The four largest tobacco companies involved in the 1998 landmark settlement with states over tobacco-related health care costs this week transferred more than $65 million to the state treasury in their annual payment to Iowa, Attorney General Tom Miller announced Thursday.

Since 1999 Iowa has received more than $888 million in settlement payments. The agreement, which established a broad array of restrictions on the advertising, marketing and promotion of cigarettes, required the companies to pay 46 states $206 billion over 25 years, and continue annual payments beyond 25 years based on the number of cigarettes sold in the United States. President Barack Obama earlier this month
called for a 94-cent increase in the federal tax on cigarettes.

A study by the U.S. Centers for Disease Control and Prevention estimates the annual cost of smoking at $193 billion in direct medical payments and lost productivity.