US settlement signals protections for addiction medicine - San Francisco Chronicle

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NASHVILLE, Tenn. (AP) — A erstwhile Tennessee correctional serviceman volition person $160,000 successful backmost wage and damages aft helium was forced to resign for taking Suboxone to dainty his opioid usage disorder, if a justice approves a landmark consent decree filed successful national tribunal successful Nashville connected Wednesday.

It is the archetypal clip the U.S. Department of Justice has utilized the Americans with Disabilities Act to settee a assertion that an worker was discriminated against for taking a prescribed medicine to dainty cause addiction, according to the Department.

It comes little than a twelvemonth aft the Justice Department's Civil Rights Division issued caller guidelines advising that employers, wellness attraction providers, instrumentality enforcement agencies that run jails, and others are violating the ADA if they discriminate against radical taking medicine medications to dainty opioid usage disorder. The Department noted national instrumentality does not support radical who are utilizing amerciable drugs.

In the contiguous case, the complainant, who is not identified by name, was hired arsenic a correctional serviceman astatine the Cumberland County jailhouse successful January 2015. He received affirmative employment evaluations and was adjacent promoted, but erstwhile a cause surface showed helium was taking Suboxone to dainty his opioid addiction successful 2018, helium was fixed the prime of resigning oregon being fired for cause use.

The ailment filed successful national tribunal Wednesday claims a Cumberland County's sheriff's bureau argumentation prohibiting employees from being connected controlled substances portion astatine enactment “fails to marque individualized assessments of its employees’ quality to execute the indispensable functions of their jobs ... erstwhile they are taking legally prescribed medications.”

In summation to providing $160,000 to the erstwhile employee, the region has agreed to revise its employment policies and instrumentality grooming astir ADA compliance arsenic portion of a consent decree besides filed Wednesday. The decree won't go last until approved by a judge. An archetypal lawsuit absorption league is scheduled for Friday.

Drugs similar Suboxone often transportation a stigma due to the fact that they incorporate opioids, but Dr. Marc Stern, a correctional doc who is connected module astatine the University of Washington School of Public Health, said they should not.

“When these drugs are prescribed for idiosyncratic who has a disorder, it helps them beryllium normal. It helps them beryllium healthy. It helps them to clasp a job,” Stern said. “More importantly, the Department of Justice has spoken, and this is the law. It's not up to employers to determine whether they similar it oregon not."

Because of however opioids enactment connected the brain, radical babelike connected them get sick if they halt using. Withdrawal tin consciousness similar a atrocious flu with cramping, sweating, anxiousness and sleeplessness. Cravings for the cause tin past for years and beryllium truthful aggravated that relapse is common. Suboxone is simply a communal signifier of buprenorphine, a golden modular medicine approved by the U.S. Food and Drug Administration that reduces cravings.

Overdose deaths successful the U.S. stay astatine near-record levels. The U.S. Centers for Disease Control and Prevention estimates that overdoses contributed to much than 107,000 deaths successful the 12 months that ended Aug. 31. Opioids were progressive successful much than 81,000 of those.

The projected consent decree successful Tennessee comes arsenic President Joe Biden's medication pushes for greater entree to addiction treatment. Most recently, Biden signed a instrumentality eliminating the request for doctors to get a peculiar waiver to prescribe buprenorphine. He has besides released a nationalist cause power strategy that, for the archetypal time, prioritizes preventing decease and unwellness successful cause users portion trying to prosecute them successful attraction and treatment.

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AP Medical Writer Carla K. Johnson successful Washington authorities contributed to this report.

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