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Sebaly Shillito + Dyer, A Legal Professional Association
2018 Northern Cincinnati
Safety Council
Medical Marijuana in the Workplace
August 28, 2018
1
Karl R. Ulrich, Esq.
Sebaly Shillito + Dyer, A Legal Professional Association
2
https://medicalmarijuana.procon.org/view.resource.php?resourceID=000881
Last updated on 7/28/18
Sebaly Shillito + Dyer, A Legal Professional Association
Medical Marijuana and the Workplace
• Ohio M/M Law – legalizes the possession and use of
marijuana for medical purposes; and the possession
of certain paraphernalia and accessories
• Ohio law is NOT legal for recreational or other non-
medical purposes
• Signed into law in 2016
• Becomes “fully operational” September 8, 2018
Sebaly Shillito + Dyer, A Legal Professional Association
Illegal Under Federal Law
• Cannabis is still illegal under federal law.
• It remains classified as a Schedule I “controlled substance”
under the federal Controlled Substances Act (“CSA”).
• Schedule I classification means that federal gov’t officially
views cannabis as “dangerous, highly addictive and having
no medicinal value.”
• Federal law prohibits physician’s from “prescribing” m/m.
Ohio law therefore requires physician to be certified to
issue a “recommendation.”
4
Sebaly Shillito + Dyer, A Legal Professional Association
Medicine’s Current View of M/M
• Council on Science & Public Health (CSAPH) & the
American Medical Association (“AMA”) found evidence
that medical marijuana has some therapeutic benefits
• Also found conclusive evidence of connection between
cannabis and health harms.
• More research required to determine the benefits and
the long term risks of medical marijuana.
• AMA still opposes legalization
5
Sebaly Shillito + Dyer, A Legal Professional Association
Ohio Medical Marijuana Law
• Must be a “registered” “patient” or
“caregiver” to patient (a caregiver may
“possess”, but not use)
• “Possession” may not exceed
a ninety-day supply
• Must be for a “qualifying medical condition”
Sebaly Shillito + Dyer, A Legal Professional Association
Ohio Medical Marijuana Law
• “Qualifying medical condition” means listed maladies,
including:
– Examples: AIDS, Alzheimer’s, ALS, Cancer, CTE, Crohn’s
Disease, Epilepsy or other seizure disorder, Fibromyalgia,
Parkinson’s Glaucoma, Hepatitis C, MS, PTSD, and others.
– “Pain” that is either “chronic”, “severe” or “intractable.”
– Other disease or condition if added by the State Medical
Board (first open submission period 11/1/2018 –
12/31/2018).
Sebaly Shillito + Dyer, A Legal Professional Association
Reciprocity/Other States
• Board of Pharmacy directed to enter into reciprocity
agreements with other state if it determines:
– Other state’s eligibility requirements are “substantially
comparable” to Ohio’s requirements;
– Other state recognizes a patient’s or caregiver‘s Ohio
status;
– Currently (as of 8/2018), there are no reciprocity
agreements in place.
8
Sebaly Shillito + Dyer, A Legal Professional Association
Ohio Medical Marijuana Law
• Smoking or combustion is prohibited.
• Oils, tinctures, edibles, patches and vaping of mm
is permitted.
• State Medical Board may approve additional
methods (except smoking or combustion).
• Any form of use considered attractive to children
is prohibited.
Sebaly Shillito + Dyer, A Legal Professional Association
Ohio Medical Marijuana Law
• Law “does not authorize” a registered patient
to “operate a vehicle”, etc. while under the
influence.
• Registered patient or caregiver status
may not be grounds for denial of
tenancy (unless required by federal law).
• Registered patient or caregiver status alone
may not be basis for field sobriety test.
Sebaly Shillito + Dyer, A Legal Professional Association
Medical Marijuana and Employment
• Ohio law says: Nothing requires employer to “permit or
accommodate” use, possession, or distribution.
• Ohio law says: Nothing prohibits refusal to hire, discharge,
discipline, taking of adverse action because of use,
possession or distribution of mm.
• Discharge for use of mm is “just cause” for unemployment
comp. purposes if use was in violation of company program
or policy regulating use.
• Ohio law says: May still have a drug testing, drug free
and/or zero tolerance policy.
Sebaly Shillito + Dyer, A Legal Professional Association
Ohio M/M and DOT Testing
• DOT rules apply to safety-sensitive
transportation employees;
• DOT regulations do not authorize m/m to be a
valid explanation for positive test, regardless
of otherwise applicable state m/m laws.
12
Sebaly Shillito + Dyer, A Legal Professional Association
Ohio Medical Marijuana and Workers
Compensation
• Ohio law says a positive post-accident drug test creates
rebuttable presumption of causation and ineligibility
for benefits
• Presumption still applies for m/m positive post
accident test
• Use of m/m not reimbursable by BWC:
– Reimbursement limited to FDA approved drugs only;
– BWC-funded drugs must be dispensed by a “registered
pharmacist;” and
– BWC only reimburses drugs on pharmaceutical formulary.
13
Sebaly Shillito + Dyer, A Legal Professional Association
M/M, FMLA and Accommodation of
Disabilities
• FMLA leave and m/m treatment?
• Does ADA require reasonable
“accommodation” of m/m use for a
“disability”?
• Does Ohio state anti-discrimination law
require “accommodation” of m/m use?
14
Sebaly Shillito + Dyer, A Legal Professional Association
Some Employer Policy Options
• Zero Tolerance;
• Zero Tolerance for safety sensitive positions
only;
• Impairment Only/Reasonable Suspicion;
• M/M treated same as prescription
medications;
15
Sebaly Shillito + Dyer, A Legal Professional Association
Thank you for your
attention!
Questions?

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Northern cincinnati safety council 08.28.18 medical marijuana 3025822 1....

  • 1. Sebaly Shillito + Dyer, A Legal Professional Association 2018 Northern Cincinnati Safety Council Medical Marijuana in the Workplace August 28, 2018 1 Karl R. Ulrich, Esq.
  • 2. Sebaly Shillito + Dyer, A Legal Professional Association 2 https://medicalmarijuana.procon.org/view.resource.php?resourceID=000881 Last updated on 7/28/18
  • 3. Sebaly Shillito + Dyer, A Legal Professional Association Medical Marijuana and the Workplace • Ohio M/M Law – legalizes the possession and use of marijuana for medical purposes; and the possession of certain paraphernalia and accessories • Ohio law is NOT legal for recreational or other non- medical purposes • Signed into law in 2016 • Becomes “fully operational” September 8, 2018
  • 4. Sebaly Shillito + Dyer, A Legal Professional Association Illegal Under Federal Law • Cannabis is still illegal under federal law. • It remains classified as a Schedule I “controlled substance” under the federal Controlled Substances Act (“CSA”). • Schedule I classification means that federal gov’t officially views cannabis as “dangerous, highly addictive and having no medicinal value.” • Federal law prohibits physician’s from “prescribing” m/m. Ohio law therefore requires physician to be certified to issue a “recommendation.” 4
  • 5. Sebaly Shillito + Dyer, A Legal Professional Association Medicine’s Current View of M/M • Council on Science & Public Health (CSAPH) & the American Medical Association (“AMA”) found evidence that medical marijuana has some therapeutic benefits • Also found conclusive evidence of connection between cannabis and health harms. • More research required to determine the benefits and the long term risks of medical marijuana. • AMA still opposes legalization 5
  • 6. Sebaly Shillito + Dyer, A Legal Professional Association Ohio Medical Marijuana Law • Must be a “registered” “patient” or “caregiver” to patient (a caregiver may “possess”, but not use) • “Possession” may not exceed a ninety-day supply • Must be for a “qualifying medical condition”
  • 7. Sebaly Shillito + Dyer, A Legal Professional Association Ohio Medical Marijuana Law • “Qualifying medical condition” means listed maladies, including: – Examples: AIDS, Alzheimer’s, ALS, Cancer, CTE, Crohn’s Disease, Epilepsy or other seizure disorder, Fibromyalgia, Parkinson’s Glaucoma, Hepatitis C, MS, PTSD, and others. – “Pain” that is either “chronic”, “severe” or “intractable.” – Other disease or condition if added by the State Medical Board (first open submission period 11/1/2018 – 12/31/2018).
  • 8. Sebaly Shillito + Dyer, A Legal Professional Association Reciprocity/Other States • Board of Pharmacy directed to enter into reciprocity agreements with other state if it determines: – Other state’s eligibility requirements are “substantially comparable” to Ohio’s requirements; – Other state recognizes a patient’s or caregiver‘s Ohio status; – Currently (as of 8/2018), there are no reciprocity agreements in place. 8
  • 9. Sebaly Shillito + Dyer, A Legal Professional Association Ohio Medical Marijuana Law • Smoking or combustion is prohibited. • Oils, tinctures, edibles, patches and vaping of mm is permitted. • State Medical Board may approve additional methods (except smoking or combustion). • Any form of use considered attractive to children is prohibited.
  • 10. Sebaly Shillito + Dyer, A Legal Professional Association Ohio Medical Marijuana Law • Law “does not authorize” a registered patient to “operate a vehicle”, etc. while under the influence. • Registered patient or caregiver status may not be grounds for denial of tenancy (unless required by federal law). • Registered patient or caregiver status alone may not be basis for field sobriety test.
  • 11. Sebaly Shillito + Dyer, A Legal Professional Association Medical Marijuana and Employment • Ohio law says: Nothing requires employer to “permit or accommodate” use, possession, or distribution. • Ohio law says: Nothing prohibits refusal to hire, discharge, discipline, taking of adverse action because of use, possession or distribution of mm. • Discharge for use of mm is “just cause” for unemployment comp. purposes if use was in violation of company program or policy regulating use. • Ohio law says: May still have a drug testing, drug free and/or zero tolerance policy.
  • 12. Sebaly Shillito + Dyer, A Legal Professional Association Ohio M/M and DOT Testing • DOT rules apply to safety-sensitive transportation employees; • DOT regulations do not authorize m/m to be a valid explanation for positive test, regardless of otherwise applicable state m/m laws. 12
  • 13. Sebaly Shillito + Dyer, A Legal Professional Association Ohio Medical Marijuana and Workers Compensation • Ohio law says a positive post-accident drug test creates rebuttable presumption of causation and ineligibility for benefits • Presumption still applies for m/m positive post accident test • Use of m/m not reimbursable by BWC: – Reimbursement limited to FDA approved drugs only; – BWC-funded drugs must be dispensed by a “registered pharmacist;” and – BWC only reimburses drugs on pharmaceutical formulary. 13
  • 14. Sebaly Shillito + Dyer, A Legal Professional Association M/M, FMLA and Accommodation of Disabilities • FMLA leave and m/m treatment? • Does ADA require reasonable “accommodation” of m/m use for a “disability”? • Does Ohio state anti-discrimination law require “accommodation” of m/m use? 14
  • 15. Sebaly Shillito + Dyer, A Legal Professional Association Some Employer Policy Options • Zero Tolerance; • Zero Tolerance for safety sensitive positions only; • Impairment Only/Reasonable Suspicion; • M/M treated same as prescription medications; 15
  • 16. Sebaly Shillito + Dyer, A Legal Professional Association Thank you for your attention! Questions?