Should You Tell Your Employer About Your Medical Marijuana Card?

Introduction

Medical marijuana has become increasingly accepted as a viable treatment for various medical conditions, including chronic pain, anxiety, and epilepsy. However, the growing acceptance of medical cannabis does not necessarily extend to all areas of life, particularly in the workplace. Many employees with medical marijuana cards find themselves in a gray area, unsure whether they should disclose their cardholder status to their employers. 

This article explores the legal and practical considerations surrounding the decision to disclose or withhold your medical marijuana use from your employer, as well as the protections you may have as a medical cardholder.

Legal Protections for Medical Marijuana Cardholders

One of the primary concerns for employees using medical marijuana is whether they are legally protected from discrimination in the workplace. While the legal landscape surrounding medical marijuana is complex, protections do exist in some states.

As of now, 38 states, Washington D.C., and Puerto Rico have medical marijuana programs, and 23 of these states have enacted laws that specifically protect medical marijuana users from workplace discrimination. These states include California, Arizona, Illinois, New York, and several others. In these protected states, employers are generally prohibited from firing or refusing to hire someone solely based on their status as a medical marijuana cardholder.

In Virginia, medical marijuana cardholders also enjoy specific legal protections. Virginia’s law ensures that employees who hold valid medical cannabis certifications are protected from being terminated or disciplined solely for their status as medical marijuana users. However, it is important to note that these protections do not prevent employers from maintaining a drug-free workplace or enforcing drug-testing policies. Employers in Virginia are not required to accommodate on-the-job medical marijuana use, and employees can still face consequences if their cannabis use affects workplace safety or performance.

Additionally, some states such as Massachusetts, New Hampshire, and Vermont have court rulings that extend similar protections. These legal protections vary, so it’s crucial to understand the specific laws in your state. While anti-discrimination laws protect employees, they generally do not require employers to provide specific accommodations for medical marijuana use, leaving the final decision to the discretion of the employer.

MUST READ: Does a Medical Marijuana Card Protect Me at Work In Virginia?

HIPAA and Privacy Protections

Thanks to the Health Insurance Portability and Accountability Act (HIPAA), employees can rest assured that their medical information, including whether they hold a medical marijuana card, is protected. Employers do not have the right to access an employee’s medical records without their consent. This means that unless you voluntarily disclose your medical marijuana use to your employer, they are unlikely to find out through health insurance or other means.

However, just because your employer doesn’t have access to this information doesn’t mean you’re completely in the clear. Depending on your workplace’s drug testing policies, your use of medical marijuana may still come to light. So, how do you decide whether to tell your employer?

Weighing the Pros and Cons of Disclosure

Deciding whether to disclose your medical marijuana cardholder status to your employer is a highly personal decision. There are several factors to consider, including the nature of your job, your employer’s drug testing policies, and your legal rights as a medical marijuana patient. Below are some key considerations to help guide your decision.

Pros of Disclosure

1. Transparency During Drug Testing
   Many employers require pre-employment or periodic drug testing, and marijuana use is often flagged in these tests. If your employer conducts regular drug screenings, it may be in your best interest to disclose your medical marijuana use beforehand. Doing so ensures that your employer understands the context if you test positive for THC, the psychoactive component of cannabis.
   If you fail to disclose your cardholder status and later test positive, you may face disciplinary action, including potential termination. By being upfront about your use, you can potentially avoid unnecessary complications and misunderstandings.

2. Clarifying Safety Concerns
   If your job involves safety-sensitive tasks—such as operating heavy machinery, driving, or working in healthcare—your use of medical marijuana could raise concerns about workplace safety. In these cases, disclosing your status to your employer allows you to have an open conversation about how your medication impacts your ability to perform your job safely.
   Employers in safety-sensitive industries are often subject to stricter drug testing policies and may be required to maintain a drug-free workplace due to federal regulations. Being transparent in these cases could prevent future issues, especially if your role involves a high level of responsibility for your own and others’ safety.

3. Legal Protections
   If you work in a state with medical marijuana workplace protections, disclosing your status may provide you with additional legal rights. For example, if your employer is aware of your medical marijuana use and takes action against you solely based on your cardholder status, you may have grounds to challenge their decision legally. In some states, anti-discrimination laws may offer you a safety net if your employer tries to penalize you for medical marijuana use.

Cons of Disclosure

1. Risk of Discrimination
   Even in states with legal protections for medical marijuana users, discrimination is still a possibility. Employers who hold negative views about cannabis may find other ways to justify disciplinary action, such as citing “poor performance” or “incompatibility with workplace culture” as reasons for termination. Once you disclose your medical marijuana cardholder status, you cannot take it back. This could affect how your employer perceives your ability to perform your job, especially if they have outdated views on cannabis use.

2. No Guarantee of Accommodation
   While some states prohibit discrimination against medical marijuana users, most do not require employers to accommodate marijuana use. This means that even if you disclose your cardholder status, your employer may still enforce a drug-free workplace policy and take disciplinary action if you test positive. Disclosing your use doesn’t necessarily mean you’ll be protected from consequences if your employer’s policies are strict.

3. Impact on Career Advancement
   Disclosing your medical marijuana use could potentially affect your career trajectory within the company. Even if your employer does not penalize you directly, they may take your medical marijuana use into account when considering you for promotions or other opportunities. Some managers may mistakenly believe that cannabis use impairs job performance, even if your work has not been affected.

Workplace Drug Testing and Medical Marijuana

One of the primary reasons employees hesitate to disclose their medical marijuana use is the fear of failing a drug test. Many employers require drug tests as a condition of employment, particularly in safety-sensitive industries like healthcare, transportation, and construction.

Federal workplaces, in particular, must adhere to federal law, which still classifies marijuana as a Schedule I drug. This means that even medical marijuana use is illegal under federal law, and employees in federal positions are subject to strict drug-free workplace policies. If you work in a federally regulated industry, disclosing your medical marijuana use is unlikely to protect you from failing a drug test.

Private employers, however, have more flexibility. State laws often provide some protection for medical marijuana users, but these laws vary widely. Some states, like New York, have laws that prevent employers from discriminating against employees based on their medical marijuana use, while other states, like Texas, have no such protections. In states without anti-discrimination laws, you could face consequences if you fail a drug test, even with a medical card.

Related: Types of Drug Tests (and How to Safely Cleanse THC from Your System)

Final Thoughts: A Personal Decision

Ultimately, whether or not you disclose your medical marijuana use to your employer is a personal choice that depends on many factors, including your workplace environment, job role, and legal protections. If your job does not require drug testing and your marijuana use does not affect your work, you may choose to keep your cardholder status private. However, if you work in a safety-sensitive environment or are subject to regular drug tests, disclosing your status could prevent misunderstandings and potential penalties.

Whatever decision you make, be sure to familiarize yourself with your state’s laws, your employer’s drug policies, and the potential risks and benefits of disclosing your medical marijuana use. Once you’ve weighed all the factors, you can make the best decision for your health, privacy, and career.

Obtaining your medical cannabis card online with CannabisMD Telemed is quick and affordable. The process is straightforward: book a same-day virtual appointment, consult with a state-licensed clinician, discuss your medical cannabis needs, and receive immediate approval for your medical card.

FAQs

• Do I need to disclose my medical marijuana card to my employer?

  In most cases, you are not required to disclose your medical marijuana use to your employer. However, if your job involves mandatory drug testing or safety-sensitive duties, disclosing your cardholder status may help prevent issues, especially if you test positive for marijuana. Disclosure is a personal decision, and it’s important to weigh the risks and benefits.

• Am I protected from drug testing if I have a medical marijuana card?

  Not necessarily. Employers can still require drug tests even if you have a medical marijuana card. Some states protect employees from being penalized solely for cardholder status, but this does not always extend to drug test results. Federal employers, safety-sensitive positions, and healthcare workers may be subject to stricter drug-free policies.

• Can I use medical marijuana at work if I have a card?

  Even if you have a medical marijuana card, using marijuana at work is generally prohibited, especially in safety-sensitive environments or federal workplaces. Employers may allow the use of other medications at work, but they are not required to accommodate medical marijuana use. Always check your workplace’s drug policies before using cannabis during work hours.