LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: HB 193 HLS 21RS 783
Bill Text Version: REENGROSSED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: May 19, 2021 3:36 PM Author: MARCELLE
Dept./Agy.: Department of Health
Subject: Creation of office on women’s health Analyst: Shane Francis
HEALTH/LDH RE INCREASE GF EX See Note Page 1 of 2
Creates the office on women's health within the La. Department of Health
This office shall (1) Educate and advocate for women's health with an emphasis on preventive health and healthy lifestyles. (2) Identify,
and establish priorities for programs, services, and resources for women's health issues and concerns. (3) Serve as a clearinghouse and
resource regarding women's health data, strategies, services, and programs that address women's health issues. (4) Collect and analyze
relevant information and data resulting from research conducted or compiled by LDH and any collaborative entities. (5) Develop and
recommend funding and program activities for educating the public on women's health initiatives relating to social determinants of health.
(6) Make recommendations to the secretary of LDH concerning programs that address women's health issues for inclusion in the
department's budget and strategic planning. (7) Seek funding from private or other governmental entities to carryout the purposes
provided in proposed law. (8) Prepare for publication and dissemination of public materials regarding women's health. (9) Conduct public
educational forums to raise awareness and educate citizens about women's health programs, issues, and services. (10) Coordinate the
activities and programs of the office with other entities that focus on women's health or women's issues. (11) Provide an annual report to
the governor and the legislature, concerning priorities and services needed for women's health in this state and areas for improvement.
EXPENDITURES 2021-22 2022-23 2023-24 2024-25 2025-26 5 -YEAR TOTAL
State Gen. Fd. $0 INCREASE INCREASE INCREASE INCREASE $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 INCREASE INCREASE INCREASE INCREASE $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0
REVENUES 2021-22 2022-23 2023-24 2024-25 2025-26 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 SEE BELOW SEE BELOW SEE BELOW SEE BELOW $0
Federal Funds $0 SEE BELOW SEE BELOW SEE BELOW SEE BELOW $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0
EXPENDITURE EXPLANATION
Proposed law results in a significant increase in SGF expenditures and potential associated federal matching funds of up to
$1.8 M annually beginning FY 2023. Proposed legislation tasks LDH with creating a non-binding operating budget solely of
salaries and benefits for three specified positions: (1) Assistant Secretary, (1) Executive Assistant and (1) Grant Writer. The
Office on Women’s Health will maintain hiring authority past these positions to perform the span of duties outlined in
proposed legislation. LDH estimates total staffing costs for the three positions would amount to $420,000 per year from FY
23 to FY 26 with an additional $14,000 per year in operating expenses, resulting in a potential minimum of $434,000 per
year. However, as the span of duties of this office outlined in proposed legislation has not been reduced, the Legislative
Fiscal Office cannot corroborate whether staffing levels can be significantly compressed from the initial minimum of 11
positions estimated by LDH to three (see discussion of LDH’s original estimate below).
LDH reports initial discussion regarding the staffing requirements necessary to operate an effective Office on Women’s
Health (OWH) would likely incorporate 11 new T.O. positions to include: an Assistant Secretary; 8 Program Managers to
serve as liaisons for OWH to coordinate research, analysis and policy management activities related to statewide health or
social service programs; a Contract Grant Reviewer who will research potential grants and state appropriation budgets to
attempt to expand available funds to support services to women and to develop and monitor contracts, applications and sub-
recipient grant agreements; and an unspecified assistant. Proposed law authorizes the office to enter into agreements or
contracts with any person or government agency as necessary or convenient to carry out its functions.
LDH estimates total personnel costs to be $907,150 in annual salaries and $453,575 in related benefits for a total of
$1,360,725. Further costs estimated by LDH include $225,502 in Operating Expenses, $200,000 in Professional Services,
$16,346 in Equipment and $20,000 in Other Charges for a total state expenditure of $1,822,573.
The Legislative Fiscal Office cannot corroborate the workload necessity detailed by LDH. To the degree that staffing levels
are less than or more than that estimated by LDH, costs would decrease or increase proportionally.
SEE EXPENDITURE EXPLANATION CONTINUED ON PAGE 2
REVENUE EXPLANATION
This measure authorizes the office to seek funding from private or other governmental entities to carry out the purposes,
duties and functions of OWH.
Senate Dual Referral Rules House
x 13.5.1 >= $100,000 Annual Fiscal Cost {S & H} x 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
13.5.2 >= $500,000 Annual Tax or Fee Alan M. Boxberger
6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Staff Director
 LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: HB 193 HLS 21RS 783
Bill Text Version: REENGROSSED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: May 19, 2021 3:36 PM Author: MARCELLE
Dept./Agy.: Department of Health
Subject: Creation of office on women’s health Analyst: Shane Francis
CONTINUED EXPLANATION from page one: Page 2 of 2
EXPENDITURE EXPLANATION CONTINUED FROM PAGE 1
The needed positions as reported by LDH initially are delineated below:
(1) Assistant Secretary - annual salary of $150,000 + $75,000 (related benefits) = $225,000
(2) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(3) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(4) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(5) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(6) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(7) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(8) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(9) Program Manager - annual salary of $82,440 + $41,220 (related benefits) = $123,660
(10) Unspecified Assistant - annual salary of $38,850 + $19,425 (related benefits) = $58,275
(11) Contract Grant Reviewer - annual salary of $58,780 + $29,390 (related benefits) = $88,170
For informational purposes, many intended duties of OWH currently occur in several offices across state government, notably
the Governor’s Office of Women’s Policy whose scope of duties include the advocacy of women’s health policy and serving as
a connector between public and private women’s health agencies and educational institutions. This office is currently staffed
by 1 T.O. at an approximate annual salary of $88,400 and approximated related benefits of $44,200 for a total of $132,600.
Senate Dual Referral Rules House
x 13.5.1 >= $100,000 Annual Fiscal Cost {S & H} x 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
13.5.2 >= $500,000 Annual Tax or Fee Alan M. Boxberger
6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Staff Director


Statutes affected:
HB193 Original: 36:251(C)(1)
HB193 Engrossed: 36:251(C)(1)
HB193 Reengrossed: 36:251(C)(1)