{
  "slug": "maine-county-primary-care-access-2026",
  "title": "Maine County Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Maine, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 16 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Maine",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "maine"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:58:50+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 2026-08-01",
    "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 Maine: 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": "2026-08-01"
    },
    {
      "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": "2026-08-01"
    },
    {
      "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": "2026-08-01"
    }
  ],
  "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": 16,
    "countiesWithHpsa": 15,
    "countiesWithHpsaPct": 94,
    "medianDiabetes": 11.8,
    "diabetesMin": {
      "county": "Cumberland",
      "value": 8.9
    },
    "diabetesMax": {
      "county": "Washington",
      "value": 14.9
    },
    "medianUninsured": 8.2
  },
  "keyFindings": [
    "15 of Maine's 16 counties (94%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 8.9% in Cumberland County to 14.9% in Washington County, a 6.0-point spread within a single state.",
    "Washington County carries the highest combined targeting-priority index (81.8/100), led by its health burden score.",
    "The median county uninsured rate (adults 18-64) is 8.2%, and the median adult diabetes prevalence is 11.8%."
  ],
  "counties": [
    {
      "fips": "23029",
      "name": "Washington",
      "population": 31555,
      "priorityIndex": 81.8,
      "burdenScore": 98.2,
      "accessScore": 89.6,
      "shortageScore": 57.7,
      "topDriver": "Health burden",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 54,
      "raw": {
        "DIABETES": 14.9,
        "OBESITY": 39.8,
        "BPHIGH": 43.1,
        "CHD": 9.8,
        "GHLTH": 24.1,
        "PHLTH": 18.2,
        "ACCESS2": 9.6,
        "LACKTRPT": 9.7,
        "FOODINSECU": 14.6,
        "HOUSINSECU": 11.7,
        "ACS_POVERTY": 17.8,
        "ACS_NOVEHICLE": 7.0
      },
      "ci": {
        "DIABETES": {
          "lo": 12.9,
          "hi": 17.0
        },
        "OBESITY": {
          "lo": 35.0,
          "hi": 44.7
        },
        "BPHIGH": {
          "lo": 39.6,
          "hi": 46.4
        },
        "CHD": {
          "lo": 8.4,
          "hi": 11.2
        },
        "GHLTH": {
          "lo": 20.4,
          "hi": 28.1
        },
        "PHLTH": {
          "lo": 15.6,
          "hi": 20.8
        },
        "ACCESS2": {
          "lo": 7.5,
          "hi": 12.3
        },
        "LACKTRPT": {
          "lo": 8.2,
          "hi": 11.4
        },
        "FOODINSECU": {
          "lo": 11.6,
          "hi": 17.9
        },
        "HOUSINSECU": {
          "lo": 9.6,
          "hi": 14.0
        }
      },
      "rank": 1
    },
    {
      "fips": "23003",
      "name": "Aroostook",
      "population": 67351,
      "priorityIndex": 74.6,
      "burdenScore": 94.0,
      "accessScore": 79.8,
      "shortageScore": 50.0,
      "topDriver": "Health burden",
      "hpsaMaxScore": 13,
      "hpsaDesignations": 57,
      "raw": {
        "DIABETES": 14.8,
        "OBESITY": 40.0,
        "BPHIGH": 43.3,
        "CHD": 9.5,
        "GHLTH": 23.6,
        "PHLTH": 17.3,
        "ACCESS2": 9.4,
        "LACKTRPT": 8.7,
        "FOODINSECU": 13.6,
        "HOUSINSECU": 11.4,
        "ACS_POVERTY": 14.4,
        "ACS_NOVEHICLE": 8.5
      },
      "ci": {
        "DIABETES": {
          "lo": 12.9,
          "hi": 16.8
        },
        "OBESITY": {
          "lo": 35.4,
          "hi": 44.8
        },
        "BPHIGH": {
          "lo": 40.1,
          "hi": 46.6
        },
        "CHD": {
          "lo": 8.3,
          "hi": 10.8
        },
        "GHLTH": {
          "lo": 20.1,
          "hi": 27.5
        },
        "PHLTH": {
          "lo": 15.1,
          "hi": 19.7
        },
        "ACCESS2": {
          "lo": 7.1,
          "hi": 12.2
        },
        "LACKTRPT": {
          "lo": 7.3,
          "hi": 10.2
        },
        "FOODINSECU": {
          "lo": 10.8,
          "hi": 16.8
        },
        "HOUSINSECU": {
          "lo": 9.4,
          "hi": 13.6
        }
      },
      "rank": 2
    },
    {
      "fips": "23025",
      "name": "Somerset",
      "population": 51302,
      "priorityIndex": 73.1,
      "burdenScore": 80.3,
      "accessScore": 85.1,
      "shortageScore": 53.8,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 39,
      "raw": {
        "DIABETES": 13.9,
        "OBESITY": 37.2,
        "BPHIGH": 39.3,
        "CHD": 9.3,
        "GHLTH": 23.4,
        "PHLTH": 17.1,
        "ACCESS2": 9.5,
        "LACKTRPT": 9.7,
        "FOODINSECU": 14.5,
        "HOUSINSECU": 12.2,
        "ACS_POVERTY": 15.6,
        "ACS_NOVEHICLE": 6.4
      },
      "ci": {
        "DIABETES": {
          "lo": 12.1,
          "hi": 15.8
        },
        "OBESITY": {
          "lo": 32.7,
          "hi": 41.9
        },
        "BPHIGH": {
          "lo": 36.1,
          "hi": 42.6
        },
        "CHD": {
          "lo": 8.1,
          "hi": 10.6
        },
        "GHLTH": {
          "lo": 20.0,
          "hi": 27.2
        },
        "PHLTH": {
          "lo": 14.9,
          "hi": 19.5
        },
        "ACCESS2": {
          "lo": 7.4,
          "hi": 12.0
        },
        "LACKTRPT": {
          "lo": 8.2,
          "hi": 11.5
        },
        "FOODINSECU": {
          "lo": 11.6,
          "hi": 17.9
        },
        "HOUSINSECU": {
          "lo": 10.1,
          "hi": 14.8
        }
      },
      "rank": 3
    },
    {
      "fips": "23021",
      "name": "Piscataquis",
      "population": 17486,
      "priorityIndex": 72.1,
      "burdenScore": 81.9,
      "accessScore": 69.0,
      "shortageScore": 65.4,
      "topDriver": "Health burden",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 21,
      "raw": {
        "DIABETES": 13.8,
        "OBESITY": 34.6,
        "BPHIGH": 40.5,
        "CHD": 10.1,
        "GHLTH": 23.1,
        "PHLTH": 17.3,
        "ACCESS2": 9.2,
        "LACKTRPT": 8.8,
        "FOODINSECU": 13.8,
        "HOUSINSECU": 11.1,
        "ACS_POVERTY": 16.5,
        "ACS_NOVEHICLE": 4.7
      },
      "ci": {
        "DIABETES": {
          "lo": 11.8,
          "hi": 15.8
        },
        "OBESITY": {
          "lo": 29.6,
          "hi": 39.7
        },
        "BPHIGH": {
          "lo": 36.9,
          "hi": 44.0
        },
        "CHD": {
          "lo": 8.9,
          "hi": 11.5
        },
        "GHLTH": {
          "lo": 19.4,
          "hi": 26.9
        },
        "PHLTH": {
          "lo": 14.9,
          "hi": 19.8
        },
        "ACCESS2": {
          "lo": 7.0,
          "hi": 11.8
        },
        "LACKTRPT": {
          "lo": 7.4,
          "hi": 10.3
        },
        "FOODINSECU": {
          "lo": 10.9,
          "hi": 16.8
        },
        "HOUSINSECU": {
          "lo": 9.1,
          "hi": 13.1
        }
      },
      "rank": 4
    },
    {
      "fips": "23017",
      "name": "Oxford",
      "population": 59905,
      "priorityIndex": 71.2,
      "burdenScore": 71.0,
      "accessScore": 73.4,
      "shortageScore": 69.2,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 30,
      "raw": {
        "DIABETES": 13.7,
        "OBESITY": 35.0,
        "BPHIGH": 38.1,
        "CHD": 9.0,
        "GHLTH": 22.3,
        "PHLTH": 16.7,
        "ACCESS2": 8.9,
        "LACKTRPT": 9.0,
        "FOODINSECU": 14.0,
        "HOUSINSECU": 12.0,
        "ACS_POVERTY": 14.2,
        "ACS_NOVEHICLE": 6.1
      },
      "ci": {
        "DIABETES": {
          "lo": 11.9,
          "hi": 15.6
        },
        "OBESITY": {
          "lo": 30.4,
          "hi": 39.9
        },
        "BPHIGH": {
          "lo": 35.0,
          "hi": 41.4
        },
        "CHD": {
          "lo": 7.8,
          "hi": 10.2
        },
        "GHLTH": {
          "lo": 18.9,
          "hi": 26.2
        },
        "PHLTH": {
          "lo": 14.6,
          "hi": 19.1
        },
        "ACCESS2": {
          "lo": 6.8,
          "hi": 11.4
        },
        "LACKTRPT": {
          "lo": 7.5,
          "hi": 10.5
        },
        "FOODINSECU": {
          "lo": 11.0,
          "hi": 17.2
        },
        "HOUSINSECU": {
          "lo": 9.8,
          "hi": 14.4
        }
      },
      "rank": 5
    },
    {
      "fips": "23019",
      "name": "Penobscot",
      "population": 155312,
      "priorityIndex": 63.6,
      "burdenScore": 56.1,
      "accessScore": 61.7,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 63,
      "raw": {
        "DIABETES": 11.5,
        "OBESITY": 38.0,
        "BPHIGH": 37.2,
        "CHD": 7.7,
        "GHLTH": 20.7,
        "PHLTH": 15.5,
        "ACCESS2": 8.4,
        "LACKTRPT": 8.8,
        "FOODINSECU": 11.8,
        "HOUSINSECU": 10.1,
        "ACS_POVERTY": 13.5,
        "ACS_NOVEHICLE": 7.7
      },
      "ci": {
        "DIABETES": {
          "lo": 10.1,
          "hi": 13.1
        },
        "OBESITY": {
          "lo": 33.9,
          "hi": 42.5
        },
        "BPHIGH": {
          "lo": 34.5,
          "hi": 40.0
        },
        "CHD": {
          "lo": 6.7,
          "hi": 8.7
        },
        "GHLTH": {
          "lo": 17.7,
          "hi": 24.0
        },
        "PHLTH": {
          "lo": 13.5,
          "hi": 17.6
        },
        "ACCESS2": {
          "lo": 6.5,
          "hi": 11.0
        },
        "LACKTRPT": {
          "lo": 7.2,
          "hi": 10.4
        },
        "FOODINSECU": {
          "lo": 9.1,
          "hi": 14.8
        },
        "HOUSINSECU": {
          "lo": 8.1,
          "hi": 12.2
        }
      },
      "rank": 6
    },
    {
      "fips": "23007",
      "name": "Franklin",
      "population": 30828,
      "priorityIndex": 61.9,
      "burdenScore": 50.8,
      "accessScore": 65.8,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 19,
      "raw": {
        "DIABETES": 11.3,
        "OBESITY": 34.6,
        "BPHIGH": 36.6,
        "CHD": 8.3,
        "GHLTH": 20.3,
        "PHLTH": 15.0,
        "ACCESS2": 8.2,
        "LACKTRPT": 8.4,
        "FOODINSECU": 12.3,
        "HOUSINSECU": 11.2,
        "ACS_POVERTY": 11.8,
        "ACS_NOVEHICLE": 9.0
      },
      "ci": {
        "DIABETES": {
          "lo": 9.7,
          "hi": 13.2
        },
        "OBESITY": {
          "lo": 29.7,
          "hi": 39.9
        },
        "BPHIGH": {
          "lo": 33.3,
          "hi": 40.1
        },
        "CHD": {
          "lo": 7.2,
          "hi": 9.4
        },
        "GHLTH": {
          "lo": 16.9,
          "hi": 23.8
        },
        "PHLTH": {
          "lo": 12.8,
          "hi": 17.2
        },
        "ACCESS2": {
          "lo": 6.2,
          "hi": 10.6
        },
        "LACKTRPT": {
          "lo": 6.9,
          "hi": 10.0
        },
        "FOODINSECU": {
          "lo": 9.6,
          "hi": 15.5
        },
        "HOUSINSECU": {
          "lo": 9.0,
          "hi": 13.5
        }
      },
      "rank": 7
    },
    {
      "fips": "23001",
      "name": "Androscoggin",
      "population": 113765,
      "priorityIndex": 60.5,
      "burdenScore": 47.1,
      "accessScore": 88.1,
      "shortageScore": 46.2,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 12,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 12.1,
        "OBESITY": 35.8,
        "BPHIGH": 33.5,
        "CHD": 7.5,
        "GHLTH": 20.3,
        "PHLTH": 15.2,
        "ACCESS2": 9.1,
        "LACKTRPT": 9.7,
        "FOODINSECU": 13.9,
        "HOUSINSECU": 12.7,
        "ACS_POVERTY": 13.0,
        "ACS_NOVEHICLE": 9.0
      },
      "ci": {
        "DIABETES": {
          "lo": 10.5,
          "hi": 13.9
        },
        "OBESITY": {
          "lo": 31.3,
          "hi": 40.5
        },
        "BPHIGH": {
          "lo": 30.5,
          "hi": 36.5
        },
        "CHD": {
          "lo": 6.5,
          "hi": 8.5
        },
        "GHLTH": {
          "lo": 17.2,
          "hi": 23.7
        },
        "PHLTH": {
          "lo": 13.2,
          "hi": 17.4
        },
        "ACCESS2": {
          "lo": 7.1,
          "hi": 11.6
        },
        "LACKTRPT": {
          "lo": 8.2,
          "hi": 11.4
        },
        "FOODINSECU": {
          "lo": 11.1,
          "hi": 17.1
        },
        "HOUSINSECU": {
          "lo": 10.6,
          "hi": 15.1
        }
      },
      "rank": 8
    },
    {
      "fips": "23011",
      "name": "Kennebec",
      "population": 127259,
      "priorityIndex": 51.9,
      "burdenScore": 42.8,
      "accessScore": 55.2,
      "shortageScore": 57.7,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 12,
      "raw": {
        "DIABETES": 11.8,
        "OBESITY": 32.5,
        "BPHIGH": 34.6,
        "CHD": 7.6,
        "GHLTH": 20.1,
        "PHLTH": 14.8,
        "ACCESS2": 8.2,
        "LACKTRPT": 8.1,
        "FOODINSECU": 11.4,
        "HOUSINSECU": 10.7,
        "ACS_POVERTY": 12.3,
        "ACS_NOVEHICLE": 7.3
      },
      "ci": {
        "DIABETES": {
          "lo": 10.3,
          "hi": 13.6
        },
        "OBESITY": {
          "lo": 28.3,
          "hi": 37.2
        },
        "BPHIGH": {
          "lo": 31.6,
          "hi": 37.7
        },
        "CHD": {
          "lo": 6.7,
          "hi": 8.7
        },
        "GHLTH": {
          "lo": 17.1,
          "hi": 23.4
        },
        "PHLTH": {
          "lo": 13.0,
          "hi": 16.9
        },
        "ACCESS2": {
          "lo": 6.2,
          "hi": 10.5
        },
        "LACKTRPT": {
          "lo": 6.7,
          "hi": 9.6
        },
        "FOODINSECU": {
          "lo": 8.8,
          "hi": 14.2
        },
        "HOUSINSECU": {
          "lo": 8.6,
          "hi": 12.9
        }
      },
      "rank": 9
    },
    {
      "fips": "23027",
      "name": "Waldo",
      "population": 40620,
      "priorityIndex": 51.4,
      "burdenScore": 51.1,
      "accessScore": 45.3,
      "shortageScore": 57.7,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 15,
      "raw": {
        "DIABETES": 11.7,
        "OBESITY": 34.3,
        "BPHIGH": 36.1,
        "CHD": 8.2,
        "GHLTH": 20.1,
        "PHLTH": 15.4,
        "ACCESS2": 8.1,
        "LACKTRPT": 7.7,
        "FOODINSECU": 10.9,
        "HOUSINSECU": 10.1,
        "ACS_POVERTY": 12.8,
        "ACS_NOVEHICLE": 5.9
      },
      "ci": {
        "DIABETES": {
          "lo": 10.0,
          "hi": 13.4
        },
        "OBESITY": {
          "lo": 29.6,
          "hi": 39.3
        },
        "BPHIGH": {
          "lo": 32.8,
          "hi": 39.4
        },
        "CHD": {
          "lo": 7.1,
          "hi": 9.4
        },
        "GHLTH": {
          "lo": 16.7,
          "hi": 23.7
        },
        "PHLTH": {
          "lo": 13.1,
          "hi": 17.7
        },
        "ACCESS2": {
          "lo": 6.1,
          "hi": 10.4
        },
        "LACKTRPT": {
          "lo": 6.3,
          "hi": 9.2
        },
        "FOODINSECU": {
          "lo": 8.3,
          "hi": 13.7
        },
        "HOUSINSECU": {
          "lo": 8.1,
          "hi": 12.3
        }
      },
      "rank": 10
    },
    {
      "fips": "23009",
      "name": "Hancock",
      "population": 56526,
      "priorityIndex": 37.9,
      "burdenScore": 32.6,
      "accessScore": 23.5,
      "shortageScore": 57.7,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 15,
      "raw": {
        "DIABETES": 11.2,
        "OBESITY": 29.4,
        "BPHIGH": 35.8,
        "CHD": 7.9,
        "GHLTH": 17.4,
        "PHLTH": 13.7,
        "ACCESS2": 7.5,
        "LACKTRPT": 6.9,
        "FOODINSECU": 9.6,
        "HOUSINSECU": 8.8,
        "ACS_POVERTY": 10.2,
        "ACS_NOVEHICLE": 5.1
      },
      "ci": {
        "DIABETES": {
          "lo": 9.5,
          "hi": 13.0
        },
        "OBESITY": {
          "lo": 25.1,
          "hi": 34.0
        },
        "BPHIGH": {
          "lo": 32.5,
          "hi": 39.0
        },
        "CHD": {
          "lo": 6.9,
          "hi": 9.1
        },
        "GHLTH": {
          "lo": 14.3,
          "hi": 20.8
        },
        "PHLTH": {
          "lo": 11.6,
          "hi": 15.9
        },
        "ACCESS2": {
          "lo": 5.5,
          "hi": 9.8
        },
        "LACKTRPT": {
          "lo": 5.7,
          "hi": 8.3
        },
        "FOODINSECU": {
          "lo": 7.3,
          "hi": 12.3
        },
        "HOUSINSECU": {
          "lo": 7.0,
          "hi": 11.0
        }
      },
      "rank": 11
    },
    {
      "fips": "23015",
      "name": "Lincoln",
      "population": 36507,
      "priorityIndex": 35.6,
      "burdenScore": 44.8,
      "accessScore": 8.1,
      "shortageScore": 53.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 11.8,
        "OBESITY": 30.9,
        "BPHIGH": 38.8,
        "CHD": 8.4,
        "GHLTH": 18.0,
        "PHLTH": 14.1,
        "ACCESS2": 7.2,
        "LACKTRPT": 6.3,
        "FOODINSECU": 8.7,
        "HOUSINSECU": 8.1,
        "ACS_POVERTY": 8.5,
        "ACS_NOVEHICLE": 4.1
      },
      "ci": {
        "DIABETES": {
          "lo": 10.2,
          "hi": 13.8
        },
        "OBESITY": {
          "lo": 26.7,
          "hi": 35.4
        },
        "BPHIGH": {
          "lo": 35.6,
          "hi": 42.2
        },
        "CHD": {
          "lo": 7.2,
          "hi": 9.7
        },
        "GHLTH": {
          "lo": 14.9,
          "hi": 21.7
        },
        "PHLTH": {
          "lo": 12.1,
          "hi": 16.4
        },
        "ACCESS2": {
          "lo": 5.4,
          "hi": 9.9
        },
        "LACKTRPT": {
          "lo": 5.1,
          "hi": 7.6
        },
        "FOODINSECU": {
          "lo": 6.5,
          "hi": 11.2
        },
        "HOUSINSECU": {
          "lo": 6.2,
          "hi": 10.0
        }
      },
      "rank": 12
    },
    {
      "fips": "23031",
      "name": "York",
      "population": 218586,
      "priorityIndex": 33.6,
      "burdenScore": 30.3,
      "accessScore": 16.7,
      "shortageScore": 53.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 6,
      "raw": {
        "DIABETES": 10.4,
        "OBESITY": 33.1,
        "BPHIGH": 35.3,
        "CHD": 7.2,
        "GHLTH": 17.7,
        "PHLTH": 13.1,
        "ACCESS2": 7.3,
        "LACKTRPT": 6.8,
        "FOODINSECU": 9.0,
        "HOUSINSECU": 8.8,
        "ACS_POVERTY": 7.8,
        "ACS_NOVEHICLE": 5.1
      },
      "ci": {
        "DIABETES": {
          "lo": 8.9,
          "hi": 11.9
        },
        "OBESITY": {
          "lo": 29.1,
          "hi": 37.5
        },
        "BPHIGH": {
          "lo": 32.4,
          "hi": 38.3
        },
        "CHD": {
          "lo": 6.3,
          "hi": 8.2
        },
        "GHLTH": {
          "lo": 14.8,
          "hi": 20.7
        },
        "PHLTH": {
          "lo": 11.3,
          "hi": 15.0
        },
        "ACCESS2": {
          "lo": 5.5,
          "hi": 9.7
        },
        "LACKTRPT": {
          "lo": 5.6,
          "hi": 8.0
        },
        "FOODINSECU": {
          "lo": 6.9,
          "hi": 11.3
        },
        "HOUSINSECU": {
          "lo": 7.1,
          "hi": 10.6
        }
      },
      "rank": 13
    },
    {
      "fips": "23013",
      "name": "Knox",
      "population": 40977,
      "priorityIndex": 28.3,
      "burdenScore": 33.1,
      "accessScore": 21.0,
      "shortageScore": 30.8,
      "topDriver": "Health burden",
      "hpsaMaxScore": 8,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 11.2,
        "OBESITY": 28.8,
        "BPHIGH": 36.2,
        "CHD": 8.1,
        "GHLTH": 17.3,
        "PHLTH": 13.7,
        "ACCESS2": 7.6,
        "LACKTRPT": 6.7,
        "FOODINSECU": 8.9,
        "HOUSINSECU": 8.4,
        "ACS_POVERTY": 8.8,
        "ACS_NOVEHICLE": 6.1
      },
      "ci": {
        "DIABETES": {
          "lo": 9.5,
          "hi": 13.1
        },
        "OBESITY": {
          "lo": 24.4,
          "hi": 33.2
        },
        "BPHIGH": {
          "lo": 32.8,
          "hi": 39.6
        },
        "CHD": {
          "lo": 7.0,
          "hi": 9.4
        },
        "GHLTH": {
          "lo": 14.1,
          "hi": 21.0
        },
        "PHLTH": {
          "lo": 11.6,
          "hi": 16.0
        },
        "ACCESS2": {
          "lo": 5.6,
          "hi": 10.0
        },
        "LACKTRPT": {
          "lo": 5.4,
          "hi": 8.1
        },
        "FOODINSECU": {
          "lo": 6.8,
          "hi": 11.4
        },
        "HOUSINSECU": {
          "lo": 6.5,
          "hi": 10.5
        }
      },
      "rank": 14
    },
    {
      "fips": "23005",
      "name": "Cumberland",
      "population": 310230,
      "priorityIndex": 24.1,
      "burdenScore": 0.0,
      "accessScore": 10.7,
      "shortageScore": 61.5,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 16,
      "hpsaDesignations": 8,
      "raw": {
        "DIABETES": 8.9,
        "OBESITY": 26.7,
        "BPHIGH": 32.1,
        "CHD": 6.0,
        "GHLTH": 14.5,
        "PHLTH": 12.0,
        "ACCESS2": 6.4,
        "LACKTRPT": 6.6,
        "FOODINSECU": 8.0,
        "HOUSINSECU": 8.1,
        "ACS_POVERTY": 7.1,
        "ACS_NOVEHICLE": 6.8
      },
      "ci": {
        "DIABETES": {
          "lo": 7.7,
          "hi": 10.2
        },
        "OBESITY": {
          "lo": 23.0,
          "hi": 30.3
        },
        "BPHIGH": {
          "lo": 29.5,
          "hi": 34.7
        },
        "CHD": {
          "lo": 5.2,
          "hi": 6.9
        },
        "GHLTH": {
          "lo": 12.0,
          "hi": 17.0
        },
        "PHLTH": {
          "lo": 10.3,
          "hi": 13.8
        },
        "ACCESS2": {
          "lo": 4.9,
          "hi": 8.5
        },
        "LACKTRPT": {
          "lo": 5.4,
          "hi": 8.0
        },
        "FOODINSECU": {
          "lo": 6.1,
          "hi": 10.5
        },
        "HOUSINSECU": {
          "lo": 6.4,
          "hi": 10.2
        }
      },
      "rank": 15
    },
    {
      "fips": "23023",
      "name": "Sagadahoc",
      "population": 37513,
      "priorityIndex": 17.7,
      "burdenScore": 29.2,
      "accessScore": 23.8,
      "shortageScore": 0.0,
      "topDriver": "Health burden",
      "hpsaMaxScore": 0,
      "hpsaDesignations": 0,
      "raw": {
        "DIABETES": 10.8,
        "OBESITY": 29.6,
        "BPHIGH": 35.0,
        "CHD": 7.7,
        "GHLTH": 17.1,
        "PHLTH": 13.7,
        "ACCESS2": 7.4,
        "LACKTRPT": 6.7,
        "FOODINSECU": 9.4,
        "HOUSINSECU": 8.4,
        "ACS_POVERTY": 11.1,
        "ACS_NOVEHICLE": 5.8
      },
      "ci": {
        "DIABETES": {
          "lo": 9.1,
          "hi": 12.4
        },
        "OBESITY": {
          "lo": 24.9,
          "hi": 34.2
        },
        "BPHIGH": {
          "lo": 31.6,
          "hi": 38.3
        },
        "CHD": {
          "lo": 6.6,
          "hi": 8.8
        },
        "GHLTH": {
          "lo": 13.8,
          "hi": 20.2
        },
        "PHLTH": {
          "lo": 11.5,
          "hi": 15.8
        },
        "ACCESS2": {
          "lo": 5.5,
          "hi": 9.7
        },
        "LACKTRPT": {
          "lo": 5.5,
          "hi": 8.0
        },
        "FOODINSECU": {
          "lo": 7.1,
          "hi": 12.1
        },
        "HOUSINSECU": {
          "lo": 6.6,
          "hi": 10.4
        }
      },
      "rank": 16
    }
  ],
  "faq": [
    {
      "question": "What does the Maine county health-access scorecard measure?",
      "answer": "It ranks all 16 Maine 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 2026-08-01."
    },
    {
      "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": "783ae52e226f6a6b"
}