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Doderer of Johnson offered amendment H-8788 filed by her and Kreiman of Davis as follows: H-8788 1 Amend House File 2539 as follows: 2 1. Page 34, by inserting after line 27 the 3 following: 4 "Sec. 101. NEW SECTION. 249A.50 STATE RECOVERY 5 OF TOBACCO-RELATED MEDICAL ASSISTANCE PAYMENTS. 6 1. For purposes of this section: 7 a. "Manufacturer" means any person engaged in the 8 process of designing, fabricating, assembling, 9 producing, constructing, or otherwise preparing a 10 product containing tobacco, including any packaging or 11 labeling or repackaging or relabeling of such a 12 product, with the intention of selling the product for 13 gain or profit. "Manufacturer" does not include 14 persons whose activity is limited to growing natural 15 leaf tobacco or to selling tobacco products at 16 wholesale or retail to consumers. 17 b. "Tobacco" means any tobacco product, including 18 but not limited to loose tobacco suitable for smoking, 19 snuff, snuff flour, cavendish, plug and twist tobacco, 20 fine cuts and other chewing tobaccos, shorts, refuse 21 scraps, clippings, cuttings, and sweepings of tobacco, 22 and other kinds and forms of tobacco suitable for 23 chewing and smoking, including cigars and cigarettes. 24 2. The state and the department shall be entitled 25 to bring an action against and recover in full from 26 any manufacturer which caused in fact any injury, 27 disease, or disability arising from or connected with 28 the use of tobacco by recipients of medical 29 assistance, for the full amount of medical assistance 30 paid under this chapter on behalf of such recipients, 31 and for other relief, including legal and 32 administrative fees and expenses. The attorney 33 general may institute a civil action to enforce the 34 rights conferred by this section. The right of 35 recovery of the state and the department under this 36 section is independent from and not derivative of any 37 right or claim of the individual recipients of medical 38 assistance. 39 a. The court shall do all of the following: 40 (1) Shall permit evidence, proof, and argument as 41 to causation and amount of damages by and through 42 statistical analysis or other methods of scientific or 43 statistical proof. 44 (2) Shall not require proof of causation and 45 damages as to individual recipients. 46 b. The state or department may recover damages 47 against manufacturers based upon an aggregation of or
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