As of today, anybody who works at Anne Arundel Medical Center must prove they don't smoke or use other forms of nicotine.
The hospital announced last year it planned to ban tobacco use in all parts of the campus and not hire people who use e-cigarettes, cigars and other products as a way to improve the health of its workers and set an example for the community.
Under the policy, job applicants are tested for nicotine as part of routine drug tests. Those who fail can reapply after six months on the condition that they are screened again.
"As healthcare providers, we have a unique perspective on the burden of chronic disease. We not only treat disease, but we also play a vital role in educating patients and our workforce about lifestyle choices. We are leading by example," said Dr. Stephen Cattaneo, medical director of thoracic oncology in the Geaton and JoAnn DeCesaris Cancer Institute at AAMC.
The health system has been "smoke-free" since 2007, but the old policy focused on the main campus and was limited to cigarette use. The new policy also includes cigars, pipes, snuff and e-cigarettes.
The new rules came after two years of researching ways to prevent tobacco-related diseases.
Participation by employees in its smoking cessation programs have more than doubled since the announcement was made, hospital officials said.
Such bans are controversial, but legal in Maryland and more than half the United States. It has gained popularity with companies, such as Alaska Airlines, trying to control rising health costs and create a healthier, more productive workforce.