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      "methodRef": "scripts/insights/build.py",
      "rank": 62,
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      "ci_lo": 9.8,
      "ci_hi": 12.9
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      "kind": "measured",
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      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "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": 62,
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      "kind": "measured",
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      "geoName": "Nassau",
      "state": "NY",
      "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",
      "methodRef": "scripts/insights/build.py",
      "rank": 62,
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      "ci_lo": 5.1,
      "ci_hi": 7.1
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    {
      "kind": "measured",
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      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "value": 11.2,
      "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": 62,
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      "ci_lo": 9.1,
      "ci_hi": 13.6
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    {
      "kind": "measured",
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      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 10.5,
      "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",
      "methodRef": "scripts/insights/build.py",
      "rank": 62,
      "rankScope": "intra-state (New York, 62 counties)",
      "ci_lo": 8.7,
      "ci_hi": 12.4
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    {
      "kind": "measured",
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      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 5.3,
      "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",
      "methodRef": "scripts/insights/build.py",
      "rank": 62,
      "rankScope": "intra-state (New York, 62 counties)"
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    {
      "kind": "measured",
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      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 6.7,
      "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",
      "methodRef": "scripts/insights/build.py",
      "rank": 62,
      "rankScope": "intra-state (New York, 62 counties)"
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36005",
      "geoName": "Bronx",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 80.0,
        "accessScore": 96.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 346
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 83.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36005",
      "geoName": "Bronx",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 80.0,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "36005",
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      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 73.1,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 96.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36005",
      "geoName": "Bronx",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
        "burdenScore": 80.0,
        "accessScore": 96.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 346
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36013",
      "geoName": "Chautauqua",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 65.7,
        "accessScore": 27.2,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36013",
      "geoName": "Chautauqua",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
        "burdenScore": 65.7,
        "accessScore": 27.2,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 65.7,
      "derivedFrom": []
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    {
      "kind": "derived",
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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": 2,
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        "burdenScore": 65.7,
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        "shortageScore": 80.8,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36013",
      "geoName": "Chautauqua",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
        "burdenScore": 65.7,
        "accessScore": 27.2,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36089",
      "geoName": "St. Lawrence",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 62.6,
        "accessScore": 24.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36089",
      "geoName": "St. Lawrence",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
        "burdenScore": 62.6,
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        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 62.6,
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      "kind": "derived",
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      "geoName": "St. Lawrence",
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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": 3,
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      "components": {
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36089",
      "geoName": "St. Lawrence",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
        "burdenScore": 62.6,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36009",
      "geoName": "Cattaraugus",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
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        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.3,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36009",
      "geoName": "Cattaraugus",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
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      "measureId": "burdenScore",
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      "value": 66.5,
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    {
      "kind": "derived",
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      "geoName": "Cattaraugus",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 66.5,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 26.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36009",
      "geoName": "Cattaraugus",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 66.5,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36047",
      "geoName": "Kings",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 33.4,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 641
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36047",
      "geoName": "Kings",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
        "burdenScore": 33.4,
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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",
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      "components": {
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        "shortageScore": 76.9,
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    {
      "kind": "derived",
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      "geoName": "Kings",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 33.4,
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        "shortageScore": 76.9,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36123",
      "geoName": "Yates",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 58.0,
        "accessScore": 20.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.2,
      "derivedFrom": [
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      "kind": "derived",
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      "geoName": "Yates",
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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": 6,
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      "components": {
        "burdenScore": 58.0,
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      "measureId": "burdenScore",
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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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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36123",
      "geoName": "Yates",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 58.0,
        "accessScore": 20.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36065",
      "geoName": "Oneida",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 22.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36065",
      "geoName": "Oneida",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 22.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36065",
      "geoName": "Oneida",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 22.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36065",
      "geoName": "Oneida",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 22.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36081",
      "geoName": "Queens",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 42.6,
        "accessScore": 43.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 407
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36081",
      "geoName": "Queens",
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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": 8,
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      "components": {
        "burdenScore": 42.6,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 407
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      "measureId": "burdenScore",
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      "value": 42.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36081",
      "geoName": "Queens",
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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": 8,
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      "components": {
        "burdenScore": 42.6,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 407
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36081",
      "geoName": "Queens",
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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": 8,
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      "components": {
        "burdenScore": 42.6,
        "accessScore": 43.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 407
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36033",
      "geoName": "Franklin",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "components": {
        "burdenScore": 65.6,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
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      "value": 52.6,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36033",
      "geoName": "Franklin",
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36033",
      "geoName": "Franklin",
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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": {
        "burdenScore": 65.6,
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        "hpsaDesignations": 7
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      "measureId": "shortageScore",
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      "value": 65.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36011",
      "geoName": "Cayuga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 61.4,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 51.8,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36011",
      "geoName": "Cayuga",
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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": 10,
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      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "fips": "36011",
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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": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36011",
      "geoName": "Cayuga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 61.4,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36035",
      "geoName": "Fulton",
      "state": "NY",
      "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": 11,
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      "components": {
        "burdenScore": 65.5,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.8,
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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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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.5,
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    {
      "kind": "derived",
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      "fips": "36035",
      "geoName": "Fulton",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
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        "burdenScore": 65.5,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36105",
      "geoName": "Sullivan",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 54.1,
        "accessScore": 28.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.2,
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36105",
      "geoName": "Sullivan",
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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": 12,
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      "components": {
        "burdenScore": 54.1,
        "accessScore": 28.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
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      "measureId": "burdenScore",
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      "value": 54.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Sullivan",
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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": 12,
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      "components": {
        "burdenScore": 54.1,
        "accessScore": 28.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36105",
      "geoName": "Sullivan",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 54.1,
        "accessScore": 28.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36063",
      "geoName": "Niagara",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 56.9,
        "accessScore": 17.3,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 39
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36063",
      "geoName": "Niagara",
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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": 13,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 56.9,
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        "hpsaDesignations": 39
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      "measureId": "burdenScore",
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      "value": 56.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36063",
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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": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 17.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36063",
      "geoName": "Niagara",
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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": 13,
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      "components": {
        "burdenScore": 56.9,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 39
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36025",
      "geoName": "Delaware",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 66.2,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36025",
      "geoName": "Delaware",
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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": 14,
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      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Delaware",
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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": 14,
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      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 19.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36025",
      "geoName": "Delaware",
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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": 14,
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      "components": {
        "burdenScore": 66.2,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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      "value": 61.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36057",
      "geoName": "Montgomery",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "priorityIndex",
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      "kind": "derived",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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      "rank": 15,
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    {
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      "jurisdictionSlug": "new-york-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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 57.7,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36029",
      "geoName": "Erie",
      "state": "NY",
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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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      "components": {
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      "measureId": "priorityIndex",
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    {
      "kind": "derived",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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      "kind": "derived",
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      "fips": "36029",
      "geoName": "Erie",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 40.8,
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        "shortageScore": 84.6,
        "hpsaMaxScore": 22,
        "hpsaDesignations": 117
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 84.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36017",
      "geoName": "Chenango",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 64.5,
        "accessScore": 18.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.1,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Chenango",
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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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      "components": {
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      "jurisdictionSlug": "new-york-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",
      "rank": 17,
      "rankScope": "intra-state (New York, 62 counties)",
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36017",
      "geoName": "Chenango",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 64.5,
        "accessScore": 18.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36099",
      "geoName": "Seneca",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 60.0,
        "accessScore": 21.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36099",
      "geoName": "Seneca",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 60.0,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 60.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36099",
      "geoName": "Seneca",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 60.0,
        "accessScore": 21.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36099",
      "geoName": "Seneca",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 60.0,
        "accessScore": 21.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36067",
      "geoName": "Onondaga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 46.5,
        "accessScore": 18.8,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 62
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36067",
      "geoName": "Onondaga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36067",
      "geoName": "Onondaga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36097",
      "geoName": "Schuyler",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 20,
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      "components": {
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        "accessScore": 18.2,
        "shortageScore": 61.5,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36097",
      "geoName": "Schuyler",
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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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    {
      "kind": "derived",
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      "geoName": "Schuyler",
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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": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36097",
      "geoName": "Schuyler",
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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": "new-york-county-primary-care-access-2026",
      "fips": "36049",
      "geoName": "Lewis",
      "state": "NY",
      "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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        "shortageScore": 61.5,
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        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
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      "value": 47.1,
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Lewis",
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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": 21,
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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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      "value": 16.1,
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    {
      "kind": "derived",
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      "fips": "36049",
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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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      "rank": 21,
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      "measureId": "shortageScore",
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      "value": 61.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36015",
      "geoName": "Chemung",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 53.1,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.0,
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36015",
      "geoName": "Chemung",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 53.1,
        "accessScore": 22.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
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      "value": 53.1,
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      "geoName": "Chemung",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.4,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "36015",
      "geoName": "Chemung",
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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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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36073",
      "geoName": "Orleans",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 57.1,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 46.9,
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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": 23,
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      "components": {
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        "shortageScore": 61.5,
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      "measureId": "burdenScore",
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    {
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 57.1,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Orleans",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 22.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36075",
      "geoName": "Oswego",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 22.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36075",
      "geoName": "Oswego",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 22.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Oswego",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 22.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36075",
      "geoName": "Oswego",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 22.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36043",
      "geoName": "Herkimer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 57.7,
        "accessScore": 16.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.5,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Herkimer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "measureId": "burdenScore",
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      "geoName": "Herkimer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36043",
      "geoName": "Herkimer",
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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": "new-york-county-primary-care-access-2026",
      "fips": "36007",
      "geoName": "Broome",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "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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    {
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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": "new-york-county-primary-care-access-2026",
      "fips": "36003",
      "geoName": "Allegany",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "value": 46.2,
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    {
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      "jurisdictionSlug": "new-york-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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      "measureId": "burdenScore",
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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": "new-york-county-primary-care-access-2026",
      "fips": "36003",
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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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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36101",
      "geoName": "Steuben",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
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      "measureId": "priorityIndex",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Schenectady",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
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        "shortageScore"
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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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      "measureId": "burdenScore",
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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": 80.8,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 19.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36093",
      "geoName": "Schenectady",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 36.7,
        "accessScore": 19.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36071",
      "geoName": "Orange",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 38.8,
        "accessScore": 27.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Orange",
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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": 30,
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      "components": {
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        "hpsaDesignations": 4
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36071",
      "geoName": "Orange",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 38.8,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36055",
      "geoName": "Monroe",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 90
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Monroe",
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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": 31,
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36055",
      "geoName": "Monroe",
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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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        "hpsaDesignations": 90
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      "measureId": "shortageScore",
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      "value": 76.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36121",
      "geoName": "Wyoming",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36039",
      "geoName": "Greene",
      "state": "NY",
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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)",
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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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      "vintage": "places: PLACES: Local Data for Better Health, County 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",
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      "fips": "36039",
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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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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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      "geoName": "Clinton",
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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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      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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      "value": 44.1,
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 65.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Clinton",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36085",
      "geoName": "Richmond",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 39.7,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 33
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Richmond",
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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": 35,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
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        "hpsaDesignations": 33
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-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",
      "rank": 35,
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      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 33
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Richmond",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 39.7,
        "accessScore": 22.9,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 33
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36115",
      "geoName": "Washington",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 52.4,
        "accessScore": 14.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Washington",
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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": 36,
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      "components": {
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      "measureId": "burdenScore",
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Washington",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "new-york-county-primary-care-access-2026",
      "fips": "36021",
      "geoName": "Columbia",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Columbia",
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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": 37,
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36045",
      "geoName": "Jefferson",
      "state": "NY",
      "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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      "vintage": "places: PLACES: Local Data for Better Health, County 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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    {
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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": "new-york-county-primary-care-access-2026",
      "fips": "36117",
      "geoName": "Wayne",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 11
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      "measureId": "priorityIndex",
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    {
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      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Wayne",
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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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      "rank": 39,
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      "measureId": "burdenScore",
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      "value": 52.2,
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    {
      "kind": "derived",
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      "fips": "36117",
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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": 39,
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      "components": {
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 52.2,
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        "shortageScore": 57.7,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36107",
      "geoName": "Tioga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
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      "components": {
        "burdenScore": 52.0,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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      "value": 41.2,
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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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    {
      "kind": "derived",
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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": "shortageScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36061",
      "geoName": "New York",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 118
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36061",
      "geoName": "New York",
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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",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36061",
      "geoName": "New York",
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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": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36061",
      "geoName": "New York",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
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        "shortageScore": 76.9,
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        "hpsaDesignations": 118
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36001",
      "geoName": "Albany",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 23.8,
        "accessScore": 15.2,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.9,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
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      "geoName": "Albany",
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36001",
      "geoName": "Albany",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "new-york-county-primary-care-access-2026",
      "fips": "36087",
      "geoName": "Rockland",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": "priorityIndex",
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      "value": 39.5,
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        "shortageScore"
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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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      "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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      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36031",
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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",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36095",
      "geoName": "Schoharie",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 45,
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.3,
      "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "shortageScore": 65.4,
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        "hpsaDesignations": 3
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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",
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      "measureId": "burdenScore",
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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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      "measureLabel": "Access & SDOH barriers",
      "value": 9.4,
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      "kind": "derived",
      "jurisdictionSlug": "new-york-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",
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      "components": {
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36023",
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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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
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      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
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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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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36111",
      "geoName": "Ulster",
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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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "priorityIndex",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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    {
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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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      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36037",
      "geoName": "Genesee",
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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",
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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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      "jurisdictionSlug": "new-york-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",
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    {
      "kind": "derived",
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      "kind": "derived",
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      "geoName": "Warren",
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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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      "components": {
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      },
      "measureId": "priorityIndex",
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      "value": 37.7,
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36079",
      "geoName": "Putnam",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 22.4,
        "accessScore": 5.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36079",
      "geoName": "Putnam",
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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": 52,
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      "components": {
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 22.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 5.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36079",
      "geoName": "Putnam",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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 (New York, 62 counties)",
      "components": {
        "burdenScore": 22.4,
        "accessScore": 5.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36069",
      "geoName": "Ontario",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 38.6,
        "accessScore": 7.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36069",
      "geoName": "Ontario",
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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": 53,
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      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "geoName": "Ontario",
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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": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36069",
      "geoName": "Ontario",
      "state": "NY",
      "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": 53,
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      "components": {
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        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36119",
      "geoName": "Westchester",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 54,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 21.0,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 30
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      "measureId": "priorityIndex",
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      "value": 35.2,
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        "shortageScore"
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    {
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      "geoName": "Westchester",
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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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 54,
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      "measureId": "shortageScore",
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      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36077",
      "geoName": "Otsego",
      "state": "NY",
      "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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "priorityIndex",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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      "rank": 55,
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      "components": {
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      "measureId": "shortageScore",
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      "value": 46.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36051",
      "geoName": "Livingston",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 56,
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      "components": {
        "burdenScore": 38.2,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.6,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36051",
      "geoName": "Livingston",
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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": 56,
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      "components": {
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      "measureId": "burdenScore",
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      "value": 38.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36051",
      "geoName": "Livingston",
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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": 56,
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      "components": {
        "burdenScore": 38.2,
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      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36051",
      "geoName": "Livingston",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 56,
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      "components": {
        "burdenScore": 38.2,
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        "shortageScore": 50.0,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36109",
      "geoName": "Tompkins",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 57,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 4.0,
        "accessScore": 13.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 26.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36109",
      "geoName": "Tompkins",
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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": 57,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 4.0,
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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": 57,
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      "components": {
        "burdenScore": 4.0,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 13.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36109",
      "geoName": "Tompkins",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 57,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 4.0,
        "accessScore": 13.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36083",
      "geoName": "Rensselaer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 58,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 32.3,
        "accessScore": 13.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 15.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36083",
      "geoName": "Rensselaer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 58,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 32.3,
        "accessScore": 13.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 32.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36083",
      "geoName": "Rensselaer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 58,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 32.3,
        "accessScore": 13.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 13.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36083",
      "geoName": "Rensselaer",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 58,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 32.3,
        "accessScore": 13.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36027",
      "geoName": "Dutchess",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 59,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 29.0,
        "accessScore": 11.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 13.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-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": "burdenScore",
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36027",
      "geoName": "Dutchess",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 59,
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      "components": {
        "burdenScore": 29.0,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36103",
      "geoName": "Suffolk",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 60,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 28.0,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
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      "value": 12.9,
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
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      "geoName": "Suffolk",
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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": 60,
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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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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36103",
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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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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36091",
      "geoName": "Saratoga",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 61,
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      "components": {
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      "measureId": "priorityIndex",
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      "value": 10.2,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 61,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36091",
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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": 61,
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      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 1.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36091",
      "geoName": "Saratoga",
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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": 61,
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      "components": {
        "burdenScore": 29.2,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 62,
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      "components": {
        "burdenScore": 23.1,
        "accessScore": 6.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 9.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 62,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 23.1,
        "accessScore": 6.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 23.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 62,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 23.1,
        "accessScore": 6.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 6.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "new-york-county-primary-care-access-2026",
      "fips": "36059",
      "geoName": "Nassau",
      "state": "NY",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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": 62,
      "rankScope": "intra-state (New York, 62 counties)",
      "components": {
        "burdenScore": 23.1,
        "accessScore": 6.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    }
  ]
}