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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "CHD",
      "measureLabel": "Coronary heart disease",
      "value": 5.3,
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      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "GHLTH",
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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)",
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      "kind": "measured",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "PHLTH",
      "measureLabel": "Frequent physical distress",
      "value": 11.0,
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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/",
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      "ci_hi": 12.8
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      "kind": "measured",
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      "geoName": "Ward",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "value": 7.7,
      "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": "2026-08-01",
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      "ci_lo": 6.0,
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      "kind": "measured",
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      "geoName": "Ward",
      "state": "ND",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "LACKTRPT",
      "measureLabel": "Lack of reliable transportation",
      "value": 6.3,
      "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/",
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      "rank": 53,
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      "ci_lo": 5.3,
      "ci_hi": 7.5
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      "kind": "measured",
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      "fips": "38101",
      "geoName": "Ward",
      "state": "ND",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "value": 10.3,
      "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/",
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      "ci_lo": 8.1,
      "ci_hi": 12.8
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      "kind": "measured",
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      "state": "ND",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 9.0,
      "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/",
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      "kind": "measured",
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      "fips": "38101",
      "geoName": "Ward",
      "state": "ND",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 7.8,
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      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
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      "accessedDate": "2026-08-01",
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      "geoName": "Ward",
      "state": "ND",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 4.2,
      "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": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
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      "rankScope": "intra-state (North Dakota, 53 counties)"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38085",
      "geoName": "Sioux",
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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 2026-08-01; 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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        "shortageScore": 88.5,
        "hpsaMaxScore": 23,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 93.8,
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        "accessScore",
        "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "hpsaDesignations": 4
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "hpsaDesignations": 4
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38079",
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      "state": "ND",
      "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 2026-08-01; 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": {
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        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "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 2026-08-01; 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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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "shortageScore",
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      "fips": "38005",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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    {
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      "fips": "38095",
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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 2026-08-01; 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 2026-08-01; 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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.1,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38095",
      "geoName": "Towner",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 64.0,
        "accessScore": 18.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38051",
      "geoName": "McIntosh",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 53.6,
        "accessScore": 23.6,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38051",
      "geoName": "McIntosh",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 53.6,
        "accessScore": 23.6,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 53.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38051",
      "geoName": "McIntosh",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 53.6,
        "accessScore": 23.6,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 23.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38051",
      "geoName": "McIntosh",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 53.6,
        "accessScore": 23.6,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38037",
      "geoName": "Grant",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 65.8,
        "accessScore": 19.4,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38037",
      "geoName": "Grant",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 65.8,
        "accessScore": 19.4,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 65.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38037",
      "geoName": "Grant",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 65.8,
        "accessScore": 19.4,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 19.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38037",
      "geoName": "Grant",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 65.8,
        "accessScore": 19.4,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38061",
      "geoName": "Mountrail",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.9,
        "accessScore": 33.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 18
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38061",
      "geoName": "Mountrail",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.9,
        "accessScore": 33.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 18
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 39.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38061",
      "geoName": "Mountrail",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.9,
        "accessScore": 33.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 18
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 33.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38061",
      "geoName": "Mountrail",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.9,
        "accessScore": 33.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 18
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38071",
      "geoName": "Ramsey",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.7,
        "accessScore": 29.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38071",
      "geoName": "Ramsey",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.7,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 40.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38071",
      "geoName": "Ramsey",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.5,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38071",
      "geoName": "Ramsey",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.7,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38027",
      "geoName": "Eddy",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 46.8,
        "accessScore": 21.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 20
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38027",
      "geoName": "Eddy",
      "state": "ND",
      "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 2026-08-01; 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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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38027",
      "geoName": "Eddy",
      "state": "ND",
      "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 2026-08-01; 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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        "shortageScore": 65.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38027",
      "geoName": "Eddy",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 46.8,
        "accessScore": 21.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 20
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38103",
      "geoName": "Wells",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.9,
        "accessScore": 15.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38103",
      "geoName": "Wells",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.9,
        "accessScore": 15.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38103",
      "geoName": "Wells",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.9,
        "accessScore": 15.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38103",
      "geoName": "Wells",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.9,
        "accessScore": 15.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38047",
      "geoName": "Logan",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 15.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38047",
      "geoName": "Logan",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 15.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 50.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38047",
      "geoName": "Logan",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 15.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38047",
      "geoName": "Logan",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 15.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38067",
      "geoName": "Pembina",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 46.1,
        "accessScore": 12.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38067",
      "geoName": "Pembina",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 46.1,
        "accessScore": 12.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 46.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38067",
      "geoName": "Pembina",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 46.1,
        "accessScore": 12.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38067",
      "geoName": "Pembina",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 46.1,
        "accessScore": 12.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38057",
      "geoName": "Mercer",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.2,
        "accessScore": 12.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38057",
      "geoName": "Mercer",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.2,
        "accessScore": 12.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 41.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38057",
      "geoName": "Mercer",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.2,
        "accessScore": 12.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38057",
      "geoName": "Mercer",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.2,
        "accessScore": 12.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38029",
      "geoName": "Emmons",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 12.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38029",
      "geoName": "Emmons",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 12.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38029",
      "geoName": "Emmons",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 12.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38029",
      "geoName": "Emmons",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 12.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38099",
      "geoName": "Walsh",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.6,
        "accessScore": 20.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38099",
      "geoName": "Walsh",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.6,
        "accessScore": 20.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 36.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38099",
      "geoName": "Walsh",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.6,
        "accessScore": 20.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38099",
      "geoName": "Walsh",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.6,
        "accessScore": 20.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38063",
      "geoName": "Nelson",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "accessScore": 8.2,
        "shortageScore": 65.4,
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        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.3,
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38063",
      "geoName": "Nelson",
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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 2026-08-01; 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,
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      "components": {
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        "shortageScore": 65.4,
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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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "accessScore": 8.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 8.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38063",
      "geoName": "Nelson",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "accessScore": 8.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38055",
      "geoName": "McLean",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.6,
        "accessScore": 7.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 9
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38055",
      "geoName": "McLean",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.6,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 9
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 39.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38055",
      "geoName": "McLean",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.6,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 9
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 7.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38055",
      "geoName": "McLean",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.6,
        "accessScore": 7.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 9
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38033",
      "geoName": "Golden Valley",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 17.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38033",
      "geoName": "Golden Valley",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 17.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38033",
      "geoName": "Golden Valley",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 17.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 17.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38033",
      "geoName": "Golden Valley",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 17.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38105",
      "geoName": "Williams",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 16.0,
        "accessScore": 25.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.7,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38105",
      "geoName": "Williams",
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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 2026-08-01; 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,
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      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
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      "geoName": "Williams",
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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 2026-08-01; 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": 69.2,
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38105",
      "geoName": "Williams",
      "state": "ND",
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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 2026-08-01; 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,
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      "components": {
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38053",
      "geoName": "McKenzie",
      "state": "ND",
      "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 2026-08-01; 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": "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 2026-08-01; 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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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      "fips": "38053",
      "geoName": "McKenzie",
      "state": "ND",
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38019",
      "geoName": "Cavalier",
      "state": "ND",
      "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 2026-08-01; 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": "priorityIndex",
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    {
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      "geoName": "Cavalier",
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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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 2026-08-01; 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": 6.8,
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    {
      "kind": "derived",
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      "fips": "38019",
      "geoName": "Cavalier",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 39.7,
        "accessScore": 6.8,
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        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38039",
      "geoName": "Griggs",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.8,
        "accessScore": 9.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38039",
      "geoName": "Griggs",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38039",
      "geoName": "Griggs",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 9.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38039",
      "geoName": "Griggs",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.8,
        "accessScore": 9.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38073",
      "geoName": "Ransom",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 14.3,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.8,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38073",
      "geoName": "Ransom",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
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        "burdenScore": 35.5,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 35.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38073",
      "geoName": "Ransom",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 14.3,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 14.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38073",
      "geoName": "Ransom",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 14.3,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38041",
      "geoName": "Hettinger",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.2,
        "accessScore": 10.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38041",
      "geoName": "Hettinger",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.2,
        "accessScore": 10.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 35.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38041",
      "geoName": "Hettinger",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.2,
        "accessScore": 10.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 10.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38041",
      "geoName": "Hettinger",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.2,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38043",
      "geoName": "Kidder",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 45.4,
        "accessScore": 7.5,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38043",
      "geoName": "Kidder",
      "state": "ND",
      "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 2026-08-01; 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": "north-dakota-county-primary-care-access-2026",
      "fips": "38043",
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      "state": "ND",
      "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 2026-08-01; 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": "north-dakota-county-primary-care-access-2026",
      "fips": "38043",
      "geoName": "Kidder",
      "state": "ND",
      "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 2026-08-01; 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,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38077",
      "geoName": "Richland",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 24.8,
        "accessScore": 15.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.2,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38077",
      "geoName": "Richland",
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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 2026-08-01; 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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      "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 2026-08-01; 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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        "shortageScore": 65.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38077",
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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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 24.8,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38045",
      "geoName": "LaMoure",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.8,
        "accessScore": 10.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38045",
      "geoName": "LaMoure",
      "state": "ND",
      "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 2026-08-01; 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": 36.8,
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        "shortageScore": 57.7,
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      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 36.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38045",
      "geoName": "LaMoure",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.8,
        "accessScore": 10.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 10.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38045",
      "geoName": "LaMoure",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.8,
        "accessScore": 10.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38025",
      "geoName": "Dunn",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 10.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38025",
      "geoName": "Dunn",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 10.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 28.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38025",
      "geoName": "Dunn",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 10.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 10.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38025",
      "geoName": "Dunn",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 10.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38069",
      "geoName": "Pierce",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 38.9,
        "accessScore": 10.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38069",
      "geoName": "Pierce",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 38.9,
        "accessScore": 10.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 38.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38069",
      "geoName": "Pierce",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 38.9,
        "accessScore": 10.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 10.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38069",
      "geoName": "Pierce",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 38.9,
        "accessScore": 10.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38023",
      "geoName": "Divide",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 11.0,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38023",
      "geoName": "Divide",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 11.0,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 40.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38023",
      "geoName": "Divide",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 11.0,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 11.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38023",
      "geoName": "Divide",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 11.0,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38011",
      "geoName": "Bowman",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 31.6,
        "accessScore": 11.8,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38011",
      "geoName": "Bowman",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 31.6,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38011",
      "geoName": "Bowman",
      "state": "ND",
      "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 2026-08-01; 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": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
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      "value": 11.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38011",
      "geoName": "Bowman",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 31.6,
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38009",
      "geoName": "Bottineau",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.9,
        "accessScore": 5.8,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38009",
      "geoName": "Bottineau",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 35.9,
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      "measureId": "burdenScore",
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      "value": 35.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38009",
      "geoName": "Bottineau",
      "state": "ND",
      "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 2026-08-01; 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",
      "measureLabel": "Access & SDOH barriers",
      "value": 5.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38009",
      "geoName": "Bottineau",
      "state": "ND",
      "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 2026-08-01; 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": {
        "burdenScore": 35.9,
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        "shortageScore": 57.7,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38049",
      "geoName": "McHenry",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 13.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 32.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38049",
      "geoName": "McHenry",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 13.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38049",
      "geoName": "McHenry",
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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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 13.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 13.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38049",
      "geoName": "McHenry",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 13.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38035",
      "geoName": "Grand Forks",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 8.8,
        "accessScore": 17.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38035",
      "geoName": "Grand Forks",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 8.8,
        "accessScore": 17.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 8.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38035",
      "geoName": "Grand Forks",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 8.8,
        "accessScore": 17.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 17.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38035",
      "geoName": "Grand Forks",
      "state": "ND",
      "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 2026-08-01; 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,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 8.8,
        "accessScore": 17.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38013",
      "geoName": "Burke",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 29.9,
        "accessScore": 5.3,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38013",
      "geoName": "Burke",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 29.9,
        "accessScore": 5.3,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38013",
      "geoName": "Burke",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "accessScore": 5.3,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 5.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38013",
      "geoName": "Burke",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38017",
      "geoName": "Cass",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "accessScore": 12.2,
        "shortageScore": 80.8,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38017",
      "geoName": "Cass",
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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 2026-08-01; 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,
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      "components": {
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38017",
      "geoName": "Cass",
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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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38017",
      "geoName": "Cass",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "shortageScore": 80.8,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38087",
      "geoName": "Slope",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "shortageScore": 26.9,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
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      "geoName": "Slope",
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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 2026-08-01; 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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    {
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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 2026-08-01; 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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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 5.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38087",
      "geoName": "Slope",
      "state": "ND",
      "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 2026-08-01; 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": {
        "burdenScore": 56.9,
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      "measureId": "shortageScore",
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      "value": 26.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38093",
      "geoName": "Stutsman",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 31.1,
        "accessScore": 18.3,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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      "value": 24.2,
      "derivedFrom": [
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38093",
      "geoName": "Stutsman",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
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      "components": {
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 31.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38093",
      "geoName": "Stutsman",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
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      "components": {
        "burdenScore": 31.1,
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        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38093",
      "geoName": "Stutsman",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 31.1,
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        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 23.1,
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38007",
      "geoName": "Billings",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 9.3,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.1,
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38007",
      "geoName": "Billings",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.1,
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      "kind": "derived",
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      "geoName": "Billings",
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.1,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 9.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38007",
      "geoName": "Billings",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 9.3,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 26.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38001",
      "geoName": "Adams",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 23.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38001",
      "geoName": "Adams",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 23.9,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38001",
      "geoName": "Adams",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 23.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 23.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38001",
      "geoName": "Adams",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 23.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38065",
      "geoName": "Oliver",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 29.9,
        "accessScore": 3.5,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38065",
      "geoName": "Oliver",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
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        "burdenScore": 29.9,
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      "measureId": "burdenScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38065",
      "geoName": "Oliver",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 3.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38065",
      "geoName": "Oliver",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 29.9,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38075",
      "geoName": "Renville",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 30.8,
        "accessScore": 7.6,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 23.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38075",
      "geoName": "Renville",
      "state": "ND",
      "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 2026-08-01; 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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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38075",
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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 2026-08-01; 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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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38075",
      "geoName": "Renville",
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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 2026-08-01; 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": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38083",
      "geoName": "Sheridan",
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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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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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 2026-08-01; 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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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38083",
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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 2026-08-01; 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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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38081",
      "geoName": "Sargent",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 44,
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      "components": {
        "burdenScore": 36.9,
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      "measureId": "priorityIndex",
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      "value": 15.6,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38081",
      "geoName": "Sargent",
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 44,
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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 2026-08-01; 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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
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      "geoName": "Steele",
      "state": "ND",
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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 2026-08-01; 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 2026-08-01; 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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
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      "geoName": "Steele",
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38031",
      "geoName": "Foster",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (North Dakota, 53 counties)",
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
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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 2026-08-01; 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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      "jurisdictionSlug": "north-dakota-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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
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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 2026-08-01; 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": "north-dakota-county-primary-care-access-2026",
      "fips": "38015",
      "geoName": "Burleigh",
      "state": "ND",
      "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 2026-08-01; 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": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
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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 2026-08-01; 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 2026-08-01; 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 2026-08-01; 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": "north-dakota-county-primary-care-access-2026",
      "fips": "38003",
      "geoName": "Barnes",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
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      "measureId": "priorityIndex",
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    {
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      "geoName": "Barnes",
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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 2026-08-01; 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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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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 2026-08-01; 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",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38021",
      "geoName": "Dickey",
      "state": "ND",
      "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 2026-08-01; 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 2026-08-01; 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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38021",
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "components": {
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      "measureId": "shortageScore",
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      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38089",
      "geoName": "Stark",
      "state": "ND",
      "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 2026-08-01; 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": {
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        "accessScore": 20.2,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 12.9,
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        "accessScore",
        "shortageScore"
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    },
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      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38089",
      "geoName": "Stark",
      "state": "ND",
      "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 2026-08-01; 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": 18.5,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 18.5,
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      "fips": "38089",
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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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 18.5,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38089",
      "geoName": "Stark",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 18.5,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38097",
      "geoName": "Traill",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 24.6,
        "accessScore": 9.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 11.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38097",
      "geoName": "Traill",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 24.6,
        "accessScore": 9.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
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      "geoName": "Traill",
      "state": "ND",
      "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 2026-08-01; 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 (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 24.6,
        "accessScore": 9.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 9.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38097",
      "geoName": "Traill",
      "state": "ND",
      "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 2026-08-01; 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,
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      "components": {
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38059",
      "geoName": "Morton",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 52,
      "rankScope": "intra-state (North Dakota, 53 counties)",
      "components": {
        "burdenScore": 19.9,
        "accessScore": 8.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 9.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "north-dakota-county-primary-care-access-2026",
      "fips": "38059",
      "geoName": "Morton",
      "state": "ND",
      "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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 52,
      "rankScope": "intra-state (North Dakota, 53 counties)",
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    {
      "kind": "derived",
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      "geoName": "Morton",
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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 2026-08-01; 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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      "fips": "38059",
      "geoName": "Morton",
      "state": "ND",
      "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 2026-08-01; 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": "north-dakota-county-primary-care-access-2026",
      "fips": "38101",
      "geoName": "Ward",
      "state": "ND",
      "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 2026-08-01; 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": {
        "burdenScore": 9.5,
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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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 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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  ]
}