The Louisiana Department of Health (LDH) (French: Département de La Santé de Louisiane), formerly known as the Louisiana Department of Health and Hospitals (French: Département de La Santé et des Hôpitaux), is a state agency of Louisiana, headquartered in Baton Rouge.[1] It is Louisiana's largest state agency with a budget of $21 billion and approximately 8,274 personnel. The agency oversees the health of the population under its current secretary, Ralph L. Abraham, M.D..[2]
Leadership
Ralph L. Abraham, M.D. was appointed Secretary[3] in December 2023 by then Governor-elect Jeff Landry. Dr. Abraham is a practicing family medicine physician in Richland Parish and a former three-term Congressman for Louisiana’s 5th Congressional District. Throughout his almost 30-year career in medicine, Dr. Abraham has seen firsthand the many healthcare challenges facing Louisiana.
Dr. Abraham graduated from Mangham High School before earning his degree at Louisiana State University. He graduated from the LSU School of Veterinary Medicine and practiced for 10 years before eventually seeking his Medical Doctor degree, which he earned at the LSU School of Medicine in Shreveport.
Dr. Abraham was a First Lieutenant in the Army National Guard. He has served on humanitarian missions for Free Burma Rangers in Burma (Myanmar), Syria, Iraq and Ukraine. He has also volunteered on humanitarian missions in Afghanistan and the Amazon for other organizations. Dr. Abraham is a fixed-wing and helicopter pilot who currently flies reconnaissance missions for the Coast Guard Auxiliary, and he is a mission pilot for the Air Force’s Civil Air Patrol Green Flag Program. He is a certified flight instructor and actively works with Pilots for Patients, an organization that provides free air transportation to patients needing treatment at medical facilities not available to them locally.
Dr. Pete Croughan serves as deputy secretary, having previously served LDH as chief of staff to former Secretary Dr. Rebekah Gee. The deputy secretary is the coordinator for LDH's Regional Coordinating Councils and oversees the coordination and implementation of the 1996 Health Insurance Portability and Accountability Act (HIPAA).
Mission
The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive and rehabilitative services for all citizens of the state of Louisiana.
Offices of the Louisiana Department of Health
LDH's agencies include:
Office of Public Health
Monitors food and safe drinking water
Fights chronic and communicable disease
Ensures readiness for hurricanes, disasters and other threats
Manages, analyzes and disseminates public health data
Ensures access to vital records for births, deaths, fetal deaths and Orleans Parish marriage records
Offers preventive health services
Office of Behavioral Health
Manages and delivers supports and services for citizens with mental illness and addictive disorders
Delivers direct care through hospitalization
Oversees behavioral health community-based treatment programs through the human services districts and authorities
Office of Women's Health and Community Health
Created by Act 676 (SB 116) of the 2022 Regular Legislative Session,[4] and signed by Governor John Bel Edwards on June 18, 2022
Focuses on health needs throughout a woman’s life, including chronic or acute conditions that significantly affect women, access to healthcare for women, and women’s health disparities
Office for Citizens with Developmental Disabilities
Single point of entry into the developmental disabilities services system
Oversees public and private residential services and other services for people with developmental disabilities
Office of Aging and Adult Services
Manages and delivers supports and services for senior citizens and people with adult-onset disabilities
Provides and enhances services for people in need of long-term care
Medicaid
Provides medical benefits to low-income individuals and families
Medicaid expansion has provided nearly 480,000 previously uninsured residents with coverage, dropping the state's uninsured rate to 8.4% in 2017[6]
LDH also includes the Bureau of Community Partnerships & Health Equity, which is responsible for operationalizing community engagement and health equity best practices and standards agency wide, and plays a role in the State of Louisiana's emergency preparedness network.
Geographic Structure
The Louisiana Department of Health provides public health services and oversight across Louisiana in nine regions.[7]
Region
Headquarters
Area (Parishes)
1*
New Orleans
Jefferson, Orleans, Plaquemines, St. Bernard
2
Baton Rouge
Ascension, East Baton Rouge, East Feliciana, Iberville, Pointe Coupee, West Baton Rouge, West Feliciana
3
Houma
Assumption, Lafourche, St. Charles, St. James, St. John, St. Mary, Terrebonne
4
Lafayette
Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, Vermilion
5
Lake Charles
Allen, Beauregard, Calcasieu, Cameron, Jefferson Davis
Bienville, Bossier, Caddo, Claiborne, DeSoto, Natchitoches, Red River, Sabine, Webster
8
Monroe
Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, West Carroll
9
Hammond
Livingston, St. Helena, St. Tammany, Tangipahoa, Washington
*Within the Office of Behavioral Health, Region 1 comprises Orleans, Plaquemines and St. Bernard parishes. An additional Region 10, based in Metairie, serves Jefferson Parish exclusively.