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      "kind": "measured",
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "components": {
        "burdenScore": 55.4,
        "accessScore": 62.2,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.4,
      "derivedFrom": []
    },
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      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50003",
      "geoName": "Bennington",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 55.4,
        "accessScore": 62.2,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 62.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50003",
      "geoName": "Bennington",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 55.4,
        "accessScore": 62.2,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50005",
      "geoName": "Caledonia",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 73.9,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 51.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50005",
      "geoName": "Caledonia",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 73.9,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50005",
      "geoName": "Caledonia",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 73.9,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 73.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50005",
      "geoName": "Caledonia",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 73.9,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 23.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50011",
      "geoName": "Franklin",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.4,
        "accessScore": 58.3,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50011",
      "geoName": "Franklin",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.4,
        "accessScore": 58.3,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50011",
      "geoName": "Franklin",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.4,
        "accessScore": 58.3,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 58.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50011",
      "geoName": "Franklin",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 57.4,
        "accessScore": 58.3,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 30.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50025",
      "geoName": "Windham",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 44.4,
        "accessScore": 62.1,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50025",
      "geoName": "Windham",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 44.4,
        "accessScore": 62.1,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 44.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50025",
      "geoName": "Windham",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 44.4,
        "accessScore": 62.1,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 62.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50025",
      "geoName": "Windham",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 44.4,
        "accessScore": 62.1,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50027",
      "geoName": "Windsor",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 40.0,
        "accessScore": 37.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50027",
      "geoName": "Windsor",
      "state": "VT",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 7,
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      "components": {
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    {
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      "geoName": "Windsor",
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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": 7,
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      "components": {
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        "shortageScore": 53.8,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50027",
      "geoName": "Windsor",
      "state": "VT",
      "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": 7,
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      "components": {
        "burdenScore": 40.0,
        "accessScore": 37.2,
        "shortageScore": 53.8,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50019",
      "geoName": "Orleans",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 68.4,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50019",
      "geoName": "Orleans",
      "state": "VT",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (Vermont, 14 counties)",
      "components": {
        "burdenScore": 68.4,
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        "shortageScore": 0.0,
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      "measureId": "burdenScore",
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      "value": 68.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50019",
      "geoName": "Orleans",
      "state": "VT",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (Vermont, 14 counties)",
      "components": {
        "burdenScore": 68.4,
        "accessScore": 61.7,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 61.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50019",
      "geoName": "Orleans",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
        "burdenScore": 68.4,
        "accessScore": 61.7,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50017",
      "geoName": "Orange",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
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      "components": {
        "burdenScore": 53.4,
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        "shortageScore": 30.8,
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        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.4,
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      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
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      "geoName": "Orange",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA 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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        "shortageScore": 30.8,
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      "geoName": "Orange",
      "state": "VT",
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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": 9,
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        "shortageScore": 30.8,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50017",
      "geoName": "Orange",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 53.4,
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        "shortageScore": 30.8,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50013",
      "geoName": "Grand Isle",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 45.7,
        "accessScore": 3.3,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.7,
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
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      "fips": "50013",
      "geoName": "Grand Isle",
      "state": "VT",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 10,
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      "components": {
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        "accessScore": 3.3,
        "shortageScore": 46.2,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 45.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50013",
      "geoName": "Grand Isle",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 45.7,
        "accessScore": 3.3,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 3.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50013",
      "geoName": "Grand Isle",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 45.7,
        "accessScore": 3.3,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50015",
      "geoName": "Lamoille",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 32.2,
        "accessScore": 31.4,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 28.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50015",
      "geoName": "Lamoille",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 32.2,
        "accessScore": 31.4,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 32.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50015",
      "geoName": "Lamoille",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 32.2,
        "accessScore": 31.4,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50015",
      "geoName": "Lamoille",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 32.2,
        "accessScore": 31.4,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 23.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50001",
      "geoName": "Addison",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 28.4,
        "accessScore": 22.6,
        "shortageScore": 34.6,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 28.5,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
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      "geoName": "Addison",
      "state": "VT",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 12,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
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      "geoName": "Addison",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
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      "components": {
        "burdenScore": 28.4,
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        "shortageScore": 34.6,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50001",
      "geoName": "Addison",
      "state": "VT",
      "geoLevel": "county",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 28.4,
        "accessScore": 22.6,
        "shortageScore": 34.6,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50023",
      "geoName": "Washington",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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    {
      "kind": "derived",
      "jurisdictionSlug": "vermont-county-primary-care-access-2026",
      "fips": "50007",
      "geoName": "Chittenden",
      "state": "VT",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "shortageScore"
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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    {
      "kind": "derived",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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    {
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      "fips": "50007",
      "geoName": "Chittenden",
      "state": "VT",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Vermont, 14 counties)",
      "components": {
        "burdenScore": 0.0,
        "accessScore": 45.5,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 30.8,
      "derivedFrom": []
    }
  ]
}
