A pre-employment drug test serves as a contingency, meaning a conditional job offer is contingent upon a negative result. This screening is a standard practice across many industries, designed to ensure a safe and productive workforce before an applicant’s official start date. A positive result initiates a process that immediately affects the job candidate’s employment status and can have lasting implications for their career trajectory. Understanding the precise chain of events following a failed test is necessary for navigating the immediate fallout and preparing for future job searches. This article will detail the consequences and the required next steps following a confirmed positive result.
The Job Offer is Immediately Rescinded
The most immediate consequence of a positive drug screen is the withdrawal of the conditional job offer. Since the offer of employment was made contingent on a negative result, the employer is generally under no obligation to proceed once the contingency is unmet. This withdrawal typically happens swiftly upon the employer receiving notification of the preliminary positive screen, even before the result is fully certified.
In most at-will employment contexts, a failed pre-employment test means the applicant never formally began employment with the company. The employer is exercising its right to enforce the pre-hire condition, effectively ending the hiring process. This standard practice underscores the high-stakes nature of the test, as it acts as a final gatekeeper before the applicant is onboarded. The process for that particular position is concluded.
The Verification and Review Process
A test is not officially confirmed as a failure until the Medical Review Officer (MRO) completes their verification process. The MRO is a licensed physician who reviews the laboratory results before they are reported to the employer. This step ensures that the process is fair and that any positive result is scientifically and medically sound.
The MRO contacts the candidate privately to discuss the preliminary positive result. This conversation provides the applicant with an opportunity to offer a legitimate medical explanation for the presence of the substance, such as a valid, current prescription for a controlled medication. If the candidate provides documentation proving the substance was legally prescribed and used, the MRO will report the result to the employer as negative. Without a valid medical explanation, the MRO confirms the result as positive.
During the MRO review, the original sample is subjected to confirmation testing, typically using Gas Chromatography/Mass Spectrometry (GC/MS). If the candidate disputes the confirmed positive finding, they have the right to request a retest of the “split sample,” often referred to as the B sample. This test must be conducted by a different certified laboratory, and the candidate is generally responsible for the cost unless the second test overturns the initial finding.
Long-Term Impact on Future Employment
Whether a failed pre-employment drug test follows a candidate depends heavily on the industry and the specific regulatory environment. For most private sector jobs, the information about a failed test is retained internally, subject to the employer’s specific policy. Generally, this information is not shared with prospective employers due to privacy concerns and regulations.
A significant exception exists within federally regulated industries, particularly transportation. The Federal Motor Carrier Safety Administration (FMCSA) maintains the Drug and Alcohol Clearinghouse, a national database that tracks all positive drug test results and refusals for commercial drivers. A failed test in this safety-sensitive sector is recorded and is discoverable by any future Department of Transportation (DOT) regulated employer attempting to hire the driver.
For non-DOT regulated positions, the likelihood of a previous failure being disclosed remains low. However, many employers ask candidates to sign a broad release of information during the background check phase, which may authorize them to contact former employers. The extent of the information disclosed depends on the previous company’s internal policies, but most limit their confirmation to dates of employment. Candidates should be prepared to address the failure honestly if asked directly in an interview, especially if the new position also involves drug screening.
Differences Between Private and Federally Mandated Testing
The consequences of a failed drug test vary significantly depending on whether the testing program is governed by private company policy or federal regulation. Private sector testing is largely governed by state law, affording employers greater flexibility in determining the severity of the consequence and the rules for reapplication. A private employer may opt for a waiting period before an applicant can reapply, or they may permanently exclude the candidate.
In contrast, federally mandated testing, such as that required by the Department of Transportation (DOT), operates under strict, non-negotiable rules. A positive result in this environment means immediate removal from any safety-sensitive duties. The individual cannot return to that role, even with a different employer, without completing a specific process.
The candidate must successfully complete an evaluation and treatment program prescribed by a qualified Substance Abuse Professional (SAP). Completing the SAP process is a mandatory prerequisite for returning to any safety-sensitive position within the DOT-regulated industry.
Candidate Rights and Legal Protections
Candidates retain specific rights and legal protections throughout the drug testing process, primarily concerning privacy and potential discrimination. Under the Health Insurance Portability and Accountability Act (HIPAA), the MRO is strictly limited in what information they can report to the employer. The MRO can only report a confirmed positive or negative result, but cannot disclose the specific substance or the underlying medical reason provided by the candidate.
State-specific protections are also a factor, particularly regarding the use of medical marijuana. While cannabis remains illegal under federal law, some states have enacted laws that prohibit employers from discriminating against applicants who are registered medical marijuana users. However, federal law supersedes state law for DOT-regulated positions, meaning these protections do not apply to safety-sensitive roles.
The Americans with Disabilities Act (ADA) may offer protection in certain circumstances related to substance use disorder. The ADA generally protects individuals who are in recovery from addiction and are no longer actively using illegal drugs. However, the law does not protect individuals who are currently engaging in the illegal use of drugs, meaning that a failed test for illicit substances is typically not a basis for an ADA claim.
Steps to Take After Failing
After receiving confirmation of a failed pre-employment drug test, the candidate should immediately review the specific reapplication policy of the company. Many employers have a formal waiting period, often ranging from six to twelve months, before a previously disqualified candidate is eligible to apply for any position again. Understanding this policy is the first step toward potential future employment with that company.
If the failed test was for a safety-sensitive position, the mandatory next step is to comply with the federal requirement to engage with a Substance Abuse Professional (SAP). Seeking counseling or professional assistance is advisable even for non-regulated jobs if the positive result indicates an ongoing issue. Addressing the underlying issue is necessary for long-term career stability.
Candidates should also prepare a concise and honest explanation for future job interviews. Being prepared to address the failure transparently if asked can demonstrate accountability and a commitment to maintaining sobriety moving forward.

