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      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 58,
      "rankScope": "intra-state (California, 58 counties)",
      "ci_lo": 9.5,
      "ci_hi": 12.4
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      "kind": "measured",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06081",
      "geoName": "San Mateo",
      "state": "CA",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "value": 6.6,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 58,
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      "ci_lo": 5.1,
      "ci_hi": 8.3
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      "kind": "measured",
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      "fips": "06081",
      "geoName": "San Mateo",
      "state": "CA",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "LACKTRPT",
      "measureLabel": "Lack of reliable transportation",
      "value": 6.1,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 58,
      "rankScope": "intra-state (California, 58 counties)",
      "ci_lo": 5.2,
      "ci_hi": 7.2
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    {
      "kind": "measured",
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      "fips": "06081",
      "geoName": "San Mateo",
      "state": "CA",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "value": 11.5,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 58,
      "rankScope": "intra-state (California, 58 counties)",
      "ci_lo": 9.3,
      "ci_hi": 14.2
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    {
      "kind": "measured",
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      "fips": "06081",
      "geoName": "San Mateo",
      "state": "CA",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 9.3,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 58,
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      "ci_lo": 7.7,
      "ci_hi": 11.2
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    {
      "kind": "measured",
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      "fips": "06081",
      "geoName": "San Mateo",
      "state": "CA",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 6.5,
      "unit": "percent",
      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
      "sourceUrl": "https://www.census.gov/programs-surveys/acs/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
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      "rankScope": "intra-state (California, 58 counties)"
    },
    {
      "kind": "measured",
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      "fips": "06081",
      "geoName": "San Mateo",
      "state": "CA",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 5.6,
      "unit": "percent",
      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
      "sourceUrl": "https://www.census.gov/programs-surveys/acs/",
      "accessedDate": "2026-06-01",
      "methodRef": "scripts/insights/build.py",
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      "rankScope": "intra-state (California, 58 counties)"
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06025",
      "geoName": "Imperial",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
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      "components": {
        "burdenScore": 72.0,
        "accessScore": 84.8,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 46
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 77.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
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      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06025",
      "geoName": "Imperial",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 1,
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      "components": {
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        "shortageScore": 76.9,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 72.0,
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      "kind": "derived",
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      "fips": "06025",
      "geoName": "Imperial",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
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      "components": {
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      "measureId": "accessScore",
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      "value": 84.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06025",
      "geoName": "Imperial",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
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      "components": {
        "burdenScore": 72.0,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 46
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06019",
      "geoName": "Fresno",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 56.6,
        "accessScore": 61.9,
        "shortageScore": 92.3,
        "hpsaMaxScore": 24,
        "hpsaDesignations": 80
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 70.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06019",
      "geoName": "Fresno",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
        "burdenScore": 56.6,
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        "shortageScore": 92.3,
        "hpsaMaxScore": 24,
        "hpsaDesignations": 80
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 56.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06019",
      "geoName": "Fresno",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
        "burdenScore": 56.6,
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        "shortageScore": 92.3,
        "hpsaMaxScore": 24,
        "hpsaDesignations": 80
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 61.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06019",
      "geoName": "Fresno",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
        "burdenScore": 56.6,
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        "shortageScore": 92.3,
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        "hpsaDesignations": 80
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 92.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06029",
      "geoName": "Kern",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
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      "components": {
        "burdenScore": 59.7,
        "accessScore": 70.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 129
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 70.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06029",
      "geoName": "Kern",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
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      "components": {
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        "shortageScore": 80.8,
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        "hpsaDesignations": 129
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      "measureId": "burdenScore",
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    {
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      "geoName": "Kern",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 129
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      "measureId": "accessScore",
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      "value": 70.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06029",
      "geoName": "Kern",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 129
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06107",
      "geoName": "Tulare",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 100
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 70.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Tulare",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "burdenScore",
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    {
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
      "kind": "derived",
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      "geoName": "Tulare",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
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      "components": {
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      "measureId": "shortageScore",
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      "value": 80.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06047",
      "geoName": "Merced",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
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      "components": {
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        "shortageScore": 76.9,
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        "hpsaDesignations": 32
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 69.5,
      "derivedFrom": [
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06047",
      "geoName": "Merced",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "components": {
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      "measureId": "burdenScore",
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      "fips": "06047",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 57.3,
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        "shortageScore": 76.9,
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      "measureId": "accessScore",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
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      "components": {
        "burdenScore": 57.3,
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        "shortageScore": 76.9,
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      "measureId": "shortageScore",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06039",
      "geoName": "Madera",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 67.9,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
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      "geoName": "Madera",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 61.5,
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      "measureId": "burdenScore",
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    {
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      "geoName": "Madera",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "burdenScore": 67.9,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 72.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06039",
      "geoName": "Madera",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 67.9,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06031",
      "geoName": "Kings",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 51.6,
        "accessScore": 68.5,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 42
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 64.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06031",
      "geoName": "Kings",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 51.6,
        "accessScore": 68.5,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 42
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 51.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06031",
      "geoName": "Kings",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 51.6,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 42
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 68.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06031",
      "geoName": "Kings",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 51.6,
        "accessScore": 68.5,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 42
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06105",
      "geoName": "Trinity",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 91.2,
        "accessScore": 33.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 63.3,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06105",
      "geoName": "Trinity",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
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        "shortageScore": 65.4,
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      "measureId": "burdenScore",
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      "value": 91.2,
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06105",
      "geoName": "Trinity",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
        "burdenScore": 91.2,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 33.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06105",
      "geoName": "Trinity",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 91.2,
        "accessScore": 33.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06049",
      "geoName": "Modoc",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
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      "components": {
        "burdenScore": 79.6,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 5
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      "measureId": "priorityIndex",
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      "value": 60.9,
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        "shortageScore"
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 9,
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      "components": {
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "shortageScore": 65.4,
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      "measureId": "accessScore",
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      "value": 37.8,
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    {
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "shortageScore": 65.4,
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      "measureId": "shortageScore",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06033",
      "geoName": "Lake",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 69.2,
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      "measureId": "priorityIndex",
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      "value": 60.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Lake",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
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      "components": {
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      "measureId": "burdenScore",
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      "value": 73.3,
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    {
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      "geoName": "Lake",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
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      "components": {
        "burdenScore": 73.3,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 19
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 39.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06033",
      "geoName": "Lake",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
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      "components": {
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        "accessScore": 39.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 19
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06053",
      "geoName": "Monterey",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "fips": "06053",
      "geoName": "Monterey",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "fips": "06093",
      "geoName": "Siskiyou",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 19
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      "measureId": "priorityIndex",
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      "geoName": "Siskiyou",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "hpsaDesignations": 19
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      "measureId": "accessScore",
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      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06093",
      "geoName": "Siskiyou",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 19
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06035",
      "geoName": "Lassen",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 53.6,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 5
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.6,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06035",
      "geoName": "Lassen",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "hpsaDesignations": 5
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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      "value": 42.2,
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      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06011",
      "geoName": "Colusa",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
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    {
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      "vintage": "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",
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      "measureId": "shortageScore",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06071",
      "geoName": "San Bernardino",
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      "geoLevel": "county",
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      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "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",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06091",
      "geoName": "Sierra",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
      "kind": "derived",
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      "vintage": "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",
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "vintage": "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",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06091",
      "geoName": "Sierra",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 83.4,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
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      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06103",
      "geoName": "Tehama",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 62.7,
        "accessScore": 40.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 26
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.3,
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      "kind": "derived",
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      "fips": "06103",
      "geoName": "Tehama",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 62.7,
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        "shortageScore": 65.4,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 62.7,
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      "kind": "derived",
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      "geoName": "Tehama",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "shortageScore": 65.4,
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        "hpsaDesignations": 26
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 40.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06103",
      "geoName": "Tehama",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 62.7,
        "accessScore": 40.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 26
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06045",
      "geoName": "Mendocino",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 64.4,
        "accessScore": 38.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 15
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06045",
      "geoName": "Mendocino",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 64.4,
        "accessScore": 38.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 15
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 64.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06045",
      "geoName": "Mendocino",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 64.4,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 15
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 38.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06045",
      "geoName": "Mendocino",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 64.4,
        "accessScore": 38.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 15
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06015",
      "geoName": "Del Norte",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06015",
      "geoName": "Del Norte",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06015",
      "geoName": "Del Norte",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 33.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06015",
      "geoName": "Del Norte",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06065",
      "geoName": "Riverside",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 52.2,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 47
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06065",
      "geoName": "Riverside",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Riverside",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "accessScore",
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      "value": 40.9,
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    {
      "kind": "derived",
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      "fips": "06065",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
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      "components": {
        "burdenScore": 52.2,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 47
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06101",
      "geoName": "Sutter",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
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      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
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      "value": 55.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 21,
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "unit": "index_0_100",
      "vintage": "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",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 51.6,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06037",
      "geoName": "Los Angeles",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
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      "components": {
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        "shortageScore": 80.8,
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      "measureId": "priorityIndex",
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      "value": 54.5,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06037",
      "geoName": "Los Angeles",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 22,
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      "components": {
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      "measureId": "burdenScore",
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      "value": 38.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06037",
      "geoName": "Los Angeles",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 38.1,
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 329
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 44.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06037",
      "geoName": "Los Angeles",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 38.1,
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 329
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06021",
      "geoName": "Glenn",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 54.7,
        "accessScore": 43.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.4,
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06021",
      "geoName": "Glenn",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 7
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      "measureId": "burdenScore",
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06021",
      "geoName": "Glenn",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.0,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06021",
      "geoName": "Glenn",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 54.7,
        "accessScore": 43.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06099",
      "geoName": "Stanislaus",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 52.2,
        "accessScore": 47.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 23
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06099",
      "geoName": "Stanislaus",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 52.2,
        "accessScore": 47.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 23
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 52.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06099",
      "geoName": "Stanislaus",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 52.2,
        "accessScore": 47.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 23
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 47.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06099",
      "geoName": "Stanislaus",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 52.2,
        "accessScore": 47.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 23
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06023",
      "geoName": "Humboldt",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 45.9,
        "accessScore": 37.6,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06023",
      "geoName": "Humboldt",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 45.9,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 45.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06023",
      "geoName": "Humboldt",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 45.9,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06023",
      "geoName": "Humboldt",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 45.9,
        "accessScore": 37.6,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06077",
      "geoName": "San Joaquin",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 42.3,
        "accessScore": 43.7,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 62
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06077",
      "geoName": "San Joaquin",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "accessScore": 43.7,
        "shortageScore": 73.1,
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        "hpsaDesignations": 62
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      "measureId": "burdenScore",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06077",
      "geoName": "San Joaquin",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 62
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      "measureId": "accessScore",
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      "value": 43.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06077",
      "geoName": "San Joaquin",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
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      "components": {
        "burdenScore": 42.3,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 62
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06043",
      "geoName": "Mariposa",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 63.3,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 9
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.9,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06043",
      "geoName": "Mariposa",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
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      "components": {
        "burdenScore": 63.3,
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        "hpsaDesignations": 9
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06043",
      "geoName": "Mariposa",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
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      "components": {
        "burdenScore": 63.3,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 9
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06043",
      "geoName": "Mariposa",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
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      "components": {
        "burdenScore": 63.3,
        "accessScore": 22.4,
        "shortageScore": 73.1,
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        "hpsaDesignations": 9
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06115",
      "geoName": "Yuba",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 42.2,
        "accessScore": 45.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06115",
      "geoName": "Yuba",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
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      "components": {
        "burdenScore": 42.2,
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      "measureId": "burdenScore",
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      "value": 42.2,
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "value": 45.5,
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      "kind": "derived",
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      "fips": "06115",
      "geoName": "Yuba",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
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      "fips": "06063",
      "geoName": "Plumas",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 64.8,
        "accessScore": 14.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 11
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "kind": "derived",
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      "fips": "06063",
      "geoName": "Plumas",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 76.9,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "geoName": "Plumas",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
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      "components": {
        "burdenScore": 64.8,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 11
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 14.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06063",
      "geoName": "Plumas",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 64.8,
        "accessScore": 14.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 11
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06069",
      "geoName": "San Benito",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 36.9,
        "accessScore": 33.5,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06069",
      "geoName": "San Benito",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 36.9,
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        "shortageScore": 76.9,
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        "hpsaDesignations": 4
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      "measureId": "burdenScore",
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      "value": 36.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06069",
      "geoName": "San Benito",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
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        "hpsaDesignations": 4
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      "measureId": "accessScore",
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      "value": 33.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06069",
      "geoName": "San Benito",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 36.9,
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        "shortageScore": 76.9,
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        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06009",
      "geoName": "Calaveras",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 59.9,
        "accessScore": 19.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06009",
      "geoName": "Calaveras",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 4
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06009",
      "geoName": "Calaveras",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
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      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 4
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      "measureId": "accessScore",
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      "value": 19.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06009",
      "geoName": "Calaveras",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 59.9,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06089",
      "geoName": "Shasta",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
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      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 21
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      "measureId": "priorityIndex",
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      "value": 47.2,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "geoName": "Shasta",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Shasta",
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      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06007",
      "geoName": "Butte",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 23
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      "measureId": "priorityIndex",
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      "value": 46.7,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Butte",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 33,
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    {
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      "unit": "index_0_100",
      "vintage": "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",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "geoName": "Butte",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
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        "shortageScore": 65.4,
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      "measureId": "shortageScore",
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      "value": 65.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06067",
      "geoName": "Sacramento",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
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      "components": {
        "burdenScore": 35.6,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "kind": "derived",
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      "fips": "06067",
      "geoName": "Sacramento",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
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      "components": {
        "burdenScore": 35.6,
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        "shortageScore": 73.1,
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "shortageScore": 73.1,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.4,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "06067",
      "geoName": "Sacramento",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 7
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06095",
      "geoName": "Solano",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 40.2,
        "accessScore": 26.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.7,
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        "shortageScore"
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      "kind": "derived",
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      "fips": "06095",
      "geoName": "Solano",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 40.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06095",
      "geoName": "Solano",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 40.2,
        "accessScore": 26.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 26.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06095",
      "geoName": "Solano",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 40.2,
        "accessScore": 26.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06083",
      "geoName": "Santa Barbara",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 32.8,
        "accessScore": 37.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 31
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06083",
      "geoName": "Santa Barbara",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 31
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "06083",
      "geoName": "Santa Barbara",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 31
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06083",
      "geoName": "Santa Barbara",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 31
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06027",
      "geoName": "Inyo",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 48.1,
        "accessScore": 20.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06027",
      "geoName": "Inyo",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
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      "components": {
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      "measureId": "burdenScore",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Inyo",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06027",
      "geoName": "Inyo",
      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 7
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      "measureId": "shortageScore",
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      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06109",
      "geoName": "Tuolumne",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 12
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      "measureId": "priorityIndex",
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      "unit": "index_0_100",
      "vintage": "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",
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      "vintage": "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",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Tuolumne",
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      "vintage": "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",
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06055",
      "geoName": "Napa",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "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",
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    {
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      "vintage": "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",
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    {
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      "fips": "06055",
      "geoName": "Napa",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "components": {
        "burdenScore": 37.0,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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      "kind": "derived",
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      "state": "CA",
      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 40,
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "shortageScore": 65.4,
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "geoName": "Amador",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06111",
      "geoName": "Ventura",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 41,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 32.1,
        "accessScore": 24.2,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.8,
      "derivedFrom": [
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        "shortageScore"
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    {
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06111",
      "geoName": "Ventura",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 41,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 32.1,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "value": 32.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Ventura",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 41,
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      "components": {
        "burdenScore": 32.1,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 24.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06111",
      "geoName": "Ventura",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 41,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 32.1,
        "accessScore": 24.2,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06013",
      "geoName": "Contra Costa",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 42,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 27.8,
        "accessScore": 16.6,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.7,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06013",
      "geoName": "Contra Costa",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 42,
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06013",
      "geoName": "Contra Costa",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 42,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06057",
      "geoName": "Nevada",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "06057",
      "geoName": "Nevada",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
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      "geoName": "Nevada",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
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      "fips": "06057",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "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",
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      "unit": "index_0_100",
      "vintage": "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",
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      "measureId": "priorityIndex",
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      "vintage": "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",
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      "measureId": "burdenScore",
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    {
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 45,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 15.9,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06113",
      "geoName": "Yolo",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 45,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 15.9,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06073",
      "geoName": "San Diego",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 19.0,
        "accessScore": 24.6,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 77
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.2,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "06073",
      "geoName": "San Diego",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 19.0,
        "accessScore": 24.6,
        "shortageScore": 76.9,
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        "hpsaDesignations": 77
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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      "kind": "derived",
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      "fips": "06073",
      "geoName": "San Diego",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 77
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 24.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06073",
      "geoName": "San Diego",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 19.0,
        "accessScore": 24.6,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 77
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06059",
      "geoName": "Orange",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 25.9,
        "accessScore": 21.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 60
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06059",
      "geoName": "Orange",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 25.9,
        "accessScore": 21.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 60
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 25.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06059",
      "geoName": "Orange",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 25.9,
        "accessScore": 21.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 60
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06059",
      "geoName": "Orange",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 25.9,
        "accessScore": 21.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 60
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06017",
      "geoName": "El Dorado",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 6.7,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 24
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06017",
      "geoName": "El Dorado",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 6.7,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 24
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 33.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06017",
      "geoName": "El Dorado",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 33.8,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 24
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 6.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06017",
      "geoName": "El Dorado",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 6.7,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 24
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06001",
      "geoName": "Alameda",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 16.7,
        "accessScore": 20.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 13
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06001",
      "geoName": "Alameda",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
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      "components": {
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        "shortageScore": 76.9,
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      "measureId": "burdenScore",
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    {
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      "geoName": "Alameda",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
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      "components": {
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        "shortageScore": 76.9,
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      "measureId": "accessScore",
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      "value": 20.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06001",
      "geoName": "Alameda",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
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      "components": {
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        "shortageScore": 76.9,
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        "hpsaDesignations": 13
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06079",
      "geoName": "San Luis Obispo",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 50,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 27.9,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.7,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06079",
      "geoName": "San Luis Obispo",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 50,
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      "components": {
        "burdenScore": 27.9,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06079",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "accessScore",
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      "value": 19.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06079",
      "geoName": "San Luis Obispo",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 50,
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      "components": {
        "burdenScore": 27.9,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06087",
      "geoName": "Santa Cruz",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 51,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 26.6,
        "accessScore": 22.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 18
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06087",
      "geoName": "Santa Cruz",
      "state": "CA",
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      "vintage": "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",
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      "vintage": "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",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "state": "CA",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06041",
      "geoName": "Marin",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 53,
      "rankScope": "intra-state (California, 58 counties)",
      "components": {
        "burdenScore": 21.2,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.7,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06041",
      "geoName": "Marin",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 53,
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        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 21.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06041",
      "geoName": "Marin",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 53,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
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      "geoName": "Marin",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 53,
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      "components": {
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        "shortageScore": 76.9,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06061",
      "geoName": "Placer",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 54,
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      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06075",
      "geoName": "San Francisco",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 55,
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      "vintage": "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",
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    {
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      "geoName": "Alpine",
      "state": "CA",
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      "vintage": "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",
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      "vintage": "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",
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      "vintage": "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",
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    {
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      "vintage": "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",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "california-county-primary-care-access-2026",
      "fips": "06085",
      "geoName": "Santa Clara",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 26.3,
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        "shortageScore"
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    },
    {
      "kind": "derived",
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      "fips": "06085",
      "geoName": "Santa Clara",
      "state": "CA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
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      "vintage": "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",
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      "measureId": "shortageScore",
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      "vintage": "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",
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  ]
}