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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 8.2,
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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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    {
      "kind": "measured",
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      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 7.1,
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      "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/",
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    {
      "kind": "measured",
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      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 0.9,
      "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/",
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    {
      "kind": "measured",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "DIABETES",
      "measureLabel": "Diagnosed diabetes",
      "value": 12.2,
      "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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      "rank": 17,
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      "kind": "measured",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "OBESITY",
      "measureLabel": "Obesity",
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      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
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      "rank": 17,
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      "ci_hi": 34.0
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    {
      "kind": "measured",
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      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "BPHIGH",
      "measureLabel": "High blood pressure",
      "value": 38.2,
      "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_hi": 42.8
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    {
      "kind": "measured",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "CHD",
      "measureLabel": "Coronary heart disease",
      "value": 8.5,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
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    {
      "kind": "measured",
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      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "GHLTH",
      "measureLabel": "Fair or poor self-rated health",
      "value": 19.0,
      "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/",
      "accessedDate": "2026-08-01",
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      "rank": 17,
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      "ci_hi": 22.6
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    {
      "kind": "measured",
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      "fips": "32005",
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      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "PHLTH",
      "measureLabel": "Frequent physical distress",
      "value": 14.7,
      "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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      "rank": 17,
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      "ci_hi": 17.0
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    {
      "kind": "measured",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "value": 8.6,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
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      "rank": 17,
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      "ci_lo": 6.9,
      "ci_hi": 10.8
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    {
      "kind": "measured",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "LACKTRPT",
      "measureLabel": "Lack of reliable transportation",
      "value": 6.0,
      "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/",
      "accessedDate": "2026-08-01",
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      "rank": 17,
      "rankScope": "intra-state (Nevada, 17 counties and independent cities)",
      "ci_lo": 5.0,
      "ci_hi": 7.1
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    {
      "kind": "measured",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "value": 10.1,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
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      "rank": 17,
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      "ci_lo": 8.0,
      "ci_hi": 12.6
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    {
      "kind": "measured",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 8.2,
      "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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      "rank": 17,
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      "ci_hi": 10.0
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    {
      "kind": "measured",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 8.3,
      "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",
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    {
      "kind": "measured",
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      "state": "NV",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 2.7,
      "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",
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    {
      "kind": "derived",
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      "fips": "32021",
      "geoName": "Mineral",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 75.7,
      "derivedFrom": [
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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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      "components": {
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "value": 94.1,
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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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      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 75.2,
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      "fips": "32021",
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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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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
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      "fips": "32011",
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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": 2,
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      "components": {
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.8,
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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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      "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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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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      "value": 53.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32009",
      "geoName": "Esmeralda",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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": 3,
      "rankScope": "intra-state (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 92.2,
        "accessScore": 82.6,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.5,
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    {
      "kind": "derived",
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      "fips": "32009",
      "geoName": "Esmeralda",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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": 3,
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      "components": {
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        "accessScore": 82.6,
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        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 92.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32009",
      "geoName": "Esmeralda",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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": 3,
      "rankScope": "intra-state (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 92.2,
        "accessScore": 82.6,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 82.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32009",
      "geoName": "Esmeralda",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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": 3,
      "rankScope": "intra-state (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 92.2,
        "accessScore": 82.6,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 30.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32023",
      "geoName": "Nye",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 77.7,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 67.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32023",
      "geoName": "Nye",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 77.7,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 7
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 77.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32023",
      "geoName": "Nye",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 77.7,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 7
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 50.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32023",
      "geoName": "Nye",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 77.7,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 7
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32003",
      "geoName": "Clark",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 23.9,
        "accessScore": 66.7,
        "shortageScore": 84.6,
        "hpsaMaxScore": 22,
        "hpsaDesignations": 203
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32003",
      "geoName": "Clark",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 23.9,
        "accessScore": 66.7,
        "shortageScore": 84.6,
        "hpsaMaxScore": 22,
        "hpsaDesignations": 203
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 23.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32003",
      "geoName": "Clark",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 23.9,
        "accessScore": 66.7,
        "shortageScore": 84.6,
        "hpsaMaxScore": 22,
        "hpsaDesignations": 203
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 66.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32003",
      "geoName": "Clark",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 23.9,
        "accessScore": 66.7,
        "shortageScore": 84.6,
        "hpsaMaxScore": 22,
        "hpsaDesignations": 203
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 84.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32015",
      "geoName": "Lander",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 43.3,
        "accessScore": 54.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32015",
      "geoName": "Lander",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 43.3,
        "accessScore": 54.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 43.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32015",
      "geoName": "Lander",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 43.3,
        "accessScore": 54.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 54.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32015",
      "geoName": "Lander",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 43.3,
        "accessScore": 54.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32007",
      "geoName": "Elko",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 26.9,
        "accessScore": 52.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32007",
      "geoName": "Elko",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 26.9,
        "accessScore": 52.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 26.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32007",
      "geoName": "Elko",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 26.9,
        "accessScore": 52.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 52.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32007",
      "geoName": "Elko",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 26.9,
        "accessScore": 52.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32510",
      "geoName": "Carson City",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.4,
        "accessScore": 40.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32510",
      "geoName": "Carson City",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.4,
        "accessScore": 40.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 28.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32510",
      "geoName": "Carson City",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.4,
        "accessScore": 40.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 40.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32510",
      "geoName": "Carson City",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.4,
        "accessScore": 40.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32001",
      "geoName": "Churchill",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 34.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32001",
      "geoName": "Churchill",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 34.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 36.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32001",
      "geoName": "Churchill",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 34.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32001",
      "geoName": "Churchill",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 34.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32019",
      "geoName": "Lyon",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 38.4,
        "accessScore": 36.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32019",
      "geoName": "Lyon",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 38.4,
        "accessScore": 36.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 38.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32019",
      "geoName": "Lyon",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 38.4,
        "accessScore": 36.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 36.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32019",
      "geoName": "Lyon",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 38.4,
        "accessScore": 36.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32027",
      "geoName": "Pershing",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 45.8,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32027",
      "geoName": "Pershing",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 45.8,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 35.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32027",
      "geoName": "Pershing",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 45.8,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 45.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32027",
      "geoName": "Pershing",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 35.5,
        "accessScore": 45.8,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32033",
      "geoName": "White Pine",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 41.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32033",
      "geoName": "White Pine",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 41.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 5
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 41.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32033",
      "geoName": "White Pine",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 41.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 5
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32033",
      "geoName": "White Pine",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 41.4,
        "accessScore": 41.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 5
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32013",
      "geoName": "Humboldt",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.0,
        "accessScore": 48.9,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32013",
      "geoName": "Humboldt",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.0,
        "accessScore": 48.9,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 27.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32013",
      "geoName": "Humboldt",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
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        "accessScore": 48.9,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32013",
      "geoName": "Humboldt",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.0,
        "accessScore": 48.9,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32031",
      "geoName": "Washoe",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 4.4,
        "accessScore": 35.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 29
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32031",
      "geoName": "Washoe",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 4.4,
        "accessScore": 35.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 29
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 4.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32031",
      "geoName": "Washoe",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 4.4,
        "accessScore": 35.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 29
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32031",
      "geoName": "Washoe",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 4.4,
        "accessScore": 35.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 29
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32017",
      "geoName": "Lincoln",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.7,
        "accessScore": 12.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32017",
      "geoName": "Lincoln",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.7,
        "accessScore": 12.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 27.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32017",
      "geoName": "Lincoln",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.7,
        "accessScore": 12.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32017",
      "geoName": "Lincoln",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 27.7,
        "accessScore": 12.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32029",
      "geoName": "Storey",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.5,
        "accessScore": 0.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32029",
      "geoName": "Storey",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.5,
        "accessScore": 0.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 28.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32029",
      "geoName": "Storey",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.5,
        "accessScore": 0.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 0.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32029",
      "geoName": "Storey",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 28.5,
        "accessScore": 0.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
        "burdenScore": 22.8,
        "accessScore": 3.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
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        "accessScore": 3.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 22.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
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        "accessScore": 3.3,
        "shortageScore": 69.2,
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        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 3.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nevada-county-primary-care-access-2026",
      "fips": "32005",
      "geoName": "Douglas",
      "state": "NV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "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 (Nevada, 17 counties and independent cities)",
      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 5
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    }
  ]
}
