuana remains illegal under federal law 33 states + District of Columbia have legalized some form of medical marijuana as of 2018 11 of the 30 medical marijuana states have legalized the recreational use of marijuana
  • 43.
  • 44.
  • 45.
  • 46. Cannabis Courses at Ohio + U.S. Colleges
  • 47. Associate of Applied Science in Laboratory Sciences Major in Cannabis Laboratory Course of Study Course Psychology of Cannabis course Cannabis Science and Medicine Medicinal Cannabis and Chronic Pain Cannabis Research Center
  • 48.
  • 49. Alcohol companies continue to buy marijuana companies + create cannabis products
  • 51. More than 2 dozen countries have legalized medical marijuana Full legislation in Uruguay with sales underway July 2019 Israel as a hub of research Currently full recreational use legal federally in Canada
  • 53.
  • 54. In 2020, MPP is lobbying + building coalitions to regulate marijuana like alcohol in several states that don’t have the option of voter initiatives: Connecticut + Vermont (current law allows possession and home cultivation of cannabis)
  • 55. Advancing medical marijuana- related bills — Kentucky and South Carolina — 2020 medical marijuana ballot initiative in Nebraska
  • 57.
  • 58.
  • 60. “None of the funds made available in this Act to the Department of Justice may be used to prevent any of the states from implementing their own laws that authorize the use, distribution, possession, or cultivation of medical marijuana.”
  • 63. Description Drug Examples Schedule I drugs, substances, or chemicals are defined as drugs with no currently accepted medical use and a high potential for abuse. Schedule I drugs are the most dangerous drugs of all the drug schedules with potentially severe psychological or physical dependence. Heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), 3,4-methylenedioxymethamphetamine (ecstasy), methaqualone, and peyote Schedule II drugs, substances, or chemicals are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous. Combination products with less than 15 milligrams of hydrocodone per dosage unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin Schedule III drugs, substances, or chemicals are defined as drugs with a moderate to low potential for physical and psychological dependence. Schedule III drugs abuse potential is less than Schedule I and Schedule II drugs but more than Schedule IV. Products containing less than 90 milligrams of codeine per dosage unit (Tylenol with codeine), ketamine, anabolic steroids, testosterone Schedule IV drugs, substances, or chemicals are defined as drugs with a low potential for abuse and low risk of dependence. Xanax, Soma, Darvon, Darvocet, Valium, Ativan, Talwin, Ambien, Tram Schedule V drugs, substances, or chemicals are defined as drugs with lower potential for abuse than Schedule IV and consist of preparations containing limited quantities of certain narcotics. Schedule V drugs are generally used for antidiarrheal, antitussive, and analgesic purposes. Cough preparations with less than 200 milligrams of codeine or per 100 milliliters (Robitussin AC), Lomotil, Motofen, Lyrica, Parepectolin
  • 64. 303(l)(1)(A)(i) SSA - (“controlled substance” has the meaning given such term in section 102 of the Controlled Substances Act (21 U.S.C. 802)
  • 65. Factors Determinative of Control or Removal from Schedules 1. Actual or relative potential for abuse 2. Scientific evidence of its pharmacological effect, if known 3. State of current scientific knowledge regarding the drug or other substance 4. History and current pattern of abuse 5. Scope, duration, and significance of abuse 6. What, if any, risk there is to the public health 7. Psychic or physiological dependence liability 8. Whether the substance is an immediate precursor of a substance already controlled under this subchapter.