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Does a Failed Drug Test Show Up on Your Record?

Independently fact-checked against primary sources (last audited August 4, 2026). · 8 primary sources cited on this page. How we verify our legal content

Does a Failed Drug Test Show Up on Your Record?

Frequently Asked Questions

Does a failed drug test show up on a background check?

A failed drug test alone does not appear on a criminal background check. It only becomes part of a background check if it led to a criminal conviction or a parole revocation, or if the result must be reported to a licensing board or government registry by law.

Does HIPAA protect drug test results?

Only in limited situations. HIPAA restricts disclosures by "covered entities," such as health plans and health care providers, and its own definition of protected health information excludes employment records an employer holds in its role as employer under 45 CFR 160.103. Most employer-ordered drug tests fall outside HIPAA entirely; the ADA, state law, and general privacy law govern those instead.

Can my employer tell a future employer that I failed a drug test?

Generally, no, not without your written authorization or a court order. Most employers keep drug test results confidential under company policy or state law, and unauthorized disclosure can expose the employer to a civil claim for invasion of privacy.

How long do DOT drug test results stay on file?

Under 49 CFR 40.333, DOT-regulated employers must keep verified positive drug and alcohol test results for five years and negative or cancelled results for one year. Separately, a new employer hiring a commercial driver must check the driver's last three years of testing history under 49 CFR 391.23(e), primarily through the FMCSA Drug and Alcohol Clearinghouse. In the other DOT modes, including aviation, rail, transit, and pipeline, the new employer must instead obtain the previous two years of DOT testing information under 49 CFR 40.25(b).

Can I be denied a job for failing a marijuana test in a state where marijuana is legal?

It depends on the state. Some states, including Nevada, California, New York, New Jersey, Connecticut, Montana, and Rhode Island, limit an employer's ability to act on a positive marijuana test or off-duty marijuana use, but nearly all of these laws still allow adverse action for safety-sensitive or federally regulated positions and for being impaired on the job.

What happens if I refuse a workplace drug test?

It depends on your state and on your job. Most employment is at-will, so an employer can often treat a refusal as grounds for dismissal even without a signed policy, and a signed testing policy generally lets the employer treat a refusal the same as a positive result. In a DOT safety-sensitive role a refusal is a regulatory violation: 49 CFR 40.191 lists the conduct that counts as a refusal, and under 49 CFR 40.285 you cannot perform any DOT safety-sensitive duty for any employer until you complete a substance abuse professional evaluation and the referral and treatment process that follows it.

Updates

Corrected the DOT job-change lookback, which had applied the three-year commercial-driver figure to pilots and other transportation workers. The three-year period comes from 49 CFR 391.23(e) and governs motor carriers; the DOT-wide rule for aviation, rail, transit, and pipeline is a two-year lookback under 49 CFR 40.25(b). Qualified a flat statement that employees have the right to refuse a drug test, which is not true for DOT safety-sensitive workers, since 49 CFR 40.191 treats a refusal as a regulatory violation and 49 CFR 40.285 bars the worker from DOT safety-sensitive duty for any employer until a substance abuse professional evaluation is completed. Replaced an unsupported claim that an employee with no signed testing policy may sue over a dismissal for refusing a test with the accurate at-will picture. Corrected a summary bullet that listed the Coast Guard as a DOT agency and named FAA employees rather than the aviation workers 14 CFR 120.105 actually covers. Replaced a Department of Labor ADA link that now returns a 404 with the current ADA.gov page, dropped an uncited comparison between at-home kit and laboratory cutoff levels, and added the underlying regulations to the source list.

Independently fact-checked against the cited primary sources

Corrected the article's HIPAA framing: most employer-ordered drug tests fall outside HIPAA because most employers are not "covered entities," and HIPAA's own definition of protected health information excludes employment records held by a covered entity in its role as employer (45 CFR 160.103). Corrected a factual error citing "Title VIII" of the Civil Rights Act of 1964 to the correct Title VII. Corrected DOT drug-test retention guidance: verified positive results are kept five years under 49 CFR 40.333, not three; the three-year figure is the lookback window new employers must investigate through the FMCSA Drug and Alcohol Clearinghouse. Repaired seven broken links left over from the original WordPress migration and replaced two dead or mismatched source URLs. Removed a stray affiliate shortlink and a duplicate hand-written references list. Updated state marijuana-legalization figures and added a Frequently Asked Questions section.

Sources and References

  1. ADA.gov (U.S. Department of Justice): Introduction to the Americans with Disabilities Act(ada.gov).gov
  2. HHS: Health Insurance Portability and Accountability Act (HIPAA)(hhs.gov).gov
  3. 45 CFR 160.103, Definitions of Covered Entity and Protected Health Information (Cornell LII)(law.cornell.edu)
  4. ADA National Network: Is Testing for the Illegal Use of Drugs Permissible Under the ADA?(adata.org)
  5. SAMHSA: Employer Resources, Drug Testing Federal Laws and Regulations(samhsa.gov).gov
  6. EEOC: Enforcement Guidance on the Consideration of Arrest and Conviction Records in Employment Decisions(eeoc.gov).gov
  7. 45 CFR 164.512, Permitted Uses and Disclosures Without Authorization (Cornell LII)(law.cornell.edu)
  8. EEOC: Enforcement Guidance on Disability-Related Inquiries and Medical Examinations of Employees Under the ADA(eeoc.gov).gov
  9. National Conference of State Legislatures: Cannabis Overview(ncsl.org)
  10. Marijuana Policy Project: Cannabis Legalization and Employment Protections(mpp.org)
  11. NRS 613.132: Nevada Limits on Refusing to Hire Based on a Pre-Employment Marijuana Screening Test(leg.state.nv.us).gov
  12. 49 CFR 40.333, DOT Drug and Alcohol Testing Record Retention (Cornell LII)(law.cornell.edu)
  13. 49 CFR 391.23, Investigation of a Commercial Driver's Preceding Three Years of DOT Drug and Alcohol Testing History (Cornell LII)(law.cornell.edu)
  14. 49 CFR 40.25, Two-Year Lookback: Obtaining an Employee's DOT Drug and Alcohol Testing Information From Previous Employers (Cornell LII)(law.cornell.edu)
  15. 49 CFR 40.191, What Is a Refusal to Take a DOT Drug Test, and What Are the Consequences? (Cornell LII)(law.cornell.edu)
  16. 49 CFR 40.285, When Is a Substance Abuse Professional Evaluation Required? (Cornell LII)(law.cornell.edu)
  17. 14 CFR 120.105, Aviation Employees Who Perform Safety-Sensitive Functions Subject to Drug Testing (Cornell LII)(law.cornell.edu)
  18. 46 CFR 16.113, Coast Guard Marine Chemical Testing Programs Conducted Under 49 CFR Part 40 (Cornell LII)(law.cornell.edu)
  19. 6 U.S.C. 468, Transfer of the Coast Guard to the Department of Homeland Security (Cornell LII)(law.cornell.edu)
  20. FMCSA Drug and Alcohol Clearinghouse(clearinghouse.fmcsa.dot.gov).gov
  21. SAMHSA: Certified Drug Testing Laboratory List(samhsa.gov).gov
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