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2413 Lytle Road – Bethel Park, PA 15102 – 888-662-8358 – www.mobmed.com About MMC In Business Since 1990 Coporate Office LARGEST Third Party Administrator Medtox Laboratory Pittsburgh, PA 12,000 Tests per Month Satellite Offices 10,000 Lab 2,000 Rapid Cleveland, Ohio Baltimore, Maryland Houston, Texas Sacramento, California Paramus, New Jersey Astoria, New York Welcome Today’s Topics Pending Department of Transportation (DOT) Testing Changes Expanded Opiates Screening Medical Marijuana Pros & Cons of Testing Methods Electronic Chains of Custody (e-Chain) Adulterants Liability Protection Tips Question… Number of Drug Tests Are Collected Annually? 40 Million! 32 Million Are Non-Federal 8 Million Are DOT Upcoming DOT Changes October 1, 2010 DOT Panel Changes – 49 CFR Part 40 Ecstasy MDMA 6-AM Heroin Metabolite Reduced Cut-Off Levels Original Level 300 ng/mL screening 150 ng/mL confirmation Cocaine Amphetamines Original Level 1000 ng/mL screening 500 ng/mL confirmation New Level 150 ng/mL screening 100 ng/mL confirmation New Level 500 ng/mL screening 250 ng/mL confirmation Observed Collections (2008) Mandatory - Accelerated Randoms & Return to Duty Collector has discretion to observe a collection for reasonable suspicion Expanded Opiates Screening Organic Opiates Morphine Synthetic Opiates Codeine Oxymorphone Hydromorphone Oxycodone Hydrocodone Expanded Opiates Screening Medical Marijuana Fourteen (14) U.S. States Have laws that legalize medical marijuana (Date Legalized) Alaska (1998) California (1996) Colorado (2004) Hawaii (2000) Maine (1999) Michigan (2008) Montana (2004) Nevada (2000) New Mexico (2007) Oregon (1998) Rhode Island (2006) Vermont (2004) New Jersey (2010) Washington (1998) The Federal Court System has ruled that the Federal guidelines supersede the States when dealing with compassionate laws on marijuana use. The Supreme Court has ruled that employers and the government can prosecute in those states that have compassionate laws on marijuana use. Employers need not accommodate the state rule. Pros and Cons of Testing Methods Instant Rapid Urine PROS CONS Quality Control Instant Negative High % of false positves Detection Time—48 to 72 hours Collected by anyone Positives still require GCMS Limited Adulterant Detection Human Subjectivity Urinalysis PROS FDA Approved Detection Time—48 to 72 hours Highly Dependable CONS Waiting period for results Pros and Cons of Testing Methods Saliva PROS CONS Easy to use Limited Detection Time Fast and AccurateDonor-Friendly Difficult to Adulterate Immediate Results Test Anywhere Not Enough Saliva For Dispute Resolution e-Chains Electronic Custody and Control Forms Online Ordering Less Paperwork = Fewer Errors Easy to Track Quicker Turnaround Time Adulterants “Foreign Substances either ingested or added directly to a urine specimen to prevent the detection of drug use” Adulterants ADDITIVES Common Household Products DILUTANTS Water Acid, Ammonia, Lye and Vinegar, Bleach Chemical Additives Urine Luck™, Klear™, Whizzies, etc. INGESTED Prescription Drugs Non-steroidal anti-inflammatory drugs URINE SUBSTITUTES & DEVICES Lemonade, Soft Drinks, Sports Drinks, Animal Urine, Artificial/Synthetic Urine Devices Whizzanator, UreaClean, etc. Legal Issues Policy Review •Separate Drug and Alcohol Testing in your Policy •Add to policy “There is no appeal for alcohol testing completed by BAT.” •Certain States regulate alcohol testing only by blood (Florida, Mississippi, Minnesota) Legal Review of State Testing Laws Bill Judge- Attorney (877) 423-8422 2413 Lytle Road – Bethel Park, PA 15102 – 888-662-8358 – www.mobmed.com