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HB 281 amends Utah's workers' compensation law to address cannabis use by injured workers. It creates a presumption that reduces or denies compensation if an employee’s injury is linked to cannabis use, specifically when THC levels exceed 20 nanograms per milliliter of whole blood. Employees can challenge this presumption by providing evidence, such as proof of test inaccuracy, medical verification, or showing passive inhalation (if THC is below 20 ng/ml). The bill clarifies definitions of cannabis compounds (excluding CBD and others) and applies to workers’ compensation claims involving cannabis-related injury contributions. It does not appropriate funds or alter existing testing procedures beyond the new THC threshold.