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      "geoName": "Danville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 86.8,
        "accessScore": 80.6,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 80.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51590",
      "geoName": "Danville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 86.8,
        "accessScore": 80.6,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51730",
      "geoName": "Petersburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 85.3,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 79.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51730",
      "geoName": "Petersburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 85.3,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 81.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51730",
      "geoName": "Petersburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 85.3,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 85.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51730",
      "geoName": "Petersburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 85.3,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51670",
      "geoName": "Hopewell city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 81.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 79.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51670",
      "geoName": "Hopewell city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 81.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 81.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51670",
      "geoName": "Hopewell city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 81.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 81.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51670",
      "geoName": "Hopewell city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.4,
        "accessScore": 81.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51690",
      "geoName": "Martinsville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 75.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 78.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51690",
      "geoName": "Martinsville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 75.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 83.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51690",
      "geoName": "Martinsville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 75.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 75.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51690",
      "geoName": "Martinsville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 75.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51595",
      "geoName": "Emporia city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 88.5,
        "accessScore": 78.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 77.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51595",
      "geoName": "Emporia city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 88.5,
        "accessScore": 78.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 88.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51595",
      "geoName": "Emporia city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 88.5,
        "accessScore": 78.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 78.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51595",
      "geoName": "Emporia city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 88.5,
        "accessScore": 78.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51105",
      "geoName": "Lee",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.9,
        "accessScore": 59.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 75.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51105",
      "geoName": "Lee",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.9,
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      "measureId": "burdenScore",
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      "value": 84.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51105",
      "geoName": "Lee",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.9,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 59.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51105",
      "geoName": "Lee",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.9,
        "accessScore": 59.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51025",
      "geoName": "Brunswick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.7,
        "accessScore": 63.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 74.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51025",
      "geoName": "Brunswick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.7,
        "accessScore": 63.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 79.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51025",
      "geoName": "Brunswick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.7,
        "accessScore": 63.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 63.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51025",
      "geoName": "Brunswick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.7,
        "accessScore": 63.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51111",
      "geoName": "Lunenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 87.0,
        "accessScore": 59.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 71.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51111",
      "geoName": "Lunenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 87.0,
        "accessScore": 59.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 87.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51111",
      "geoName": "Lunenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 87.0,
        "accessScore": 59.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 59.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51111",
      "geoName": "Lunenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 87.0,
        "accessScore": 59.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51083",
      "geoName": "Halifax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.2,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 71.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51083",
      "geoName": "Halifax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.2,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 85.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51083",
      "geoName": "Halifax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.2,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 55.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51083",
      "geoName": "Halifax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.2,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51037",
      "geoName": "Charlotte",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.7,
        "accessScore": 57.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 69.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51037",
      "geoName": "Charlotte",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.7,
        "accessScore": 57.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 85.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51037",
      "geoName": "Charlotte",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.7,
        "accessScore": 57.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 57.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51037",
      "geoName": "Charlotte",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 85.7,
        "accessScore": 57.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51081",
      "geoName": "Greensville",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.5,
        "accessScore": 66.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51081",
      "geoName": "Greensville",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.5,
        "accessScore": 66.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 74.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51081",
      "geoName": "Greensville",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.5,
        "accessScore": 66.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 66.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51081",
      "geoName": "Greensville",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.5,
        "accessScore": 66.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51740",
      "geoName": "Portsmouth city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.8,
        "accessScore": 64.0,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51740",
      "geoName": "Portsmouth city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.8,
        "accessScore": 64.0,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 60.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51740",
      "geoName": "Portsmouth city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.8,
        "accessScore": 64.0,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 64.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51740",
      "geoName": "Portsmouth city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.8,
        "accessScore": 64.0,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51640",
      "geoName": "Galax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 63.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51640",
      "geoName": "Galax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 63.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 72.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51640",
      "geoName": "Galax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 63.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 63.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51640",
      "geoName": "Galax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 63.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51027",
      "geoName": "Buchanan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.3,
        "accessScore": 50.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51027",
      "geoName": "Buchanan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.3,
        "accessScore": 50.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 84.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51027",
      "geoName": "Buchanan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.3,
        "accessScore": 50.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 50.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51027",
      "geoName": "Buchanan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 84.3,
        "accessScore": 50.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51580",
      "geoName": "Covington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 55.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51580",
      "geoName": "Covington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 55.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 75.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51580",
      "geoName": "Covington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 55.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 55.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51580",
      "geoName": "Covington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 55.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51143",
      "geoName": "Pittsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.3,
        "accessScore": 42.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 67.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51143",
      "geoName": "Pittsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.3,
        "accessScore": 42.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 79.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51143",
      "geoName": "Pittsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.3,
        "accessScore": 42.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 42.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51143",
      "geoName": "Pittsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 79.3,
        "accessScore": 42.1,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51057",
      "geoName": "Essex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.7,
        "accessScore": 47.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 66.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51057",
      "geoName": "Essex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.7,
        "accessScore": 47.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 78.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51057",
      "geoName": "Essex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.7,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 47.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51057",
      "geoName": "Essex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.7,
        "accessScore": 47.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51077",
      "geoName": "Grayson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.6,
        "accessScore": 46.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 66.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51077",
      "geoName": "Grayson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.6,
        "accessScore": 46.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 83.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51077",
      "geoName": "Grayson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.6,
        "accessScore": 46.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51077",
      "geoName": "Grayson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.6,
        "accessScore": 46.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51001",
      "geoName": "Accomack",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.4,
        "accessScore": 48.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 66.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51001",
      "geoName": "Accomack",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.4,
        "accessScore": 48.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 80.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51001",
      "geoName": "Accomack",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.4,
        "accessScore": 48.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51001",
      "geoName": "Accomack",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.4,
        "accessScore": 48.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51183",
      "geoName": "Sussex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.7,
        "accessScore": 59.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 66.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51183",
      "geoName": "Sussex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.7,
        "accessScore": 59.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 69.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51183",
      "geoName": "Sussex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.7,
        "accessScore": 59.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 59.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51183",
      "geoName": "Sussex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.7,
        "accessScore": 59.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51169",
      "geoName": "Scott",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 41.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 65.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51169",
      "geoName": "Scott",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 41.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 75.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51169",
      "geoName": "Scott",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 41.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51169",
      "geoName": "Scott",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 41.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51051",
      "geoName": "Dickenson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 82.1,
        "accessScore": 46.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 65.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51051",
      "geoName": "Dickenson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 82.1,
        "accessScore": 46.1,
        "shortageScore": 69.2,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 82.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51051",
      "geoName": "Dickenson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 82.1,
        "accessScore": 46.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51051",
      "geoName": "Dickenson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 82.1,
        "accessScore": 46.1,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51620",
      "geoName": "Franklin city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 77.4,
        "accessScore": 65.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51620",
      "geoName": "Franklin city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 77.4,
        "accessScore": 65.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 77.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51620",
      "geoName": "Franklin city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 77.4,
        "accessScore": 65.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 65.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51620",
      "geoName": "Franklin city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 77.4,
        "accessScore": 65.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51131",
      "geoName": "Northampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.0,
        "accessScore": 45.1,
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        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51131",
      "geoName": "Northampton",
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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": 24,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.0,
        "accessScore": 45.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 78.0,
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    {
      "kind": "derived",
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      "fips": "51131",
      "geoName": "Northampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.0,
        "accessScore": 45.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 45.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51131",
      "geoName": "Northampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 78.0,
        "accessScore": 45.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51029",
      "geoName": "Buckingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.5,
        "accessScore": 48.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51029",
      "geoName": "Buckingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.5,
        "accessScore": 48.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 73.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51029",
      "geoName": "Buckingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.5,
        "accessScore": 48.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51029",
      "geoName": "Buckingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.5,
        "accessScore": 48.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51089",
      "geoName": "Henry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 46.6,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51089",
      "geoName": "Henry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 46.6,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 83.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51089",
      "geoName": "Henry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 46.6,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51089",
      "geoName": "Henry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 83.0,
        "accessScore": 46.6,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51185",
      "geoName": "Tazewell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.8,
        "accessScore": 43.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51185",
      "geoName": "Tazewell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.8,
        "accessScore": 43.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 73.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51185",
      "geoName": "Tazewell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.8,
        "accessScore": 43.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51185",
      "geoName": "Tazewell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 73.8,
        "accessScore": 43.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51167",
      "geoName": "Russell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.0,
        "accessScore": 39.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 60.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51167",
      "geoName": "Russell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.0,
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        "shortageScore": 69.2,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51167",
      "geoName": "Russell",
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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": 28,
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      "components": {
        "burdenScore": 74.0,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 39.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51167",
      "geoName": "Russell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 74.0,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51770",
      "geoName": "Roanoke city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.8,
        "accessScore": 54.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 60.7,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "51770",
      "geoName": "Roanoke city",
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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": 29,
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      "components": {
        "burdenScore": 61.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51770",
      "geoName": "Roanoke city",
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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": 29,
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      "components": {
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      "measureId": "accessScore",
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      "value": 54.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51770",
      "geoName": "Roanoke city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
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      "components": {
        "burdenScore": 61.8,
        "accessScore": 54.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51159",
      "geoName": "Richmond",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 63.4,
        "accessScore": 46.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51159",
      "geoName": "Richmond",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 63.4,
        "accessScore": 46.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 63.4,
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    {
      "kind": "derived",
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      "fips": "51159",
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      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 63.4,
        "accessScore": 46.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51159",
      "geoName": "Richmond",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 63.4,
        "accessScore": 46.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51036",
      "geoName": "Charles City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.5,
        "accessScore": 42.5,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51036",
      "geoName": "Charles City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.5,
        "accessScore": 42.5,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 81.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51036",
      "geoName": "Charles City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.5,
        "accessScore": 42.5,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 42.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51036",
      "geoName": "Charles City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.5,
        "accessScore": 42.5,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51700",
      "geoName": "Newport News city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 50.8,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51700",
      "geoName": "Newport News city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 50.8,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 49.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51700",
      "geoName": "Newport News city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 50.8,
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        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 50.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51700",
      "geoName": "Newport News city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 50.8,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51720",
      "geoName": "Norton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 56.6,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51720",
      "geoName": "Norton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 56.6,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 67.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51720",
      "geoName": "Norton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.1,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 56.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51720",
      "geoName": "Norton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 56.6,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51760",
      "geoName": "Richmond city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 42.7,
        "accessScore": 57.0,
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        "hpsaMaxScore": 20,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
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      "value": 58.9,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "geoName": "Richmond city",
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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": 34,
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      "components": {
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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": 34,
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      "value": 57.0,
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    {
      "kind": "derived",
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      "fips": "51760",
      "geoName": "Richmond city",
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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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
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      "components": {
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51193",
      "geoName": "Westmoreland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.7,
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      "measureId": "priorityIndex",
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      "value": 58.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51193",
      "geoName": "Westmoreland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
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      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 81.7,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51193",
      "geoName": "Westmoreland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.7,
        "accessScore": 44.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 44.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51193",
      "geoName": "Westmoreland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 81.7,
        "accessScore": 44.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51035",
      "geoName": "Carroll",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 35.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51035",
      "geoName": "Carroll",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 35.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 75.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51035",
      "geoName": "Carroll",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 35.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51035",
      "geoName": "Carroll",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.5,
        "accessScore": 35.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51117",
      "geoName": "Mecklenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.3,
        "accessScore": 45.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51117",
      "geoName": "Mecklenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.3,
        "accessScore": 45.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 80.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51117",
      "geoName": "Mecklenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.3,
        "accessScore": 45.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 45.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51117",
      "geoName": "Mecklenburg",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 80.3,
        "accessScore": 45.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51141",
      "geoName": "Patrick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 30.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51141",
      "geoName": "Patrick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 30.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 75.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51141",
      "geoName": "Patrick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 30.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 30.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51141",
      "geoName": "Patrick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 38,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 75.4,
        "accessScore": 30.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51173",
      "geoName": "Smyth",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.5,
        "accessScore": 39.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51173",
      "geoName": "Smyth",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureId": "burdenScore",
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    {
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      "fips": "51173",
      "geoName": "Smyth",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.5,
        "accessScore": 39.2,
        "shortageScore": 65.4,
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      "measureId": "accessScore",
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      "value": 39.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51173",
      "geoName": "Smyth",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 39,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.5,
        "accessScore": 39.2,
        "shortageScore": 65.4,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51195",
      "geoName": "Wise",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 71.0,
        "accessScore": 48.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51195",
      "geoName": "Wise",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 71.0,
        "accessScore": 48.3,
        "shortageScore": 53.8,
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      "measureId": "burdenScore",
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      "value": 71.0,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "51195",
      "geoName": "Wise",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 71.0,
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        "shortageScore": 53.8,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51195",
      "geoName": "Wise",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 71.0,
        "accessScore": 48.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51005",
      "geoName": "Alleghany",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.6,
        "accessScore": 31.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.1,
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51005",
      "geoName": "Alleghany",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.6,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51005",
      "geoName": "Alleghany",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.6,
        "accessScore": 31.6,
        "shortageScore": 73.1,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51005",
      "geoName": "Alleghany",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.6,
        "accessScore": 31.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51840",
      "geoName": "Winchester city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.4,
        "accessScore": 53.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51840",
      "geoName": "Winchester city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.4,
        "accessScore": 53.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 56.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51840",
      "geoName": "Winchester city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.4,
        "accessScore": 53.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 53.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51840",
      "geoName": "Winchester city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.4,
        "accessScore": 53.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51175",
      "geoName": "Southampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.8,
        "accessScore": 32.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51175",
      "geoName": "Southampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.8,
        "accessScore": 32.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 61.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51175",
      "geoName": "Southampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 32.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51175",
      "geoName": "Southampton",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 43,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.8,
        "accessScore": 32.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51147",
      "geoName": "Prince Edward",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 44,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 55.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51147",
      "geoName": "Prince Edward",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 44,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 55.1,
        "shortageScore": 65.4,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 49.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51147",
      "geoName": "Prince Edward",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 44,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 55.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51147",
      "geoName": "Prince Edward",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 44,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.8,
        "accessScore": 55.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51049",
      "geoName": "Cumberland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 45,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.3,
        "accessScore": 34.2,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.6,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "51049",
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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": 45,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "shortageScore": 69.2,
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      "measureId": "burdenScore",
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      "value": 66.3,
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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": 45,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.3,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
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      "geoName": "Cumberland",
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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": 45,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 66.3,
        "accessScore": 34.2,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51017",
      "geoName": "Bath",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 88.2,
        "accessScore": 38.5,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.3,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51017",
      "geoName": "Bath",
      "state": "VA",
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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": 46,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 88.2,
        "accessScore": 38.5,
        "shortageScore": 42.3,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 88.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51017",
      "geoName": "Bath",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 88.2,
        "accessScore": 38.5,
        "shortageScore": 42.3,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51017",
      "geoName": "Bath",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 46,
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      "components": {
        "burdenScore": 88.2,
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        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51097",
      "geoName": "King and Queen",
      "state": "VA",
      "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": 47,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 38.1,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.2,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "51097",
      "geoName": "King and Queen",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 38.1,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 72.8,
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    {
      "kind": "derived",
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      "fips": "51097",
      "geoName": "King and Queen",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 38.1,
        "shortageScore": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 38.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51097",
      "geoName": "King and Queen",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 47,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.8,
        "accessScore": 38.1,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51135",
      "geoName": "Nottoway",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.1,
        "accessScore": 57.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51135",
      "geoName": "Nottoway",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.1,
        "accessScore": 57.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 72.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51135",
      "geoName": "Nottoway",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.1,
        "accessScore": 57.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51135",
      "geoName": "Nottoway",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 72.1,
        "accessScore": 57.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51007",
      "geoName": "Amelia",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.9,
        "accessScore": 35.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51007",
      "geoName": "Amelia",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.9,
        "accessScore": 35.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 69.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51007",
      "geoName": "Amelia",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.9,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51007",
      "geoName": "Amelia",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 69.9,
        "accessScore": 35.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51125",
      "geoName": "Nelson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 50,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.6,
        "accessScore": 27.8,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51125",
      "geoName": "Nelson",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 50,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.6,
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        "shortageScore": 76.9,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 61.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51125",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 50,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51125",
      "geoName": "Nelson",
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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": 50,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.6,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51520",
      "geoName": "Bristol city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 51,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 65.6,
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      "measureId": "priorityIndex",
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      "value": 55.0,
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 51,
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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)",
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      "rank": 51,
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      "components": {
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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": 51,
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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51650",
      "geoName": "Hampton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.8,
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      "measureId": "priorityIndex",
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      "value": 55.0,
      "derivedFrom": [
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51650",
      "geoName": "Hampton city",
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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": 52,
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      "components": {
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 54.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51650",
      "geoName": "Hampton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.8,
        "accessScore": 48.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51650",
      "geoName": "Hampton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.8,
        "accessScore": 48.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51021",
      "geoName": "Bland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.2,
        "accessScore": 27.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51021",
      "geoName": "Bland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.2,
        "accessScore": 27.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 56.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51021",
      "geoName": "Bland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.2,
        "accessScore": 27.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51021",
      "geoName": "Bland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.2,
        "accessScore": 27.3,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51685",
      "geoName": "Manassas Park city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.0,
        "accessScore": 55.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51685",
      "geoName": "Manassas Park city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.0,
        "accessScore": 55.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 47.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51685",
      "geoName": "Manassas Park city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.0,
        "accessScore": 55.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 55.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51685",
      "geoName": "Manassas Park city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.0,
        "accessScore": 55.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51710",
      "geoName": "Norfolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 55,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.1,
        "accessScore": 56.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51710",
      "geoName": "Norfolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 55,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.1,
        "accessScore": 56.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 45.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51710",
      "geoName": "Norfolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 55,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.1,
        "accessScore": 56.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 56.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51710",
      "geoName": "Norfolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 55,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.1,
        "accessScore": 56.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51660",
      "geoName": "Harrisonburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 30.8,
        "accessScore": 59.5,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51660",
      "geoName": "Harrisonburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "fips": "51660",
      "geoName": "Harrisonburg city",
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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": 56,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureId": "accessScore",
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      "value": 59.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51660",
      "geoName": "Harrisonburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 30.8,
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        "shortageScore": 73.1,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51181",
      "geoName": "Surry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 70.2,
        "accessScore": 34.6,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51181",
      "geoName": "Surry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 70.2,
        "accessScore": 34.6,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 70.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51181",
      "geoName": "Surry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 70.2,
        "accessScore": 34.6,
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        "hpsaMaxScore": 14,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51181",
      "geoName": "Surry",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 70.2,
        "accessScore": 34.6,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
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      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51009",
      "geoName": "Amherst",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.5,
        "accessScore": 32.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 51.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51009",
      "geoName": "Amherst",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.5,
        "accessScore": 32.2,
        "shortageScore": 61.5,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51009",
      "geoName": "Amherst",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.5,
        "accessScore": 32.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 32.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51009",
      "geoName": "Amherst",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 61.5,
        "accessScore": 32.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51680",
      "geoName": "Lynchburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.1,
        "accessScore": 46.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 51.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51680",
      "geoName": "Lynchburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.1,
        "accessScore": 46.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 35.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51680",
      "geoName": "Lynchburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.1,
        "accessScore": 46.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51680",
      "geoName": "Lynchburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.1,
        "accessScore": 46.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51011",
      "geoName": "Appomattox",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.9,
        "accessScore": 31.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 51.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51011",
      "geoName": "Appomattox",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.9,
        "accessScore": 31.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 60.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51011",
      "geoName": "Appomattox",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.9,
        "accessScore": 31.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51011",
      "geoName": "Appomattox",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.9,
        "accessScore": 31.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51033",
      "geoName": "Caroline",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.5,
        "accessScore": 36.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 51.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51033",
      "geoName": "Caroline",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.5,
        "accessScore": 36.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51033",
      "geoName": "Caroline",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.5,
        "accessScore": 36.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 36.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51033",
      "geoName": "Caroline",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.5,
        "accessScore": 36.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51163",
      "geoName": "Rockbridge",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 19.9,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 50.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51163",
      "geoName": "Rockbridge",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 19.9,
        "shortageScore": 76.9,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51163",
      "geoName": "Rockbridge",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 19.9,
        "shortageScore": 76.9,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 19.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51163",
      "geoName": "Rockbridge",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 19.9,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51171",
      "geoName": "Shenandoah",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 63,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 50.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51171",
      "geoName": "Shenandoah",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 63,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51171",
      "geoName": "Shenandoah",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 63,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 33.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 33.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51171",
      "geoName": "Shenandoah",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 63,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.2,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51103",
      "geoName": "Lancaster",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 64,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 76.5,
        "accessScore": 28.1,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 50.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51103",
      "geoName": "Lancaster",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 64,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 76.5,
        "accessScore": 28.1,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 76.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51103",
      "geoName": "Lancaster",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 64,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 76.5,
        "accessScore": 28.1,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51103",
      "geoName": "Lancaster",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 64,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 76.5,
        "accessScore": 28.1,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51139",
      "geoName": "Page",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 65,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 31.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 50.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51139",
      "geoName": "Page",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 65,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 31.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 58.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51139",
      "geoName": "Page",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 65,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 31.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51139",
      "geoName": "Page",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 65,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 31.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51067",
      "geoName": "Franklin",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 66,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.2,
        "accessScore": 27.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51067",
      "geoName": "Franklin",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 66,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.2,
        "accessScore": 27.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 59.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51067",
      "geoName": "Franklin",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 66,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.2,
        "accessScore": 27.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51067",
      "geoName": "Franklin",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 66,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.2,
        "accessScore": 27.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51071",
      "geoName": "Giles",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 67,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.6,
        "accessScore": 28.3,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51071",
      "geoName": "Giles",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 67,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.6,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51071",
      "geoName": "Giles",
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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": 67,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.6,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51071",
      "geoName": "Giles",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 67,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.6,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51530",
      "geoName": "Buena Vista city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 68,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.4,
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        "shortageScore": 50.0,
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      "measureId": "priorityIndex",
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      "value": 48.0,
      "derivedFrom": [
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51530",
      "geoName": "Buena Vista city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 68,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.4,
        "accessScore": 41.6,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 52.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51530",
      "geoName": "Buena Vista city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 68,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.4,
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        "shortageScore": 50.0,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51530",
      "geoName": "Buena Vista city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 68,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.4,
        "accessScore": 41.6,
        "shortageScore": 50.0,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51197",
      "geoName": "Wythe",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 69,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 62.0,
        "accessScore": 33.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51197",
      "geoName": "Wythe",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 69,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 62.0,
        "accessScore": 33.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 62.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51197",
      "geoName": "Wythe",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 69,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 62.0,
        "accessScore": 33.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 33.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51197",
      "geoName": "Wythe",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 69,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 62.0,
        "accessScore": 33.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51683",
      "geoName": "Manassas city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 70,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 34.8,
        "accessScore": 41.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51683",
      "geoName": "Manassas city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 70,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 34.8,
        "accessScore": 41.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 34.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51683",
      "geoName": "Manassas city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 70,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 34.8,
        "accessScore": 41.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51683",
      "geoName": "Manassas city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 70,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 34.8,
        "accessScore": 41.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51031",
      "geoName": "Campbell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 71,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 29.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51031",
      "geoName": "Campbell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 71,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 29.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51031",
      "geoName": "Campbell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 71,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 29.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51031",
      "geoName": "Campbell",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 71,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 29.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51133",
      "geoName": "Northumberland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 72,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.7,
        "accessScore": 20.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51133",
      "geoName": "Northumberland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 72,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.7,
        "accessScore": 20.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 67.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51133",
      "geoName": "Northumberland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 72,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.7,
        "accessScore": 20.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51133",
      "geoName": "Northumberland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 72,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 67.7,
        "accessScore": 20.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51091",
      "geoName": "Highland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 73,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 16.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51091",
      "geoName": "Highland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 73,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 16.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 60.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51091",
      "geoName": "Highland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 73,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 16.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 16.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51091",
      "geoName": "Highland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 73,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 16.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51191",
      "geoName": "Washington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 74,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.5,
        "accessScore": 23.0,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51191",
      "geoName": "Washington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 74,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.5,
        "accessScore": 23.0,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 56.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51191",
      "geoName": "Washington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 74,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.5,
        "accessScore": 23.0,
        "shortageScore": 53.8,
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        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 23.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51191",
      "geoName": "Washington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 74,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 56.5,
        "accessScore": 23.0,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51045",
      "geoName": "Craig",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 75,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.7,
        "accessScore": 27.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51045",
      "geoName": "Craig",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 75,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.7,
        "accessScore": 27.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 59.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51045",
      "geoName": "Craig",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 75,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.7,
        "accessScore": 27.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51045",
      "geoName": "Craig",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 75,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 59.7,
        "accessScore": 27.2,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51119",
      "geoName": "Middlesex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 76,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 68.4,
        "accessScore": 19.6,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51119",
      "geoName": "Middlesex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 76,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 68.4,
        "accessScore": 19.6,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 68.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51119",
      "geoName": "Middlesex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 76,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 68.4,
        "accessScore": 19.6,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 19.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51119",
      "geoName": "Middlesex",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 76,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 68.4,
        "accessScore": 19.6,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51153",
      "geoName": "Prince William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 77,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 26.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51153",
      "geoName": "Prince William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 77,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 26.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 29.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51153",
      "geoName": "Prince William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 77,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 26.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 26.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51153",
      "geoName": "Prince William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 77,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 26.4,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51155",
      "geoName": "Pulaski",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 78,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 28.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51155",
      "geoName": "Pulaski",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 78,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 28.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51155",
      "geoName": "Pulaski",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 78,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 28.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51155",
      "geoName": "Pulaski",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 78,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 55.7,
        "accessScore": 28.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51069",
      "geoName": "Frederick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 79,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.6,
        "accessScore": 22.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51069",
      "geoName": "Frederick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 79,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.6,
        "accessScore": 22.2,
        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 41.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51069",
      "geoName": "Frederick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 79,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.6,
        "accessScore": 22.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51069",
      "geoName": "Frederick",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 79,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.6,
        "accessScore": 22.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51101",
      "geoName": "King William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 80,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.3,
        "accessScore": 22.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51101",
      "geoName": "King William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 80,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.3,
        "accessScore": 22.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 41.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51101",
      "geoName": "King William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 80,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.3,
        "accessScore": 22.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 5
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51101",
      "geoName": "King William",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 80,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 41.3,
        "accessScore": 22.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 5
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51750",
      "geoName": "Radford city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 81,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 53.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51750",
      "geoName": "Radford city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 81,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 53.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 28.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51750",
      "geoName": "Radford city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 81,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 53.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51750",
      "geoName": "Radford city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 81,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.6,
        "accessScore": 53.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51187",
      "geoName": "Warren",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 82,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.5,
        "accessScore": 29.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51187",
      "geoName": "Warren",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 82,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.5,
        "accessScore": 29.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 4
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51187",
      "geoName": "Warren",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 82,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.5,
        "accessScore": 29.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51187",
      "geoName": "Warren",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 82,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.5,
        "accessScore": 29.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51165",
      "geoName": "Rockingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 83,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.6,
        "accessScore": 25.8,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51165",
      "geoName": "Rockingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 83,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.6,
        "accessScore": 25.8,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 44.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51165",
      "geoName": "Rockingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 83,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.6,
        "accessScore": 25.8,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 25.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51165",
      "geoName": "Rockingham",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 83,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.6,
        "accessScore": 25.8,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51115",
      "geoName": "Mathews",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 84,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 15.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51115",
      "geoName": "Mathews",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 84,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 15.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 60.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51115",
      "geoName": "Mathews",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 84,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 15.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51115",
      "geoName": "Mathews",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 84,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 15.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51149",
      "geoName": "Prince George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 85,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.8,
        "accessScore": 36.6,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51149",
      "geoName": "Prince George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 85,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.8,
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        "shortageScore": 46.2,
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      "measureId": "burdenScore",
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      "value": 38.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51149",
      "geoName": "Prince George",
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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": 85,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.8,
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        "shortageScore": 46.2,
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        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 36.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51149",
      "geoName": "Prince George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 85,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.8,
        "accessScore": 36.6,
        "shortageScore": 46.2,
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        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51121",
      "geoName": "Montgomery",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 86,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.6,
        "accessScore": 33.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51121",
      "geoName": "Montgomery",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 86,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.6,
        "accessScore": 33.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 21.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51121",
      "geoName": "Montgomery",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 86,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.6,
        "accessScore": 33.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 33.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51121",
      "geoName": "Montgomery",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 86,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.6,
        "accessScore": 33.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51550",
      "geoName": "Chesapeake city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 87,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 43.1,
        "accessScore": 29.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51550",
      "geoName": "Chesapeake city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 87,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 43.1,
        "accessScore": 29.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 43.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51550",
      "geoName": "Chesapeake city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 87,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 43.1,
        "accessScore": 29.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51550",
      "geoName": "Chesapeake city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 87,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 43.1,
        "accessScore": 29.0,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51830",
      "geoName": "Williamsburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 88,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.0,
        "accessScore": 32.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51830",
      "geoName": "Williamsburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 88,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.0,
        "accessScore": 32.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 21.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51830",
      "geoName": "Williamsburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 88,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.0,
        "accessScore": 32.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 32.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51830",
      "geoName": "Williamsburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 88,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.0,
        "accessScore": 32.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51047",
      "geoName": "Culpeper",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 89,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.6,
        "accessScore": 28.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51047",
      "geoName": "Culpeper",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 89,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.6,
        "accessScore": 28.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 47.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51047",
      "geoName": "Culpeper",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 89,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.6,
        "accessScore": 28.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51047",
      "geoName": "Culpeper",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 89,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.6,
        "accessScore": 28.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51109",
      "geoName": "Louisa",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 90,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.0,
        "accessScore": 25.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51109",
      "geoName": "Louisa",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 90,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.0,
        "accessScore": 25.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 54.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51109",
      "geoName": "Louisa",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 90,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.0,
        "accessScore": 25.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 25.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51109",
      "geoName": "Louisa",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 90,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 54.0,
        "accessScore": 25.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51157",
      "geoName": "Rappahannock",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 91,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.0,
        "accessScore": 17.0,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51157",
      "geoName": "Rappahannock",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 91,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.0,
        "accessScore": 17.0,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 58.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51157",
      "geoName": "Rappahannock",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 91,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.0,
        "accessScore": 17.0,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 17.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51157",
      "geoName": "Rappahannock",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 91,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 58.0,
        "accessScore": 17.0,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51063",
      "geoName": "Floyd",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 92,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 51.2,
        "accessScore": 22.9,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.5,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51063",
      "geoName": "Floyd",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 92,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 51.2,
        "accessScore": 22.9,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 51.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51063",
      "geoName": "Floyd",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 92,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 51.2,
        "accessScore": 22.9,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51063",
      "geoName": "Floyd",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 92,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 51.2,
        "accessScore": 22.9,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51065",
      "geoName": "Fluvanna",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 93,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.5,
        "accessScore": 18.5,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51065",
      "geoName": "Fluvanna",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 93,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.5,
        "accessScore": 18.5,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 45.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51065",
      "geoName": "Fluvanna",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 93,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.5,
        "accessScore": 18.5,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51065",
      "geoName": "Fluvanna",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 93,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 45.5,
        "accessScore": 18.5,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51099",
      "geoName": "King George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 94,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 36.7,
        "accessScore": 21.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51099",
      "geoName": "King George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 94,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 36.7,
        "accessScore": 21.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 36.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51099",
      "geoName": "King George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 94,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 36.7,
        "accessScore": 21.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51099",
      "geoName": "King George",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 94,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 36.7,
        "accessScore": 21.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51678",
      "geoName": "Lexington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 95,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 11.2,
        "accessScore": 34.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 35.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51678",
      "geoName": "Lexington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 95,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 11.2,
        "accessScore": 34.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 11.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51678",
      "geoName": "Lexington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 95,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 11.2,
        "accessScore": 34.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51678",
      "geoName": "Lexington city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 95,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 11.2,
        "accessScore": 34.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51023",
      "geoName": "Botetourt",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 96,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.7,
        "accessScore": 14.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51023",
      "geoName": "Botetourt",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 96,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.7,
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        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 47.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51023",
      "geoName": "Botetourt",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 96,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.7,
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        "shortageScore": 42.3,
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        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 14.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51023",
      "geoName": "Botetourt",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 96,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 47.7,
        "accessScore": 14.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51015",
      "geoName": "Augusta",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 97,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 22.3,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51015",
      "geoName": "Augusta",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 97,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 22.3,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51015",
      "geoName": "Augusta",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 97,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 22.3,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51015",
      "geoName": "Augusta",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 97,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 22.3,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 23.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51510",
      "geoName": "Alexandria city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 98,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 19.5,
        "accessScore": 29.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 10
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 32.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51510",
      "geoName": "Alexandria city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 98,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 19.5,
        "accessScore": 29.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 10
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 19.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51510",
      "geoName": "Alexandria city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 98,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 19.5,
        "accessScore": 29.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 10
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51510",
      "geoName": "Alexandria city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 98,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 19.5,
        "accessScore": 29.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 10
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51179",
      "geoName": "Stafford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 99,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.3,
        "accessScore": 20.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51179",
      "geoName": "Stafford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 99,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.3,
        "accessScore": 20.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 28.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51179",
      "geoName": "Stafford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 99,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.3,
        "accessScore": 20.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51179",
      "geoName": "Stafford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 99,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 28.3,
        "accessScore": 20.4,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51019",
      "geoName": "Bedford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 100,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.4,
        "accessScore": 17.4,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51019",
      "geoName": "Bedford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 100,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.4,
        "accessScore": 17.4,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 49.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51019",
      "geoName": "Bedford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 100,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.4,
        "accessScore": 17.4,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 17.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51019",
      "geoName": "Bedford",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 100,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 49.4,
        "accessScore": 17.4,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 26.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51059",
      "geoName": "Fairfax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 101,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 14.4,
        "accessScore": 15.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 16
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51059",
      "geoName": "Fairfax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 101,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 14.4,
        "accessScore": 15.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 16
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 14.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51059",
      "geoName": "Fairfax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 101,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 14.4,
        "accessScore": 15.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 16
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51059",
      "geoName": "Fairfax",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 101,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 14.4,
        "accessScore": 15.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 16
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51073",
      "geoName": "Gloucester",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 102,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.5,
        "accessScore": 16.9,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51073",
      "geoName": "Gloucester",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 102,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.5,
        "accessScore": 16.9,
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        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 46.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51073",
      "geoName": "Gloucester",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 102,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.5,
        "accessScore": 16.9,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 16.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51073",
      "geoName": "Gloucester",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 102,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.5,
        "accessScore": 16.9,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 26.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51820",
      "geoName": "Waynesboro city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 103,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.1,
        "accessScore": 37.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51820",
      "geoName": "Waynesboro city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 103,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.1,
        "accessScore": 37.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 52.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51820",
      "geoName": "Waynesboro city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 103,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.1,
        "accessScore": 37.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51820",
      "geoName": "Waynesboro city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 103,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 52.1,
        "accessScore": 37.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51053",
      "geoName": "Dinwiddie",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 104,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.0,
        "accessScore": 31.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 29.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51053",
      "geoName": "Dinwiddie",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 104,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.0,
        "accessScore": 31.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51053",
      "geoName": "Dinwiddie",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 104,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.0,
        "accessScore": 31.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51053",
      "geoName": "Dinwiddie",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 104,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 57.0,
        "accessScore": 31.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51800",
      "geoName": "Suffolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 105,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 35.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 28.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51800",
      "geoName": "Suffolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 105,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 35.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 50.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51800",
      "geoName": "Suffolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 105,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 35.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51800",
      "geoName": "Suffolk city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 105,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 35.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51095",
      "geoName": "James City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 106,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.7,
        "accessScore": 12.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 28.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51095",
      "geoName": "James City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 106,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.7,
        "accessScore": 12.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 38.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51095",
      "geoName": "James City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 106,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.7,
        "accessScore": 12.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51095",
      "geoName": "James City",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 106,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 38.7,
        "accessScore": 12.4,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51790",
      "geoName": "Staunton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 107,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.6,
        "accessScore": 31.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 26.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51790",
      "geoName": "Staunton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 107,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.6,
        "accessScore": 31.9,
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        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 46.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51790",
      "geoName": "Staunton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 107,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.6,
        "accessScore": 31.9,
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51790",
      "geoName": "Staunton city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 107,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 46.6,
        "accessScore": 31.9,
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        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51107",
      "geoName": "Loudoun",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 108,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 13.2,
        "accessScore": 10.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 25.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51107",
      "geoName": "Loudoun",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 108,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 13.2,
        "accessScore": 10.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 13.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51107",
      "geoName": "Loudoun",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 108,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 13.2,
        "accessScore": 10.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 10.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51107",
      "geoName": "Loudoun",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 108,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 13.2,
        "accessScore": 10.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51079",
      "geoName": "Greene",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 109,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.9,
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 109,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
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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": 109,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
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    {
      "kind": "derived",
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      "fips": "51079",
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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": 109,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.9,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51113",
      "geoName": "Madison",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 110,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 20.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51113",
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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": 110,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
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      "fips": "51113",
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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": 110,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 20.6,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51113",
      "geoName": "Madison",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 110,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 53.8,
        "accessScore": 20.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51013",
      "geoName": "Arlington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 111,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 2.0,
        "accessScore": 22.5,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 12
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51013",
      "geoName": "Arlington",
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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": 111,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 2.0,
        "accessScore": 22.5,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 12
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 2.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51013",
      "geoName": "Arlington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 111,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 2.0,
        "accessScore": 22.5,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 12
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51013",
      "geoName": "Arlington",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 111,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 2.0,
        "accessScore": 22.5,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 12
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51137",
      "geoName": "Orange",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 112,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 25.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51137",
      "geoName": "Orange",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 112,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 25.3,
        "shortageScore": 0.0,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51137",
      "geoName": "Orange",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 112,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.2,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 25.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51137",
      "geoName": "Orange",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 112,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.2,
        "accessScore": 25.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51570",
      "geoName": "Colonial Heights city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 113,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 43.1,
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      "measureId": "priorityIndex",
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "geoName": "Colonial Heights city",
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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": 113,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureId": "burdenScore",
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    {
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      "geoName": "Colonial Heights city",
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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": 113,
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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "fips": "51570",
      "geoName": "Colonial Heights city",
      "state": "VA",
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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": 113,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 43.1,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51093",
      "geoName": "Isle of Wight",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 114,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.6,
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      },
      "measureId": "priorityIndex",
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
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      "geoName": "Isle of Wight",
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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": 114,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 23.0,
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      "measureId": "burdenScore",
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      "value": 48.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51093",
      "geoName": "Isle of Wight",
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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": 114,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.6,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 23.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51093",
      "geoName": "Isle of Wight",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 114,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 48.6,
        "accessScore": 23.0,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51630",
      "geoName": "Fredericksburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 115,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 31.0,
        "accessScore": 40.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 23.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51630",
      "geoName": "Fredericksburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 115,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 31.0,
        "accessScore": 40.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 31.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51630",
      "geoName": "Fredericksburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 115,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 31.0,
        "accessScore": 40.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 40.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51630",
      "geoName": "Fredericksburg city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 115,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 31.0,
        "accessScore": 40.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51177",
      "geoName": "Spotsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 116,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.2,
        "accessScore": 25.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 23.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51177",
      "geoName": "Spotsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 116,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.2,
        "accessScore": 25.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 44.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51177",
      "geoName": "Spotsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 116,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.2,
        "accessScore": 25.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 25.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51177",
      "geoName": "Spotsylvania",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 116,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 44.2,
        "accessScore": 25.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51775",
      "geoName": "Salem city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 117,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 40.9,
        "accessScore": 25.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 22.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51775",
      "geoName": "Salem city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 117,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 40.9,
        "accessScore": 25.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 40.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51775",
      "geoName": "Salem city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 117,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 40.9,
        "accessScore": 25.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 25.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51775",
      "geoName": "Salem city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 117,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 40.9,
        "accessScore": 25.9,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51540",
      "geoName": "Charlottesville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 118,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 25.8,
        "accessScore": 40.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 22.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51540",
      "geoName": "Charlottesville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 118,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 25.8,
        "accessScore": 40.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 25.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51540",
      "geoName": "Charlottesville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 118,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 25.8,
        "accessScore": 40.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 40.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51540",
      "geoName": "Charlottesville city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 118,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 25.8,
        "accessScore": 40.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51145",
      "geoName": "Powhatan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 119,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 42.5,
        "accessScore": 11.1,
        "shortageScore": 11.5,
        "hpsaMaxScore": 3,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 21.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51145",
      "geoName": "Powhatan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 119,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 42.5,
        "accessScore": 11.1,
        "shortageScore": 11.5,
        "hpsaMaxScore": 3,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 42.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51145",
      "geoName": "Powhatan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 119,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 42.5,
        "accessScore": 11.1,
        "shortageScore": 11.5,
        "hpsaMaxScore": 3,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 11.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51145",
      "geoName": "Powhatan",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 119,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 42.5,
        "accessScore": 11.1,
        "shortageScore": 11.5,
        "hpsaMaxScore": 3,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 11.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51810",
      "geoName": "Virginia Beach city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 120,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 37.7,
        "accessScore": 24.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 20.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51810",
      "geoName": "Virginia Beach city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
      "kind": "derived",
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      "fips": "51810",
      "geoName": "Virginia Beach city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": "virginia-county-primary-care-access-2026",
      "fips": "51087",
      "geoName": "Henrico",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 121,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.3,
        "accessScore": 26.8,
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      "measureId": "priorityIndex",
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      "fips": "51087",
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      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 121,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "accessScore": 26.8,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51087",
      "geoName": "Henrico",
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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": 121,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.3,
        "accessScore": 26.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51087",
      "geoName": "Henrico",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 121,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 35.3,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51041",
      "geoName": "Chesterfield",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 122,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 37.9,
        "accessScore": 22.5,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 20.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51041",
      "geoName": "Chesterfield",
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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": 122,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 37.9,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 37.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51041",
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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": 122,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51041",
      "geoName": "Chesterfield",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 122,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51161",
      "geoName": "Roanoke",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 123,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 39.7,
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        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 19.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-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": 123,
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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": "virginia-county-primary-care-access-2026",
      "fips": "51161",
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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": 123,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51043",
      "geoName": "Clarke",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 124,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "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": 124,
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      "components": {
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      "components": {
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    {
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      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51061",
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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": 125,
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      "components": {
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      "rank": 125,
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      "rank": 125,
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    {
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      "rank": 125,
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      "components": {
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      "kind": "derived",
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      "fips": "51127",
      "geoName": "New Kent",
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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": 126,
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      "components": {
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      "measureId": "priorityIndex",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "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": "virginia-county-primary-care-access-2026",
      "fips": "51127",
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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": 126,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 36.5,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51600",
      "geoName": "Fairfax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 127,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 23.8,
        "accessScore": 22.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51600",
      "geoName": "Fairfax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 127,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 23.8,
        "accessScore": 22.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
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      "fips": "51600",
      "geoName": "Fairfax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 127,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 23.8,
        "accessScore": 22.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51600",
      "geoName": "Fairfax city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 127,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 23.8,
        "accessScore": 22.6,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51075",
      "geoName": "Goochland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 128,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 37.5,
        "accessScore": 8.0,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 15.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51075",
      "geoName": "Goochland",
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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": 128,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "accessScore": 8.0,
        "shortageScore": 0.0,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51075",
      "geoName": "Goochland",
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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": 128,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 8.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51075",
      "geoName": "Goochland",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 128,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "hpsaDesignations": 0
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51085",
      "geoName": "Hanover",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 129,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 33.0,
        "accessScore": 11.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 14.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51085",
      "geoName": "Hanover",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 129,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51085",
      "geoName": "Hanover",
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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": 129,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51085",
      "geoName": "Hanover",
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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": 129,
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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51199",
      "geoName": "York",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 130,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 27.0,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
      "kind": "derived",
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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": 130,
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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": 130,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51199",
      "geoName": "York",
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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": 130,
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      "components": {
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      "measureId": "shortageScore",
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      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51735",
      "geoName": "Poquoson city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 131,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 32.6,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 13.6,
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
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      "geoName": "Poquoson city",
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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": 131,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "accessScore": 8.2,
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      "measureId": "burdenScore",
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      "value": 32.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51735",
      "geoName": "Poquoson city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 131,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 32.6,
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 8.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51735",
      "geoName": "Poquoson city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 131,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 32.6,
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51003",
      "geoName": "Albemarle",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 132,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.6,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 11.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51003",
      "geoName": "Albemarle",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 132,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 21.6,
        "accessScore": 12.8,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 21.6,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51003",
      "geoName": "Albemarle",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 132,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51003",
      "geoName": "Albemarle",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 132,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      },
      "measureId": "shortageScore",
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51610",
      "geoName": "Falls Church city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 133,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
        "burdenScore": 9.9,
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51610",
      "geoName": "Falls Church city",
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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": 133,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 9.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51610",
      "geoName": "Falls Church city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 133,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 5.7,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "virginia-county-primary-care-access-2026",
      "fips": "51610",
      "geoName": "Falls Church city",
      "state": "VA",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 133,
      "rankScope": "intra-state (Virginia, 133 counties and independent cities)",
      "components": {
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      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    }
  ]
}