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Substance abuse in the workplace costs employers billions of dollars annually in lost productivity, absenteeism, and theft, to say nothing of Workers' Compensation, health insurance, and medical costs. Creating a workable substance abuse policy is complicated by: the fact that states vary as to what they allow in the way of testing; the Americans with Disabilities Act (ADA) which affects how drug and alcohol addiction can be confronted; and legal proscriptions for acting on suspicions of actual workplace illegal drug and alcohol use.