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Cynthia J. Latsko, President & CEO

Latest Trends and Legal Issues Affecting Substance Abuse Programs. Cynthia J. Latsko, President & CEO. 2413 Lytle Road – Bethel Park, PA 15102 – 888-662-8358 – www.mobmed.com. About MMC. In Business Since 1990. LARGEST Third Party Administrator Medtox Laboratory. Coporate Office

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Cynthia J. Latsko, President & CEO

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  1. Latest Trends and Legal Issues Affecting Substance Abuse Programs Cynthia J. Latsko, President & CEO 2413 Lytle Road – Bethel Park, PA 15102 – 888-662-8358 – www.mobmed.com

  2. About MMC In Business Since 1990 LARGESTThird Party Administrator Medtox Laboratory Coporate Office Pittsburgh, PA Satellite Offices Cleveland, Ohio Baltimore, Maryland Houston, Texas Sacramento, California Paramus, New Jersey Astoria, New York 12,000 Tests per Month 10,000 Lab 2,000 Rapid

  3. 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

  4. Question… Number of Drug Tests Are Collected Annually? 40 Million! 32 Million Are Non-Federal 8 Million Are DOT

  5. Upcoming DOT Changes October 1, 2010 DOT Panel Changes – 49 CFR Part 40 Ecstasy MDMA 6-AM Heroin Metabolite Reduced Cut-Off Levels Observed Collections (2008) Mandatory - Accelerated Randoms & Return to Duty Collector has discretion to observe a collection for reasonable suspicion

  6. Expanded Opiates Screening

  7. Expanded Opiates Screening

  8. Medical Marijuana Fourteen (14) U.S. States Have laws that legalize medical marijuana (Date Legalized) 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.

  9. Pros and Cons of Testing Methods Instant Rapid Urine Urinalysis

  10. Pros and Cons of Testing Methods Saliva

  11. e-Chains Electronic Custody and Control Forms Online Ordering Less Paperwork = Fewer Errors Easy to Track Quicker Turnaround Time

  12. Adulterants “Foreign Substances either ingested or added directly to a urine specimen to prevent the detection of drug use”

  13. Adulterants

  14. 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

  15. Latest Trends and Legal Issues Affecting Substance Abuse Programs Cynthia J. Latsko, President & CEO 2413 Lytle Road – Bethel Park, PA 15102 – 888-662-8358 – www.mobmed.com

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