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Summary of differences between federal and state regulations
The federal laws which govern medical exams for employment purposes are the Americans with Disabilities Act (ADA), federal drug testing guidelines under the Omnibus Transportation Employee Testing Act, and the Health Insurance Portability and Accountability Act (HIPAA). A federal executive order prohibits federal employers from requesting genetic tests as a condition of employment, but there are as yet no provisions relating to private employers.
The ADA governs medical testing in relation to applicants and employees with disabilities. For more information on the ADA, see the Americans with Disabilities Act topic.
Drug tests are not considered medical examinations under the ADA, but the records of such tests are considered confidential medical records from a privacy standpoint, and certain procedures must be followed in conducting the tests. For more information, see the Drug Testing topic.
For more information on privacy and medical records, see the Health Insurance Portability and Accountability Act topic.
Drug test information
Minnesota law mirrors federal law in providing that information obtained in connection with a drug or alcohol test is confidential and may not be used in a criminal proceeding against an employee or job applicant.
Payment of exams
An employer may not require an employee or applicant to pay the cost of a medical exam or medical records required by the employer as a condition of employment.
Genetic test
An employer may not require a genetic test of an employee or applicant as a condition of employment.
State
Contact
Minnesota Department of Labor and Industry
Regulations
Drug test information
Minnesota Statutes Chapter 181, §181.954
Payment of exams
Minn. Stat. Chapter 181, §181.61
Genetic test
Minn. Stat. Ch. 181, §181.974
Federal
Contacts
Americans with Disabilities Act (ADA)
Drug testing
US Department of Transportation
Health Insurance Portability and Accountability Act (HIPAA)
Regulations
Americans with Disabilities Act (ADA)
29 CFR 1600, 1601, 1602, 1603, 1604,
1605, 1606, 1607, 1608, 1610, 1611,
1612, 1614, 1620, 1621, 1625, 1626,
1627, 1630, 1635, 1640, 1641
1650, 1690, 1691
DOT drug testing rules
49 CFR Part 40
49 CFR Part 382
Health Insurance Portability and Accountability Act (HIPAA)
45 CFR Subchapter B – Parts 144, 146, 147, 148, 149, 150, 152, 153, 154, 155, 156, 157, 158, 159, Subchapter C – 160, 162, 164,
Public Law 104-191 (104th Congress)