In 1995, women Legislators asked the Bureau for Public Health to study the cost to the state of injuries resulting from osteoporosis. The Bureau issued a report estimating the expense to the state of osteoporotic fractures to be in the range of $46 million per year. As a result of this data, Delegate Fleischauer became a co-sponsor of HB 4198, the Osteoporosis Treatment and Prevention Education Act, which began state planning and provided funding in the budget for programs to reduce the incidence of this disease, which at the time was not well known. A similar program was established by a bill she authored in 2006 (HB 4685) to deal with arthritis, another painful, crippling disease.