Cannabis legalization will have a profound impact across all levels of society. One of the most significant effects of cannabis legalization relates to employment. Employers have a financial interest in ensuring that employees are not intoxicated on the job and will not create a safety hazard related to impairment risks. On the other hand employers must also adhere to strict privacy and ADA guidelines which may conflict with federal requirements associated with a drug free workplace. In this episode of Cannabis Nurse Truths, we review the concerns related to cannabis legalization in the workplace in which employers must be aware of the rapidly changing laws and regulations in order to help them develop legally defensive workplace policies that also legally balance the health needs of their employees who use cannabis. EPISODE RESOURCE Anderson, D.M., Hansen, B., & Rees, D.I. (2013). Medical marijuana laws, traffic fatalities, and alcohol consumption. Journal of Law and Economics, 56(2), 333–369. https://docs.iza.org/dp6112.pdf Barnett, G. (2023, July 31). A growing number of companies are dropping marijuana drug testing. WTOP News. https://wtop.com/business-finance/2023/07/a-growing-number-of-companies-drop-marijuana-drug-testing/#:~:text=But%20some%20businesses%20have%20done,looking%20to%20hire%2C%20Clayton%20said Carnide, N., Lee, H., Frone, M.R., Furlan, A.D., & Smith, P.M. (2021). Patterns and correlates of workplace and non-workplace cannabis use among Canadian workers before the legalization of non-medical cannabis. Drug and Alcohol Dependence, 218, 108386. https://oem.bmj.com/content/oemed/79/12/824.full.pdf Chakraborty, A., Doremus, J., & Stith, S. (2020). The effects of recreational cannabis access on labor markets: Evidence from Colorado. IZA Journal of Labor Economics, 10(1). https://sciendo.com/pdf/10.2478/izajole-2021-0005 Hazle, M.C., Hill, K.P., & Westreich, L.M. (2022). Workplace cannabis policies: A moving target. Cannabis and Cannabinoid Research, 7(1), 16-23. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864412/ Hire Right. (2023, June). Employers guide to legalized marijuana (medical & adult use/recreational). E-book retrieved from https://www.hireright.com/resources/employers-guide-to-legalized-medical-and-recreational-marijuana Howard, J., Wurzelbacher, S., Osborne, J., Wolf, J., Ruser, J., & Chadarevian, R. (2021). Review of cannabis reimbursement by workers’ compensation insurance in the US and Canada. American Journal of Industrial Medicine, 64(12), 989-1001. https://onlinelibrary.wiley.com/doi/abs/10.1002/ajim.23294 Green, C.P, & Paniagua, M.N. (2016). Play hard, shirk hard? The effect of bar hours regulation on worker absence. Oxford Bulletin of Economics and Statistics, Department of Economics, 78(2), 248-264. https://conference.iza.org/conference_files/riskonomics2012/green_c3422.pdf Kelly, J. (2024, June 14). Why workplace absenteeism is on the rise. Forbes. https://www.forbes.com/sites/jackkelly/2024/06/14/why-workplace-absenteeism-is-on-the-rise/ Marmot, M.G., North, F., Feeney, A., & Head, J. (1993). Alcohol consumption and sickness absence: From the Whitehall II study. Addiction, 88(3), 369–382. https://doi.org/10.1111/j.1360-0443.1993.tb00824.x Martinez, A. (2024, April 29). 2024 Marijuana legalization review: A guide for employers in a complex legal landscape. Available at https://www.hireright.com/blog/2024-marijuana-legalization-review-a-guide-for-employers-in-a-complex-legal Nicholas, L.H., & Maclean, J.C. (2016). The effect of medical marijuana laws on the health and labor supply of older adults: Evidence from the Health and Retirement Study. NBER Working Paper No. 22688. JEL No. I10,I18,J20. https://www.nber.org/system/files/working_papers/w22688/w22688.pdf Nissen, J. (2023, September 24). Michigan dropping marijuana drug testing for some new-hires on Oct.1. https://www.fox2detroit.com/news/michigan-dropping-marijuana-drug-testing-for-some-new-hires-on-oct-1 Otañez, M. (2021). A labor studies approach to cannabis. In The Routledge Handbook of Post-Prohibition Cannabis Research (pp. 174-182). Routledge. https://cannalib.eu/wp-content/uploads/2022/03/The-Routledge-Handbook-of-Post-Prohibition-Cannabis-Research-2021.pdf#page=195 Paychex. (2019, June 19). More than one-third of business owners not prepared to manage legalized marijuana in the workplace. https://www.paychex.com/newsroom/news-releases/business-owners-not-prepared-to-manage-legalized-marijuana Pearlman, S. (2019, August 15). Illinois' hazy new law legalizing recreational use of marijuana. https://www.forbes.com/sites/stevenpearlman/2019/08/15/illinois-hazy-new-law-legalizing-recreational-use-of-marijuana/ Perlman, A.I., McLeod, H.M., Ventresca, E.C., Salinas, M.G., Post, P.J., & Schuh, M.J. (2021, October). Medical cannabis state and federal regulations: Implications for United States health care entities. Mayo Clinic Proceedings, 96(10), 2671-2681. ...