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12 substance abuse evaluation and treatment provided by 13 the employer shall take place under a program approved 14 by the Iowa department of public health or accredited 15 by the joint commission on the accreditation of health 16 care organizations. 17 b. Upon receipt for an employee of a second 18 confirmed positive drug or alcohol test result or upon 19 receipt for a prospective employee of a confirmed 20 positive drug or alcohol test result, upon the failure 21 of an employee to comply with the requirements of 22 paragraph "a", or upon the refusal of an employee or 23 prospective employee to provide a testing sample, an 24 employer may use that test result or test refusal as a 25 valid basis for disciplinary or rehabilitative actions 26 consistent with the employer's written policy, which 27 may include, among other actions, the following: 28 (1) A requirement that the employee enroll in an 29 employer-provided or approved rehabilitation, 30 treatment, or counseling program, which may include 31 additional drug or alcohol testing, participation in 32 and successful completion of which may be a condition 33 of continued employment, and the costs of which may or 34 may not be covered by the employer's health plan or 35 policies. 36 (2) Suspension of the employee, with or without 37 pay, for a designated period of time. 38 (3) Termination of employment. 39 (4) Refusal to hire a prospective employee. 40 (5) Other adverse employment action in conformance 41 with the employer's written policy and procedures, 42 including any relevant collective bargaining agreement 43 provisions. 44 10. EMPLOYER IMMUNITY. A cause of action shall 45 not arise against an employer who, in good faith, has 46 established a written policy in accordance with this 47 section and has complied with the requirements of the 48 written policy and this section for testing or taking 49 action based on the results of a confirmed positive 50 drug or alcohol test result, indicating the presence Page 10 1 of drugs or alcohol, or the refusal of an employee or 2 prospective employee to submit to a drug or alcohol 3 test. 4 11. RELEASE OF INFORMATION - CONFIDENTIALITY - 5 EXCEPTIONS. 6 a. Except as provided in paragraph "b", all 7 communications received by an employer relevant to 8 employee or prospective employee drug or alcohol test 9 results, or otherwise received through the employer's 10 drug or alcohol testing program, are confidential 11 communications and shall not be used or received in
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