The full content of Annals is available to subscribers

Subscribe/Learn More  >
In the Balance |

California's Proposition 46 and Mandatory Physician Drug Testing: A Cause for ConcernCalifornia's Proposition 46 and Mandatory Physician Drug Testing

Yul D. Ejnes, MD
[+] Article, Author, and Disclosure Information

This article was published online first at www.annals.org on 30 September 2014.

From The Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-1866.

Requests for Single Reprints: Yul D. Ejnes, MD, Coastal Medical, Inc., 75 Sockanosset Crossroad, Suite 101, Cranston, RI 02920; e-mail, yul_ejnes@brown.edu.

Author Contributions: Conception and design: Y.D. Ejnes.

Analysis and interpretation of the data: Y.D. Ejnes.

Drafting of the article: Y.D. Ejnes.

Critical revision of the article for important intellectual content: Y.D. Ejnes.

Final approval of the article: Y.D. Ejnes.

Administrative, technical, or logistic support: Y.D. Ejnes.

Collection and assembly of data: Y.D. Ejnes.

Ann Intern Med. 2014;161(12):911-912. doi:10.7326/M14-1866
Text Size: A A A

On 4 November 2014, California residents voted against Proposition 46, which involved increasing the cap on noneconomic damages in medical liability cases, mandating that physicians check the state's database on prescription drug history before prescribing certain controlled substances, and requiring hospitals to perform drug and alcohol testing of physicians. This commentary discusses why the manner in which Proposition 46 mandated physician drug and alcohol testing is cause for concern.

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Related Point of Care
Topic Collections
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.