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ANSWER: No. HHS HIPAA rules do not require employers and service agents in the DOT drug and alcohol testing program to obtain written employee authorization to disclose drug and alcohol testing information required by 49 CFR Part 40 and other DOT agency drug and alcohol testing rules.
When there is reasonable suspicion, an employer can accuse you of being on drugs and under the influence of alcohol, then follow these steps as a protocol: Collect complaints. Observation of the suspected employee. Removal of the alleged employee from high-risk areas in the workplace.
Pre-employment, random, post-accident, and for cause testing are all allowed in Texas and many other states. Specific drug test results should be obtained from the testing lab - do not use a lab that is not willing to give you a copy of the results and the chain of custody of the sample.
If you believe your positive drug test might have been a false positive or if you dispute your drug test result, ask to be tested again. Typically, the employer or health care provider will order this test prior to making any employment or clinical decisions.
The Fourth Amendment does not apply to drug testing conducted by private employers. Hence, the privacy rights and drug testing of private-sector employees are governed by state law, which varies from state to state.
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The Fourth Amendment. The public-private distinction is important because drug testing normally involves the taking and examination of material from a persons body that is not normally exposed to public scrutiny and so is considered a search under the Fourth Amendment to the U.S. Constitution.
Critics of drug-testing programs argue that employees have a basic right to privacy. Employers cannot intrude on this privacy without serious cause and in a manner that is reasonable. Routine and random drug testing, they claim, clearly violates an employees right to privacy.
The lab procedure is a second invasion of privacy. Urinalysis reveals not only the presence of illegal drugs, but also the existence of many other physical and medical conditions, including genetic predisposition to disease or pregnancy.

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