Louisiana Department Of Health

Louisiana Department of Health, Office of the Secretary Division is a U.S. state government entity that receives and administers federal grants as a prime recipient across health, disability services, mental health, substance abuse, and rural health programs, with no federal contract prime or subcontractor footprint. The Louisiana Department of Health operates as a division of the parent State of Louisiana and holds 258 prime federal grant awards (99% of its federal footprint) across 26 federal customer agencies, with a combined obligated value of $6.79 billion.

The division's grant portfolio centers on four recurring federal grant programs. The Department of Education's Office of Special Education and Rehabilitative Services funds Louisiana's statewide early intervention system for infants and toddlers with disabilities under the Special Education-Grants for Infants and Families program (CFDA 84.181), with multiple awards totaling approximately $7.4 million to $14.2 million annually supporting coordinated, multidisciplinary developmental services across the state. The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services funds homelessness-intervention services under the Projects for Assistance in Transition from Homelessness program (CFDA 93.150), with recent awards of $761,617 (September 2026) and $772,495 (September 2025) supporting outreach, mental health treatment, substance abuse services, case management, and transitional housing to individuals with serious mental illness experiencing homelessness, with the Louisiana Department of Health sub-awarding to nine regional human services districts and authorities across Louisiana. SAMHSA's Center for Substance Abuse Treatment funds the Block Grants for Prevention and Treatment of Substance Abuse program (CFDA 93.959), with the most recent award of $70.527 million (October 2025) running through September 2027 supporting statewide prevention, treatment, and recovery services. The Centers for Medicare and Medicaid Services awarded a $625.123 million Cooperative Agreement under the Rural Health Transformation Program (CFDA 93.798) in December 2025, extending through October 2030, supporting six coordinated initiatives to expand rural healthcare workforce, deploy AI and digital tools, establish provider-behavior incentives, and address social determinants of chronic disease across Louisiana's rural parishes.

Customer concentration is heavily skewed toward HHS agencies. The Department of Health and Human Services Centers for Medicare and Medicaid Services leads with 65 awards, followed by SAMHSA with 53 awards across its substance abuse and mental health service divisions, and the Department of Education's Office of Special Education and Rehabilitative Services with 31 awards; these three customer agencies account for 66% of awards by count. Additional HHS customers include the Administration for Community Living (11 awards supporting assistive technology and developmental disability services), the Office of Refugee Resettlement (funding refugee cash and medical assistance block grants), and the Health Resources and Services Administration (supporting rural health offices and primary care associations). Awards per year have remained flat to modest — six to eight per year across 2022–2026 — with eight awards facing ultimate completion in the next twenty-four months, creating recompete windows principally on the recurring formula-grant programs.

The Louisiana Department of Health administers multiple formula-grant programs as the state lead agency, including ACL Assistive Technology program funding (CFDA 93.464, $760,081 in October 2025), Developmental Disabilities Basic Support and Advocacy Grants (CFDA 93.630, $1.827 million in October 2025), State and Regional Primary Care Associations technical assistance (CFDA 93.129, $180,850 in July 2026), and Grants to States for Operation of State Offices of Rural Health (CFDA 93.913, $243,410 in July 2026). The division also serves as prime recipient on block grants for refugee cash and medical assistance (Office of Refugee Resettlement) and maintains a healthcare-emergency-preparedness cooperative agreement (CFDA 97.017, Office of the Assistant Secretary for Preparedness and Response, funded July 2024 through June 2029) supporting statewide healthcare coalition development integrated with emergency support function coordination. Two sub-awards appear in the portfolio — a permanent supportive housing project sub-award (May 2026) and an asthma-education research project sub-award with LSU leveraging the BREATHE program (March 2025) — both routed through the division's grant administration but representing sub-recipient activity rather than prime performance.