September 15, 2014 National Institute for Occupational Safety and Health NIOSH Docket Office 1090 Tusculum Avenue MS C-34 Cincinnati, Ohio 45226-1998 Re: CDC-2014-0013 and Docket Number NIOSH-274, NIOSH Current Intelligence Bulletin: Promoting Health and Preventing Disease and Injury through Workplace Tobacco Policies Dear Sir or Madam, The Legal Resource Center for Public Health Policy at the University of Maryland Carey School of Law submits the following comment in response to Question #4: Are there critical omissions in the CIB? We suggest that there are four omissions and that the CIB should be revised as follows: Recommendation #1: Clarify that there are no legal impediments to implementing a smoke-free workplace. First, the CIB should clearly explain that there are no legal impediments to implementing a smoke-free workplace policy. On page 18, after line 4, the following language should be inserted: ―Private employers may adopt smoke-free workplace policies without legal impediment. While opponents of tobacco-free workplace policies often argue that smoking is a personal choice that is protected by the Due Process Clause, and that smokers are a protected category of persons under the Equal Protection Clause, these arguments fail for two reasons.1 First, the U.S. Constitution does not protect a ―right to smoke.‖2 Moreover, any constitutional questions related to a ―right to smoke‖ are not applicable in the context of private employers, unless there is a statutory basis accompanying the alleged constitutional violation.3 Although many states have adopted statutes that prohibit employers from making employment decisions on the basis of offduty tobacco use, these prohibitions do not apply to tobacco use restrictions in the workplace.4 1 Samantha K. Graff, TOBACCO CONTROL LEGAL CONSORTIUM, There Is No Constitutional Right to Smoke, 2–3 (2005), http://publichealthlawcenter.org/sites/default/files/resources/tclc-syn-constitution-2008_0.pdf 2 Micah Berman & Rob Crane, Mandating a Tobacco-Free Workforce: A Convergence of Business and Public Health Interests, 34 WM. MITCHELL L. REV. 1651, 1661 (2008). 3 Id. 4 Id. at 1662. For instance, New Jersey law prohibits employers from hiring or discharging employees based on their use of tobacco products.5 However, the statute expressly preserves existing policies restricting tobacco use in the workplace.6 The Superior Court of New Jersey has also interpreted the statute as preserving the right of employers to institute tobacco-free workplace policies.7 The court rejected an employee’s allegation that his employer had discharged him in violation of the statute after the employee refused to sign a workplace policy prohibiting smoking in company vehicles.8 The court reasoned that ―[b]y its plain language, the statute addresses actions against persons because of their status as tobacco users, but not because of their use of tobacco in the workplace.‖9 Employers that allow smoking at work may also expose themselves to liability under federal or state Occupational Safety and Health Acts (OSHA), workers’ compensation claims, disability discrimination claims, as well as the common law. OSHA’s ―General Duty Clause‖ requires that employers provide a workplace free from hazards likely to cause death or serious physical harm.10 Additionally, employees may be able to collect workers’ compensation claims if they suffer injury or illness at work as a result of exposure to secondhand smoke, and will not have to prove that an employer was negligent to do so. 11 Moreover, if an employee has an existing condition that qualifies him or her as ―disabled‖ under the Americans with Disabilities Act, and that disability is exacerbated by secondhand smoke exposure, an employer that fails to adopt and enforce a smoke-free policy may also be held liable for failing to provide reasonable accommodations to protect the employee.12 Finally, employers may be held liable under state common law: Courts have found that the failure to maintain a smoke-free environment constitutes a breach of duty to provide a reasonably safe workplace.13 For a more detailed analysis of employer liability associated with secondhand smoke, see Section ___ of this CIB, infra p. ___.14‖ Recommendation #2: Add a Model Policy for A Tobacco-Free Workplace. The CIB should include a model policy for a tobacco-free workplace that companies can use as a template when they draft their own documents. On page 20, line 20, a new paragraph should be inserted: ―Employers that choose to ban the use of tobacco products in the workplace 5 N.J. STAT. ANN. § 34:6B-1. Id. § 34:6B-2 (The statute does not limit ―any applicable law, rules, or workplace policies concerning smoking or the use of other tobacco products during the course of employment.‖). 7 Still v. Board of Review, No. 296,008, 2012 WL 2035802 (N.J. Super. Ct. App. Div. 2012) (unreported case). 8 Id. at *1, *6. Upon realizing that the employee had been smoking in company vehicles, the employer presented him with a copy of the company handbook, which included the no-smoking policy, and asked him to sign it to indicate his acknowledgement. Id. at *1. The employee refused to sign, and was discharged. Id. 9 Id. at *6. 10 See 29 U.S.C. § 654(a)(1) (requiring that each employer ―shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees‖). State OSHA laws typically contain similar provisions. 11 Leslie Zellers et al., Legal Risks to Employers Who Allow Smoking in the Workplace, 97 AM. J. PUB. HEALTH 1367, 1377 (2007). 12 Id. at 1378–79. 13 Id. at 1379–80. 14 We present a more detailed analysis of employer liability associated with secondhand smoke, and suggest incorporation of this analysis to the proposed CIB, in our ―Recommendation #4,‖ infra. 6 2 will need to draft and distribute a clear policy regarding these activities to their employees. A model policy can be found in the Appendix to this document. All policies should be customized by the employer to reflect any applicable laws or regulations from their locality.‖ We include below a model policy that could be used or modified for this purpose and inserted into the Appendix section: Model Policy for a Tobacco-Free Workplace15 [COMPANY]’s TOBACCO-FREE POLICY I. PURPOSE [COMPANY] is dedicated to providing a healthy, comfortable, and productive work environment for all of our employees and clients. The goal of this policy is two fold. First, this policy is designed to improve the health of [COMPANY]’s employees by promoting tobacco use cessation. Second, this document aims to promote a safe work environment for everyone who works on or visits [COMPANY]’s campus. [Note: Employers may wish to reference the NIOSH Current Intelligence Bulletin “Promoting Health and Preventing Disease and Injury through Workplace Tobacco Policies” to provide background information regarding the dangerous health impact of using tobacco products and secondhand smoke.16] II. POLICY Effective [DATE], [COMPANY] is implementing a campus-wide tobacco-free policy that applies to all employees, clients, and visitors. This policy prohibits the use of any tobacco products, including but not limited to smokeless tobacco, cigarettes, cigars, and electronic smoking devices. This policy is in effect at all times, including during and after regular business hours. Smoking or use of tobacco products will not be permitted in any indoor or outdoor space owned, leased, or used by the company or within 25 feet of any door, window, or ventilation system. Additionally, tobacco use will not be permitted in company owned parking lots or vehicles. This policy also applies to any work function where two or more employees are present, regardless of where the event is held. Employees who choose to use tobacco products may do so during their regularly scheduled breaks off company property. Ashtrays will not be provided or permitted in any company area. [Smoking areas may be designated at the discretion of management. Any designated smoking areas must be accompanied by proper signage, and must be located at least 25 feet away from any door, window, or ventilation system.] III. PROCEDURE Copies of this policy shall be distributed to all current employees in advance of the implementation date. All future employees will be provided a copy of this policy during the hiring process and a copy will be available for review from [COMPANY]’s human resources department at any time. Signs stating that this is a ―Tobacco-Free Campus‖ will be posted. 15 This policy was drafted based on several different model policies: Model Policy for a Smokefree Workplace, Americans for Nonsmokers’ Rights, (last visited Sept. 6, 2014), http://www.nosmoke.org/pdf/modelworkplacepolicy.pdf; CDC Tobacco-Free Campus Policy, Centers for Disease Control, (Nov. 1, 2005), http://www.cdc.gov/nccdphp/dnpao/hwi/downloads/CDC_tobacco_policy.pdf; and Tobacco-Free Business Toolkit: Maryland Business Guide: Creating A Tobacco Free Campus, The Legal Resource Center, University of Maryland Francis King Carey School of Law, (last visited Sept. 6, 2014), http://www.law.umaryland.edu/programs/publichealth/documents/smokefree_bus_tookit.pdf. 16 NIOSH Current Intelligence Bulletin: Promoting Health and Preventing Disease and Injury through Workplace Tobacco Policies, 79 Fed. Reg. 158, 48169, (Aug. 15 2014). 3 Compliance with this policy is mandatory and violations will be subject to disciplinary action in accordance with other relevant company policy. Repeated violations may result in more serious disciplinary action, to be handled by supervisors in conjunction with the human resources department. [COMPANY] will not retaliate, discourage, or prohibit any employee, client or visitor from reporting violations of this policy. IV. TOBACCO CESSATION OPPORTUNITIES [COMPANY] encourages all employees who currently use tobacco products to quit by taking advantage of cessation programs available through the company. More information about these offerings can be obtained by contacting [APPROPRIATE WORKPLACE CONTACT] or human resources. V. QUESTIONS Any questions regarding this policy should be directed to [NAME OF APPROPRIATE WORKPLACE CONTACT] at [NUMBER]. Thank you for your cooperation. Recommendation #3: Add A Summary of Employer Authority to Ban E-Cigarettes in the Workplace. While the CIB discusses the use of Electronic Nicotine Delivery Systems (ENDS) in a variety of places, the document should also include a reminder that employers have the authority to ban those devices, including e-cigarettes, in the workplace. On page 20, line 20, the preceding paragraph already addresses laws prohibiting use of ENDS. Additional language should be added that states: ―The same legal reasoning that applies to private employers banning other types of tobacco use in the workplace would apply to banning ENDS. Private employers may set reasonable restrictions on employees’ activities that do not discriminate on the basis of a legally protected status, such as race or gender.17 Being a smoker is not a protected status. Just as companies may limit access to certain websites or curtail the use of cell phones in the workplace, companies have the right to limit or prohibit use of e-cigarettes in the workplace.18 The international community has already expressed concerns about e-cigarettes in the workplace, and some American companies have also taken notice. For example, the U.S. Air Force implemented an ecigarette ban in their facilities in light of concerns that some of the products contain and emit toxic chemicals.19 Some companies, such as Exxon Mobil, allow the use of ENDS in designated areas where smoking is already allowed while others, such as Starbucks and CVS, have banned the use of ENDS inside all stores.20 The most efficient approach is for employers to simply add ENDS to the list of products covered by their current tobacco-free or smoke-free workplace policy.‖ 17 Reggie Gay, Banning Electronic Cigarettes in the Workplace, South Carolina Employment Law Letter, (Sep. 11, 2013). 18 Id. at 2. 19 Celia Joseph, E-Cigarettes: An Issue for Employers Worldwide, Fisher and Phillips, (Jan. 19, 2011), http://www.crossborderemployer.com/post/2011/01/19/E-Cigarettes-An-Issue-for-Employers-Worldwide.aspx. 20 Lauren Weber & Mike Esterl, E-Cigarettes Spark Dilemma for Employers, WALL ST. J., (Jan. 15, 2014), http://online.wsj.com/news/articles/SB10001424052702303819704579320902677845732 4 Recommendation #4: Clarify Employee Rights and Employer Liabilities The CIB should explain in detail employee rights to be free from, and employer liability for exposure to, secondhand smoke in the workplace. On page 16, following the mention of OSHA liability, the following sub-section should be inserted after line 2: Employer Liability for Secondhand Smoke Exposure In addition to possible consequences under OSHA, an employer may also face liability in several other ways. For instance, an employee’s right to be free from secondhand smoke in the workplace may arise from a state or local jurisdiction’s smoke-free workplace law. Employees may also bring several other claims in the absence of or in addition to a smoke-free workplace provision. These include claims under state workers’ compensation laws, federal or state disability laws, and the common law.21 First, an employee may file a workers’ compensation claim against an employer for illness or injury attributable to secondhand smoke exposure in the workplace.22 By compensating workers for medical expenses and lost income without requiring proof of the employer’s negligence, workers’ compensation laws protect employees from any illness and injury arising out of the course of employment.23 Claims arising out of asthmatic or allergic reactions to secondhand smoke as well as prolonged exposure to secondhand smoke are often successful.24 For example, the New York Workers’ Compensation Board awarded benefits to an employee who suffered two major asthma attacks at her workplace—a crowded office of smokers in a building without ventilation25—reasoning that the employee had sustained an occupational injury as a result of repeated exposure to secondhand smoke.26 In another case, a workers’ compensation judge concluded that the employer of a plaintiff who contracted tonsil cancer after sharing an office with a smoking coworker for 26 years was liable for any past and future medical expenses associated with the illness.27 In addition, an employee who is considered ―disabled‖ under state or federal law may file a disability discrimination claim if exposure to secondhand smoke exacerbates that disability, and the employer fails to provide ―reasonable accommodation‖ to protect the employee from secondhand smoke exposure. Courts have found that exposure to secondhand smoke itself can cause an employee to be considered ―disabled‖ under the Americans with Disability Act (ADA)28 or the Rehabilitation Act of 197329 ―if secondhand smoke substantially impairs the employee’s ability to breathe, and the impairment occurs both in and out of the workplace.‖30 An 21 Zellers, supra note 11, at 1377. Id. 23 Id. 24 Id. at 1378. 25 Johannesen v. Dep’t. of Housing Preservation and Dev., 638 N.E.2d 981, 982 (N.Y. 1994). 26 Id.; see also Schober v. Mountain Bell Telephone, 600 P.2d 283 (N.M. 1978) (finding that exposure to secondhand smoke at work which caused the employee to have an allergic reaction and collapse constituted an accidental injury). 27 Magaw v. Bd. of Educ., 731 A.2d 1196 (N.J. Superior Ct. App. Div. 1999). 28 42 U.S.C. §§12101–12213. 29 29 U.S.C. §§ 701–796. 30 Zellers, supra note 12 at 1378. 22 5 employer that does not attempt to alleviate the employee’s exposure to secondhand smoke may be held liable for failing to provide reasonable accommodations.31 For example, a California court considered whether an employee could be ―disabled‖ under the ADA as a result of secondhand smoke exposure where the employee claimed he suffered severe asthma attacks from working in locomotive cabs in which his coworkers were allowed to smoke.32 The court rejected the employer’s argument that the employee should not be considered ―disabled‖ because the asthma attacks were temporary and not sufficiently severe, and also rejected the argument that the employer had provided a ―reasonable accommodation‖ by preventing anyone from smoking in the employee’s presence.33 Focusing on the employee’s evidence that he suffered severe, life-threatening asthma attacks, as well as on the employer’s failure to protect the employee from secondhand smoke, the court denied the employer’s motion for summary judgment on the disability discrimination claim.34 Finally, employers may be held liable for employees’ exposure to secondhand smoke under a common law duty to provide employees with a reasonably safe work environment.35 The Sixth Circuit has acknowledged that in some circumstances, an employer breaches this common law duty when it refuses to provide a smoke-free work environment.36 The court found that the plaintiff’s employer could be held liable for the plaintiff’s asthma attacks induced by secondhand smoke, reasoning that the employer was aware that the employee was exposed to secondhand smoke on a daily basis, that this exposure triggered his asthma attacks, and that the secondhand smoke exposure negatively impacted the health of all nonsmoking employees.37 Consistent with the Sixth Circuit’s holding, case law generally indicates that an employer may be liable for failing to take reasonable measures to control secondhand smoke despite having the means to do so and despite an awareness that secondhand smoke was harmful to an employee.38 Any plaintiff bringing a common law claim will have a strong argument that an employer was aware of the harmful effects of secondhand smoke exposure, given the decades of research on the harmful effects of secondhand smoke in the workplace and its potential to cause heart disease and lung cancer in nonsmoking employees.39 Thus, employers face extensive liability risk for exposing employees to secondhand smoke. Adopting smoke-free workplace policies would protect employers from liability, and provide employees with a safe workplace. 31 Id. Service v. Union Pacific R.R. Co., 153 F.Supp.2d 1187 (E.D. Cal. 2001). 33 Id. at 1192–93. 34 Id. at 1193. 35 Zellers, supra note 11 at 1380. 36 Wilhelm v. CSX Transp., Inc., 65 Fed.Appx. 973, 978 (6th Cir. 2003). 37 Id. at 978. 38 Id.; see also McCarthy v. Dept. of Soc. & Health Servs., 759 P.2d 351 (Wa. 1988) (court explicitly held that an employer’s common law duty includes the duty to provide a working environment reasonably free from tobacco smoke); Smith v. W. Elec. Co., 643 S.W.2d 10, 37 (Mo. Ct. App. 1982) (employer breached duty to provide a reasonably safe workplace because employer knew that tobacco smoke was harmful to employees, and had authority, ability, and reasonable means to control smoke exposure). 39 Id. at 1376, 1380; see also U.S. Dep’t of Health and Hum. Servs., The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General (2006). 32 6 Kathleen Susan Hoke, JD Director, Legal Resource Center for Public Health Policy University of Maryland Carey School of Law 500 W. Baltimore Street Baltimore, MD 21201 (410) 706-1294 [email protected] *This comment was prepared with assistance of the Center’s Fellow, Sasika Subramaniam, and law students Katherine O’Konski and Alexandria Moore 7
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