{ "slug": "california-county-primary-care-access-2026", "title": "California County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for California, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 58 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "California", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "california" ], "publishedDate": "2026-05-31", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-06-01T10:24:06+00:00", "dataVintage": { "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-06-01", "acs": "ACS 2019-2023 5-year estimates" }, "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN California: a 100 marks the worst county in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.", "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.", "Equal axis weighting is a transparent default, not a calibrated policy model.", "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.", "This is informational analysis of public data, not clinical, individual, or actuarial advice." ], "sources": [ { "name": "CDC PLACES — Local Data for Better Health (County Data)", "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "url": "https://www.cdc.gov/places/", "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json", "accessedDate": "2026-06-01" }, { "name": "HRSA — Primary Care Health Professional Shortage Areas", "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)", "url": "https://data.hrsa.gov/data/download", "accessedDate": "2026-06-01" }, { "name": "U.S. Census Bureau — American Community Survey (5-year)", "dataset": "ACS 2019-2023 5-year estimates", "url": "https://www.census.gov/programs-surveys/acs/", "apiUrl": "https://api.census.gov/data/2023/acs/acs5", "accessedDate": "2026-06-01" } ], "measures": { "burden": [ { "id": "DIABETES", "label": "Diagnosed diabetes" }, { "id": "OBESITY", "label": "Obesity" }, { "id": "BPHIGH", "label": "High blood pressure" }, { "id": "CHD", "label": "Coronary heart disease" }, { "id": "GHLTH", "label": "Fair or poor self-rated health" }, { "id": "PHLTH", "label": "Frequent physical distress" } ], "access": [ { "id": "ACCESS2", "label": "Uninsured (adults 18-64)" }, { "id": "LACKTRPT", "label": "Lack of reliable transportation" }, { "id": "FOODINSECU", "label": "Food insecurity" }, { "id": "HOUSINSECU", "label": "Housing insecurity" }, { "id": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 58, "countiesWithHpsa": 58, "countiesWithHpsaPct": 100, "medianDiabetes": 12.0, "diabetesMin": { "county": "Yolo", "value": 9.3 }, "diabetesMax": { "county": "Trinity", "value": 15.9 }, "medianUninsured": 8.8 }, "keyFindings": [ "58 of California's 58 counties (100%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 9.3% in Yolo County to 15.9% in Trinity County, a 6.6-point spread within a single state.", "Imperial County carries the highest combined targeting-priority index (77.9/100), led by its access & sdoh barriers score.", "The median county uninsured rate (adults 18-64) is 8.8%, and the median adult diabetes prevalence is 12.0%." ], "counties": [ { "fips": "06025", "name": "Imperial", "population": 179057, "priorityIndex": 77.9, "burdenScore": 72.0, "accessScore": 84.8, "shortageScore": 76.9, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 20, "hpsaDesignations": 46, "raw": { "DIABETES": 15.0, "OBESITY": 34.7, "BPHIGH": 33.2, "CHD": 6.7, "GHLTH": 32.6, "PHLTH": 17.1, "ACCESS2": 22.1, "LACKTRPT": 15.3, "FOODINSECU": 30.9, "HOUSINSECU": 24.7, "ACS_POVERTY": 19.6, "ACS_NOVEHICLE": 6.0 }, "ci": { "DIABETES": { "lo": 13.0, "hi": 17.1 }, "OBESITY": { "lo": 28.0, "hi": 41.8 }, "BPHIGH": { "lo": 29.6, "hi": 37.0 }, "CHD": { "lo": 5.8, "hi": 7.6 }, "GHLTH": { "lo": 27.7, "hi": 37.8 }, "PHLTH": { "lo": 14.7, "hi": 19.6 }, "ACCESS2": { "lo": 17.2, "hi": 27.4 }, "LACKTRPT": { "lo": 12.8, "hi": 17.8 }, "FOODINSECU": { "lo": 25.4, "hi": 36.3 }, "HOUSINSECU": { "lo": 20.7, "hi": 28.6 } }, "rank": 1 }, { "fips": "06019", "name": "Fresno", "population": 1017162, "priorityIndex": 70.3, "burdenScore": 56.6, "accessScore": 61.9, "shortageScore": 92.3, "topDriver": "Provider shortage", "hpsaMaxScore": 24, "hpsaDesignations": 80, "raw": { "DIABETES": 12.7, "OBESITY": 37.7, "BPHIGH": 31.7, "CHD": 6.2, "GHLTH": 27.6, "PHLTH": 15.0, "ACCESS2": 14.6, "LACKTRPT": 12.2, "FOODINSECU": 24.9, "HOUSINSECU": 19.4, "ACS_POVERTY": 18.7, "ACS_NOVEHICLE": 7.2 }, "ci": { "DIABETES": { "lo": 11.1, "hi": 14.5 }, "OBESITY": { "lo": 32.2, "hi": 43.4 }, "BPHIGH": { "lo": 28.4, "hi": 35.1 }, "CHD": { "lo": 5.4, "hi": 6.9 }, "GHLTH": { "lo": 23.8, "hi": 31.7 }, "PHLTH": { "lo": 13.1, "hi": 17.1 }, "ACCESS2": { "lo": 11.3, "hi": 18.5 }, "LACKTRPT": { "lo": 10.4, "hi": 14.2 }, "FOODINSECU": { "lo": 20.8, "hi": 29.5 }, "HOUSINSECU": { "lo": 16.3, "hi": 22.7 } }, "rank": 2 }, { "fips": "06029", "name": "Kern", "population": 913820, "priorityIndex": 70.2, "burdenScore": 59.7, "accessScore": 70.1, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 129, "raw": { "DIABETES": 13.3, "OBESITY": 36.0, "BPHIGH": 32.0, "CHD": 6.2, "GHLTH": 28.1, "PHLTH": 16.1, "ACCESS2": 16.7, "LACKTRPT": 13.7, "FOODINSECU": 26.8, "HOUSINSECU": 21.7, "ACS_POVERTY": 19.0, "ACS_NOVEHICLE": 6.5 }, "ci": { "DIABETES": { "lo": 11.6, "hi": 15.1 }, "OBESITY": { "lo": 30.6, "hi": 41.6 }, "BPHIGH": { "lo": 28.6, "hi": 35.3 }, "CHD": { "lo": 5.5, "hi": 7.0 }, "GHLTH": { "lo": 24.4, "hi": 31.9 }, "PHLTH": { "lo": 14.0, "hi": 18.1 }, "ACCESS2": { "lo": 13.0, "hi": 20.7 }, "LACKTRPT": { "lo": 11.7, "hi": 15.9 }, "FOODINSECU": { "lo": 22.4, "hi": 31.4 }, "HOUSINSECU": { "lo": 18.4, "hi": 25.1 } }, "rank": 3 }, { "fips": "06107", "name": "Tulare", "population": 479468, "priorityIndex": 70.1, "burdenScore": 59.6, "accessScore": 70.0, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 100, "raw": { "DIABETES": 13.1, "OBESITY": 35.0, "BPHIGH": 31.2, "CHD": 6.2, "GHLTH": 29.4, "PHLTH": 16.4, "ACCESS2": 18.2, "LACKTRPT": 13.7, "FOODINSECU": 27.4, "HOUSINSECU": 22.1, "ACS_POVERTY": 17.8, "ACS_NOVEHICLE": 4.7 }, "ci": { "DIABETES": { "lo": 11.3, "hi": 14.9 }, "OBESITY": { "lo": 28.2, "hi": 42.1 }, "BPHIGH": { "lo": 27.5, "hi": 34.9 }, "CHD": { "lo": 5.5, "hi": 6.9 }, "GHLTH": { "lo": 25.3, "hi": 33.9 }, "PHLTH": { "lo": 14.3, "hi": 18.7 }, "ACCESS2": { "lo": 14.0, "hi": 22.9 }, "LACKTRPT": { "lo": 11.6, "hi": 16.3 }, "FOODINSECU": { "lo": 22.4, "hi": 32.8 }, "HOUSINSECU": { "lo": 18.6, "hi": 26.0 } }, "rank": 4 }, { "fips": "06047", "name": "Merced", "population": 291920, "priorityIndex": 69.5, "burdenScore": 57.3, "accessScore": 74.3, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 32, "raw": { "DIABETES": 13.0, "OBESITY": 33.8, "BPHIGH": 31.2, "CHD": 6.1, "GHLTH": 29.4, "PHLTH": 16.0, "ACCESS2": 18.2, "LACKTRPT": 14.0, "FOODINSECU": 28.7, "HOUSINSECU": 22.7, "ACS_POVERTY": 18.4, "ACS_NOVEHICLE": 7.2 }, "ci": { "DIABETES": { "lo": 11.3, "hi": 14.8 }, "OBESITY": { "lo": 26.6, "hi": 40.9 }, "BPHIGH": { "lo": 27.3, "hi": 34.9 }, "CHD": { "lo": 5.3, "hi": 6.8 }, "GHLTH": { "lo": 25.1, "hi": 33.7 }, "PHLTH": { "lo": 13.8, "hi": 18.3 }, "ACCESS2": { "lo": 14.3, "hi": 22.5 }, "LACKTRPT": { "lo": 11.8, "hi": 16.1 }, "FOODINSECU": { "lo": 23.8, "hi": 33.4 }, "HOUSINSECU": { "lo": 19.2, "hi": 26.3 } }, "rank": 5 }, { "fips": "06039", "name": "Madera", "population": 162858, "priorityIndex": 67.4, "burdenScore": 67.9, "accessScore": 72.9, "shortageScore": 61.5, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 16, "hpsaDesignations": 4, "raw": { "DIABETES": 13.5, "OBESITY": 36.5, "BPHIGH": 33.2, "CHD": 7.0, "GHLTH": 30.5, "PHLTH": 16.9, "ACCESS2": 17.9, "LACKTRPT": 14.0, "FOODINSECU": 28.0, "HOUSINSECU": 22.0, "ACS_POVERTY": 19.9, "ACS_NOVEHICLE": 4.4 }, "ci": { "DIABETES": { "lo": 11.7, "hi": 15.5 }, "OBESITY": { "lo": 29.3, "hi": 44.1 }, "BPHIGH": { "lo": 29.4, "hi": 37.0 }, "CHD": { "lo": 6.1, "hi": 7.8 }, "GHLTH": { "lo": 26.3, "hi": 34.9 }, "PHLTH": { "lo": 14.7, "hi": 19.2 }, "ACCESS2": { "lo": 13.7, "hi": 22.2 }, "LACKTRPT": { "lo": 11.8, "hi": 16.4 }, "FOODINSECU": { "lo": 23.3, "hi": 33.3 }, "HOUSINSECU": { "lo": 18.5, "hi": 25.9 } }, "rank": 6 }, { "fips": "06031", "name": "Kings", "population": 152682, "priorityIndex": 64.4, "burdenScore": 51.6, "accessScore": 68.5, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 42, "raw": { "DIABETES": 12.1, "OBESITY": 34.7, "BPHIGH": 30.4, "CHD": 5.8, "GHLTH": 27.6, "PHLTH": 15.6, "ACCESS2": 17.6, "LACKTRPT": 13.7, "FOODINSECU": 26.9, "HOUSINSECU": 22.1, "ACS_POVERTY": 16.8, "ACS_NOVEHICLE": 5.8 }, "ci": { "DIABETES": { "lo": 10.6, "hi": 13.9 }, "OBESITY": { "lo": 27.2, "hi": 42.6 }, "BPHIGH": { "lo": 26.7, "hi": 34.3 }, "CHD": { "lo": 5.2, "hi": 6.6 }, "GHLTH": { "lo": 23.9, "hi": 31.8 }, "PHLTH": { "lo": 13.6, "hi": 17.7 }, "ACCESS2": { "lo": 14.0, "hi": 21.4 }, "LACKTRPT": { "lo": 11.7, "hi": 15.8 }, "FOODINSECU": { "lo": 22.5, "hi": 31.3 }, "HOUSINSECU": { "lo": 18.8, "hi": 25.5 } }, "rank": 7 }, { "fips": "06105", "name": "Trinity", "population": 15670, "priorityIndex": 63.3, "burdenScore": 91.2, "accessScore": 33.4, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 7, "raw": { "DIABETES": 15.9, "OBESITY": 33.3, "BPHIGH": 43.7, "CHD": 11.0, "GHLTH": 27.4, "PHLTH": 18.3, "ACCESS2": 7.0, "LACKTRPT": 9.3, "FOODINSECU": 16.8, "HOUSINSECU": 12.2, "ACS_POVERTY": 18.0, "ACS_NOVEHICLE": 4.1 }, "ci": { "DIABETES": { "lo": 13.7, "hi": 18.3 }, "OBESITY": { "lo": 25.5, "hi": 41.9 }, "BPHIGH": { "lo": 39.1, "hi": 48.4 }, "CHD": { "lo": 9.6, "hi": 12.3 }, "GHLTH": { "lo": 23.6, "hi": 31.4 }, "PHLTH": { "lo": 15.9, "hi": 20.8 }, "ACCESS2": { "lo": 5.7, "hi": 8.6 }, "LACKTRPT": { "lo": 8.0, "hi": 10.6 }, "FOODINSECU": { "lo": 14.0, "hi": 20.1 }, "HOUSINSECU": { "lo": 10.3, "hi": 14.3 } }, "rank": 8 }, { "fips": "06049", "name": "Modoc", "population": 8500, "priorityIndex": 60.9, "burdenScore": 79.6, "accessScore": 37.8, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 5, "raw": { "DIABETES": 14.9, "OBESITY": 31.9, "BPHIGH": 41.3, "CHD": 10.0, "GHLTH": 26.2, "PHLTH": 17.4, "ACCESS2": 8.6, "LACKTRPT": 8.9, "FOODINSECU": 16.3, "HOUSINSECU": 12.3, "ACS_POVERTY": 20.3, "ACS_NOVEHICLE": 5.6 }, "ci": { "DIABETES": { "lo": 12.7, "hi": 17.2 }, "OBESITY": { "lo": 24.3, "hi": 40.5 }, "BPHIGH": { "lo": 36.7, "hi": 46.0 }, "CHD": { "lo": 8.7, "hi": 11.5 }, "GHLTH": { "lo": 21.9, "hi": 30.6 }, "PHLTH": { "lo": 14.9, "hi": 20.0 }, "ACCESS2": { "lo": 6.7, "hi": 10.7 }, "LACKTRPT": { "lo": 7.6, "hi": 10.3 }, "FOODINSECU": { "lo": 13.3, "hi": 19.7 }, "HOUSINSECU": { "lo": 10.3, "hi": 14.5 } }, "rank": 9 }, { "fips": "06033", "name": "Lake", "population": 67878, "priorityIndex": 60.7, "burdenScore": 73.3, "accessScore": 39.7, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 19, "raw": { "DIABETES": 14.1, "OBESITY": 32.7, "BPHIGH": 39.6, "CHD": 8.9, "GHLTH": 26.3, "PHLTH": 17.1, "ACCESS2": 10.1, "LACKTRPT": 9.8, "FOODINSECU": 18.2, "HOUSINSECU": 14.4, "ACS_POVERTY": 16.7, "ACS_NOVEHICLE": 5.2 }, "ci": { "DIABETES": { "lo": 12.1, "hi": 16.3 }, "OBESITY": { "lo": 25.0, "hi": 40.9 }, "BPHIGH": { "lo": 35.1, "hi": 44.1 }, "CHD": { "lo": 7.7, "hi": 10.1 }, "GHLTH": { "lo": 22.4, "hi": 30.3 }, "PHLTH": { "lo": 14.8, "hi": 19.5 }, "ACCESS2": { "lo": 8.1, "hi": 12.2 }, "LACKTRPT": { "lo": 8.3, "hi": 11.3 }, "FOODINSECU": { "lo": 14.7, "hi": 21.7 }, "HOUSINSECU": { "lo": 12.0, "hi": 16.8 } }, "rank": 10 }, { "fips": "06053", "name": "Monterey", "population": 430723, "priorityIndex": 58.1, "burdenScore": 48.6, "accessScore": 48.9, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 51, "raw": { "DIABETES": 12.5, "OBESITY": 31.1, "BPHIGH": 32.0, "CHD": 6.2, "GHLTH": 25.8, "PHLTH": 14.7, "ACCESS2": 15.9, "LACKTRPT": 11.2, "FOODINSECU": 21.9, "HOUSINSECU": 18.0, "ACS_POVERTY": 12.6, "ACS_NOVEHICLE": 4.6 }, "ci": { "DIABETES": { "lo": 10.9, "hi": 14.4 }, "OBESITY": { "lo": 25.3, "hi": 37.6 }, "BPHIGH": { "lo": 28.6, "hi": 35.7 }, "CHD": { "lo": 5.4, "hi": 7.0 }, "GHLTH": { "lo": 22.0, "hi": 29.9 }, "PHLTH": { "lo": 12.8, "hi": 16.9 }, "ACCESS2": { "lo": 12.1, "hi": 20.1 }, "LACKTRPT": { "lo": 9.3, "hi": 13.2 }, "FOODINSECU": { "lo": 17.6, "hi": 26.5 }, "HOUSINSECU": { "lo": 14.7, "hi": 21.3 } }, "rank": 11 }, { "fips": "06093", "name": "Siskiyou", "population": 42905, "priorityIndex": 57.9, "burdenScore": 69.9, "accessScore": 30.7, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 19, "raw": { "DIABETES": 13.9, "OBESITY": 31.8, "BPHIGH": 39.4, "CHD": 9.2, "GHLTH": 24.5, "PHLTH": 16.6, "ACCESS2": 7.6, "LACKTRPT": 8.6, "FOODINSECU": 15.2, "HOUSINSECU": 11.9, "ACS_POVERTY": 16.6, "ACS_NOVEHICLE": 5.8 }, "ci": { "DIABETES": { "lo": 11.9, "hi": 16.1 }, "OBESITY": { "lo": 24.5, "hi": 39.8 }, "BPHIGH": { "lo": 35.2, "hi": 43.8 }, "CHD": { "lo": 8.0, "hi": 10.5 }, "GHLTH": { "lo": 20.9, "hi": 28.3 }, "PHLTH": { "lo": 14.4, "hi": 18.9 }, "ACCESS2": { "lo": 6.0, "hi": 9.4 }, "LACKTRPT": { "lo": 7.3, "hi": 10.0 }, "FOODINSECU": { "lo": 12.4, "hi": 18.5 }, "HOUSINSECU": { "lo": 10.0, "hi": 14.1 } }, "rank": 12 }, { "fips": "06035", "name": "Lassen", "population": 28861, "priorityIndex": 57.6, "burdenScore": 53.6, "accessScore": 42.2, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 5, "raw": { "DIABETES": 11.5, "OBESITY": 34.2, "BPHIGH": 33.7, "CHD": 7.1, "GHLTH": 25.1, "PHLTH": 15.6, "ACCESS2": 12.0, "LACKTRPT": 10.6, "FOODINSECU": 19.4, "HOUSINSECU": 15.9, "ACS_POVERTY": 13.7, "ACS_NOVEHICLE": 6.0 }, "ci": { "DIABETES": { "lo": 9.9, "hi": 13.2 }, "OBESITY": { "lo": 26.7, "hi": 42.5 }, "BPHIGH": { "lo": 29.7, "hi": 37.8 }, "CHD": { "lo": 6.2, "hi": 8.0 }, "GHLTH": { "lo": 21.7, "hi": 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"hi": 15.3 }, "ACCESS2": { "lo": 4.5, "hi": 7.1 }, "LACKTRPT": { "lo": 5.1, "hi": 7.1 }, "FOODINSECU": { "lo": 8.2, "hi": 12.6 }, "HOUSINSECU": { "lo": 7.3, "hi": 10.8 } }, "rank": 48 }, { "fips": "06001", "name": "Alameda", "population": 1622188, "priorityIndex": 38.0, "burdenScore": 16.7, "accessScore": 20.3, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 13, "raw": { "DIABETES": 11.0, "OBESITY": 22.8, "BPHIGH": 28.5, "CHD": 4.8, "GHLTH": 18.0, "PHLTH": 11.5, "ACCESS2": 7.1, "LACKTRPT": 7.4, "FOODINSECU": 13.9, "HOUSINSECU": 11.6, "ACS_POVERTY": 9.2, "ACS_NOVEHICLE": 9.7 }, "ci": { "DIABETES": { "lo": 9.6, "hi": 12.5 }, "OBESITY": { "lo": 18.8, "hi": 26.6 }, "BPHIGH": { "lo": 25.3, "hi": 31.3 }, "CHD": { "lo": 4.3, "hi": 5.4 }, "GHLTH": { "lo": 15.6, "hi": 20.6 }, "PHLTH": { "lo": 10.1, "hi": 12.9 }, "ACCESS2": { "lo": 5.5, "hi": 8.9 }, "LACKTRPT": { "lo": 6.3, "hi": 8.6 }, "FOODINSECU": { "lo": 11.3, "hi": 16.7 }, "HOUSINSECU": { "lo": 9.6, "hi": 13.7 } }, "rank": 49 }, { "fips": "06079", "name": "San Luis Obispo", "population": 281639, "priorityIndex": 37.7, "burdenScore": 27.9, "accessScore": 19.7, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 10.0, "OBESITY": 26.1, "BPHIGH": 31.8, "CHD": 6.4, "GHLTH": 18.7, "PHLTH": 13.0, "ACCESS2": 7.5, "LACKTRPT": 7.5, "FOODINSECU": 12.6, "HOUSINSECU": 10.5, "ACS_POVERTY": 12.8, "ACS_NOVEHICLE": 4.0 }, "ci": { "DIABETES": { "lo": 8.5, "hi": 11.7 }, "OBESITY": { "lo": 20.9, "hi": 31.9 }, "BPHIGH": { "lo": 28.4, "hi": 35.5 }, "CHD": { "lo": 5.5, "hi": 7.3 }, "GHLTH": { "lo": 15.8, "hi": 22.1 }, "PHLTH": { "lo": 11.3, "hi": 14.9 }, "ACCESS2": { "lo": 5.9, "hi": 9.4 }, "LACKTRPT": { "lo": 6.3, "hi": 8.8 }, "FOODINSECU": { "lo": 10.1, "hi": 15.4 }, "HOUSINSECU": { "lo": 8.6, "hi": 12.5 } }, "rank": 50 }, { "fips": "06087", "name": "Santa Cruz", "population": 261547, "priorityIndex": 36.7, "burdenScore": 26.6, "accessScore": 22.0, "shortageScore": 61.5, "topDriver": "Provider shortage", "hpsaMaxScore": 16, "hpsaDesignations": 18, "raw": { "DIABETES": 10.2, "OBESITY": 25.8, "BPHIGH": 30.5, "CHD": 5.9, "GHLTH": 19.7, "PHLTH": 13.0, "ACCESS2": 8.7, "LACKTRPT": 7.9, "FOODINSECU": 13.5, "HOUSINSECU": 11.4, "ACS_POVERTY": 11.2, "ACS_NOVEHICLE": 5.3 }, "ci": { "DIABETES": { "lo": 8.7, "hi": 11.9 }, "OBESITY": { "lo": 20.4, "hi": 31.8 }, "BPHIGH": { "lo": 26.7, "hi": 34.1 }, "CHD": { "lo": 5.1, "hi": 6.9 }, "GHLTH": { "lo": 16.6, "hi": 23.4 }, "PHLTH": { "lo": 11.1, "hi": 15.1 }, "ACCESS2": { "lo": 6.6, "hi": 11.0 }, "LACKTRPT": { "lo": 6.6, "hi": 9.3 }, "FOODINSECU": { "lo": 10.8, "hi": 16.6 }, "HOUSINSECU": { "lo": 9.3, "hi": 13.6 } }, "rank": 51 }, { "fips": "06051", "name": "Mono", "population": 13066, "priorityIndex": 35.1, "burdenScore": 34.8, "accessScore": 20.5, "shortageScore": 50.0, "topDriver": "Provider shortage", "hpsaMaxScore": 13, "hpsaDesignations": 1, "raw": { "DIABETES": 10.5, "OBESITY": 31.2, "BPHIGH": 31.5, "CHD": 6.3, "GHLTH": 19.7, "PHLTH": 13.5, "ACCESS2": 8.2, "LACKTRPT": 7.6, "FOODINSECU": 13.2, "HOUSINSECU": 11.8, "ACS_POVERTY": 11.0, "ACS_NOVEHICLE": 4.6 }, "ci": { "DIABETES": { "lo": 8.9, "hi": 12.2 }, "OBESITY": { "lo": 23.3, "hi": 39.5 }, "BPHIGH": { "lo": 27.4, "hi": 35.6 }, "CHD": { "lo": 5.5, "hi": 7.3 }, "GHLTH": { "lo": 16.5, "hi": 23.3 }, "PHLTH": { "lo": 11.5, "hi": 15.6 }, "ACCESS2": { "lo": 6.3, "hi": 10.4 }, "LACKTRPT": { "lo": 6.4, "hi": 9.0 }, "FOODINSECU": { "lo": 10.5, "hi": 16.2 }, "HOUSINSECU": { "lo": 9.7, "hi": 14.0 } }, "rank": 52 }, { "fips": "06041", "name": "Marin", "population": 254407, "priorityIndex": 33.7, "burdenScore": 21.2, "accessScore": 2.9, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 3, "raw": { "DIABETES": 10.2, "OBESITY": 21.3, "BPHIGH": 32.6, "CHD": 6.4, "GHLTH": 16.6, "PHLTH": 12.1, "ACCESS2": 5.5, "LACKTRPT": 5.4, "FOODINSECU": 8.8, "HOUSINSECU": 7.9, "ACS_POVERTY": 7.8, "ACS_NOVEHICLE": 4.4 }, "ci": { "DIABETES": { "lo": 8.6, "hi": 11.9 }, "OBESITY": { "lo": 16.2, "hi": 27.3 }, "BPHIGH": { "lo": 28.6, "hi": 36.8 }, "CHD": { "lo": 5.5, "hi": 7.4 }, "GHLTH": { "lo": 13.7, "hi": 20.0 }, "PHLTH": { "lo": 10.2, "hi": 14.2 }, "ACCESS2": { "lo": 4.2, "hi": 7.1 }, "LACKTRPT": { "lo": 4.5, "hi": 6.5 }, "FOODINSECU": { "lo": 6.8, "hi": 11.3 }, "HOUSINSECU": { "lo": 6.4, "hi": 9.8 } }, "rank": 53 }, { "fips": "06061", "name": "Placer", "population": 423561, "priorityIndex": 32.7, "burdenScore": 24.5, "accessScore": 4.3, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 9.8, "OBESITY": 27.3, "BPHIGH": 32.7, "CHD": 5.9, "GHLTH": 16.6, "PHLTH": 12.4, "ACCESS2": 5.6, "LACKTRPT": 6.0, "FOODINSECU": 10.0, "HOUSINSECU": 8.9, "ACS_POVERTY": 6.7, "ACS_NOVEHICLE": 3.9 }, "ci": { "DIABETES": { "lo": 8.3, "hi": 11.5 }, "OBESITY": { "lo": 21.7, "hi": 33.6 }, "BPHIGH": { "lo": 29.1, "hi": 36.7 }, "CHD": { "lo": 5.1, "hi": 6.8 }, "GHLTH": { "lo": 14.0, "hi": 19.6 }, "PHLTH": { "lo": 10.6, "hi": 14.3 }, "ACCESS2": { "lo": 4.4, "hi": 6.9 }, "LACKTRPT": { "lo": 5.1, "hi": 7.0 }, "FOODINSECU": { "lo": 7.9, "hi": 12.2 }, "HOUSINSECU": { "lo": 7.3, "hi": 10.7 } }, "rank": 54 }, { "fips": "06075", "name": "San Francisco", "population": 808988, "priorityIndex": 31.7, "burdenScore": 5.4, "accessScore": 28.3, "shortageScore": 61.5, "topDriver": "Provider shortage", "hpsaMaxScore": 16, "hpsaDesignations": 8, "raw": { "DIABETES": 10.2, "OBESITY": 17.2, "BPHIGH": 27.0, "CHD": 4.9, "GHLTH": 16.6, "PHLTH": 10.4, "ACCESS2": 6.3, "LACKTRPT": 6.5, "FOODINSECU": 12.1, "HOUSINSECU": 9.5, "ACS_POVERTY": 10.6, "ACS_NOVEHICLE": 29.9 }, "ci": { "DIABETES": { "lo": 8.8, "hi": 11.8 }, "OBESITY": { "lo": 13.7, "hi": 21.3 }, "BPHIGH": { "lo": 24.0, "hi": 30.5 }, "CHD": { "lo": 4.3, "hi": 5.5 }, "GHLTH": { "lo": 14.1, "hi": 19.4 }, "PHLTH": { "lo": 8.9, "hi": 12.0 }, "ACCESS2": { "lo": 4.8, "hi": 8.2 }, "LACKTRPT": { "lo": 5.5, "hi": 7.7 }, "FOODINSECU": { "lo": 9.6, "hi": 15.0 }, "HOUSINSECU": { "lo": 7.7, "hi": 11.5 } }, "rank": 55 }, { "fips": "06003", "name": "Alpine", "population": 1141, "priorityIndex": 31.5, "burdenScore": 41.4, "accessScore": 14.6, "shortageScore": 38.5, "topDriver": "Health burden", "hpsaMaxScore": 10, "hpsaDesignations": 1, "raw": { "DIABETES": 11.6, "OBESITY": 28.4, "BPHIGH": 35.7, "CHD": 7.5, "GHLTH": 18.8, "PHLTH": 13.5, "ACCESS2": 5.7, "LACKTRPT": 6.9, "FOODINSECU": 10.9, "HOUSINSECU": 9.3, "ACS_POVERTY": 12.3, "ACS_NOVEHICLE": 5.3 }, "ci": { "DIABETES": { "lo": 9.9, "hi": 13.6 }, "OBESITY": { "lo": 21.4, "hi": 36.4 }, "BPHIGH": { "lo": 31.4, "hi": 40.3 }, "CHD": { "lo": 6.5, "hi": 8.6 }, "GHLTH": { "lo": 15.8, "hi": 22.5 }, "PHLTH": { "lo": 11.6, "hi": 15.7 }, "ACCESS2": { "lo": 4.4, "hi": 7.2 }, "LACKTRPT": { "lo": 5.8, "hi": 8.1 }, "FOODINSECU": { "lo": 8.7, "hi": 13.4 }, "HOUSINSECU": { "lo": 7.7, "hi": 11.2 } }, "rank": 56 }, { "fips": "06085", "name": "Santa Clara", "population": 1877592, "priorityIndex": 26.3, "burdenScore": 7.8, "accessScore": 9.6, "shortageScore": 61.5, "topDriver": "Provider shortage", "hpsaMaxScore": 16, "hpsaDesignations": 13, "raw": { "DIABETES": 10.5, "OBESITY": 21.9, "BPHIGH": 27.0, "CHD": 4.5, "GHLTH": 16.1, "PHLTH": 10.1, "ACCESS2": 6.8, "LACKTRPT": 6.4, "FOODINSECU": 11.6, "HOUSINSECU": 9.8, "ACS_POVERTY": 6.9, "ACS_NOVEHICLE": 5.8 }, "ci": { "DIABETES": { "lo": 9.2, "hi": 11.9 }, "OBESITY": { "lo": 18.5, "hi": 25.7 }, "BPHIGH": { "lo": 24.3, "hi": 29.9 }, "CHD": { "lo": 3.9, "hi": 5.1 }, "GHLTH": { "lo": 13.8, "hi": 18.6 }, "PHLTH": { "lo": 8.7, "hi": 11.5 }, "ACCESS2": { "lo": 5.2, "hi": 8.6 }, "LACKTRPT": { "lo": 5.4, "hi": 7.5 }, "FOODINSECU": { "lo": 9.1, "hi": 14.3 }, "HOUSINSECU": { "lo": 8.0, "hi": 11.7 } }, "rank": 57 }, { "fips": "06081", "name": "San Mateo", "population": 726353, "priorityIndex": 19.1, "burdenScore": 14.8, "accessScore": 7.8, "shortageScore": 34.6, "topDriver": "Provider shortage", "hpsaMaxScore": 9, "hpsaDesignations": 3, "raw": { "DIABETES": 10.6, "OBESITY": 22.3, "BPHIGH": 29.2, "CHD": 5.2, "GHLTH": 17.0, "PHLTH": 10.9, "ACCESS2": 6.6, "LACKTRPT": 6.1, "FOODINSECU": 11.5, "HOUSINSECU": 9.3, "ACS_POVERTY": 6.5, "ACS_NOVEHICLE": 5.6 }, "ci": { "DIABETES": { "lo": 9.2, "hi": 12.1 }, "OBESITY": { "lo": 17.9, "hi": 27.1 }, "BPHIGH": { "lo": 26.0, "hi": 32.6 }, "CHD": { "lo": 4.6, "hi": 5.8 }, "GHLTH": { "lo": 14.6, "hi": 19.6 }, "PHLTH": { "lo": 9.5, "hi": 12.4 }, "ACCESS2": { "lo": 5.1, "hi": 8.3 }, "LACKTRPT": { "lo": 5.2, "hi": 7.2 }, "FOODINSECU": { "lo": 9.3, "hi": 14.2 }, "HOUSINSECU": { "lo": 7.7, "hi": 11.2 } }, "rank": 58 } ], "faq": [ { "question": "What does the California county health-access scorecard measure?", "answer": "It ranks all 58 California counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap." }, { "question": "Which public datasets is it built from?", "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-06-01." }, { "question": "How should the Targeting-Priority Index be used?", "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers." } ], "contentHash": "d297996e927d31f7" }