Tennessee employers in the healthcare industry now have increased responsibilities when conducting employee drug testing.  Healthcare practitioner (“HCP”) employers must now “promptly” report if or when (1) an HCP employee refuses to submit to any work-related testing for specific drugs, including pre-hire testing, or (2) when an HCP employee tests positive in a secondary drug test that confirms the presence of a specific drug detected in an initial test.  These new reporting requirements are specific to drug testing and do not include alcohol testing.