Substance Abuse Testing
The State Laboratories Division (SLD), State of Hawaii oversees the statewide Substance Abuse Testing (SAT) in the workplace. The purpose of the program is to ensure that appropriate and uniform substance abuse test procedures are employed throughout the State, to protect the privacy rights of persons being tested, and reliable and accurate results are reported by the testing labs.
Services provided by the SAT program include:
- Licensure of Medical Review Officers (MRO)
- Certification of substance abuse testing laboratories in the State of Hawaii
- Issuance of permit to out of state laboratories certified by SAMHSA to perform substance abuse testing in workplace from the State of Hawaii.
- Drafting of Administrative Rules on substance abuse testing
Recent developments in substance abuse testing:
- Amended Hawaii Administrative Rules (HAR) 11-113 was signed by the Governor and published in October, 2007.
- Amendment to Hawaii Revised Statutes (HRS) 329B was passed by 2007 legislation (HB964, Act 179, 6/14/2007) on on-site screening test device.
Frequently asked questions:
How can I become a MRO in the State of Hawaii?
To qualify for the license, you must provide evidence of being a physician in good standing, is currently licensed to practice medicine in State of Hawaii or another state and pose knowledge of substance abuse disorders. The term of the license is up to twenty-four (24) months.
What is the requirement for out of state laboratory to perform workplace substance abuse testing for Hawaii?
- Any laboratory in good standing that is currently certified by the Substance Abuse and Mental Health Service Administration (SAMHSA) may apply for approval to perform substance abuse tests on samples from the State of Hawaii.
- A completed application form shall be submitted by the laboratories to the program. Forms are available upon request from the Substance Abuse Test Coordinator.
- Approved laboratories must use SAMHSA approved methods for testing of samples from State of Hawaii.
- Term of the permit for out of state testing laboratory is twelve (12) months.
What does “cutoff level” mean?
“Cutoff level” means that concentration of a substance in a specimen, established by the director of the Department of Health, below which dictates a negative result for that test.
What does “confirmatory test” mean?
“Confirmatory test” means a controlled substance or alcohol test that uses a method of analysis determined by the director of health to be reliable in establishing the identity and quantity of alcohol, drugs, or the metabolites of drugs in the specimen.
Can over-the-counter medication or prescription drugs cause positive results?
Yes. However, the MRO will decide, after reviewing the test results, whether the results should be considered positive or negative.