{
  "slug": "nevada-county-primary-care-access-2026",
  "title": "Nevada Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Nevada, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 17 counties and independent cities by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Nevada",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "nevada"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:59:03+00:00",
  "dataVintage": {
    "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
    "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01",
    "acs": "ACS 2019-2023 5-year estimates"
  },
  "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties and independent cities to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county-level's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county-level), not direct counts. Scores are relative WITHIN Nevada: a 100 marks the worst county-level in the state on that axis, not a national benchmark.",
  "limitations": [
    "Scores are intra-state relative, not absolute or cross-state comparable.",
    "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.",
    "HPSA aggregation takes the worst designated primary-care score per county-level; geographic, population-group, and facility designations are pooled.",
    "Equal axis weighting is a transparent default, not a calibrated policy model.",
    "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.",
    "This is informational analysis of public data, not clinical, individual, or actuarial advice."
  ],
  "sources": [
    {
      "name": "CDC PLACES — Local Data for Better Health (County Data)",
      "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "url": "https://www.cdc.gov/places/",
      "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "HRSA — Primary Care Health Professional Shortage Areas",
      "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)",
      "url": "https://data.hrsa.gov/data/download",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "U.S. Census Bureau — American Community Survey (5-year)",
      "dataset": "ACS 2019-2023 5-year estimates",
      "url": "https://www.census.gov/programs-surveys/acs/",
      "apiUrl": "https://api.census.gov/data/2023/acs/acs5",
      "accessedDate": "2026-08-01"
    }
  ],
  "measures": {
    "burden": [
      {
        "id": "DIABETES",
        "label": "Diagnosed diabetes"
      },
      {
        "id": "OBESITY",
        "label": "Obesity"
      },
      {
        "id": "BPHIGH",
        "label": "High blood pressure"
      },
      {
        "id": "CHD",
        "label": "Coronary heart disease"
      },
      {
        "id": "GHLTH",
        "label": "Fair or poor self-rated health"
      },
      {
        "id": "PHLTH",
        "label": "Frequent physical distress"
      }
    ],
    "access": [
      {
        "id": "ACCESS2",
        "label": "Uninsured (adults 18-64)"
      },
      {
        "id": "LACKTRPT",
        "label": "Lack of reliable transportation"
      },
      {
        "id": "FOODINSECU",
        "label": "Food insecurity"
      },
      {
        "id": "HOUSINSECU",
        "label": "Housing insecurity"
      },
      {
        "id": "ACS_POVERTY",
        "label": "Below poverty (ACS)"
      },
      {
        "id": "ACS_NOVEHICLE",
        "label": "Households without a vehicle (ACS)"
      }
    ]
  },
  "stats": {
    "counties": 17,
    "countiesWithHpsa": 17,
    "countiesWithHpsaPct": 100,
    "medianDiabetes": 12.3,
    "diabetesMin": {
      "county": "Washoe",
      "value": 10.0
    },
    "diabetesMax": {
      "county": "Esmeralda",
      "value": 17.7
    },
    "medianUninsured": 13.1
  },
  "keyFindings": [
    "17 of Nevada's 17 counties and independent cities (100%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 10.0% in Washoe County to 17.7% in Esmeralda County, a 7.7-point spread within a single state.",
    "Mineral County carries the highest combined targeting-priority index (75.7/100), led by its health burden score.",
    "The median county-level uninsured rate (adults 18-64) is 13.1%, and the median adult diabetes prevalence is 12.3%."
  ],
  "counties": [
    {
      "fips": "32021",
      "name": "Mineral",
      "population": 4528,
      "priorityIndex": 75.7,
      "burdenScore": 94.1,
      "accessScore": 75.2,
      "shortageScore": 57.7,
      "topDriver": "Health burden",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 17.6,
        "OBESITY": 38.2,
        "BPHIGH": 44.0,
        "CHD": 11.1,
        "GHLTH": 30.9,
        "PHLTH": 20.0,
        "ACCESS2": 13.9,
        "LACKTRPT": 12.6,
        "FOODINSECU": 23.7,
        "HOUSINSECU": 16.6,
        "ACS_POVERTY": 18.0,
        "ACS_NOVEHICLE": 1.6
      },
      "ci": {
        "DIABETES": {
          "lo": 15.1,
          "hi": 20.2
        },
        "OBESITY": {
          "lo": 29.1,
          "hi": 47.5
        },
        "BPHIGH": {
          "lo": 39.1,
          "hi": 48.7
        },
        "CHD": {
          "lo": 9.8,
          "hi": 12.5
        },
        "GHLTH": {
          "lo": 26.9,
          "hi": 35.2
        },
        "PHLTH": {
          "lo": 17.4,
          "hi": 22.6
        },
        "ACCESS2": {
          "lo": 11.5,
          "hi": 16.6
        },
        "LACKTRPT": {
          "lo": 11.0,
          "hi": 14.4
        },
        "FOODINSECU": {
          "lo": 20.2,
          "hi": 27.5
        },
        "HOUSINSECU": {
          "lo": 14.2,
          "hi": 19.2
        }
      },
      "rank": 1
    },
    {
      "fips": "32011",
      "name": "Eureka",
      "population": 1917,
      "priorityIndex": 68.8,
      "burdenScore": 80.0,
      "accessScore": 72.5,
      "shortageScore": 53.8,
      "topDriver": "Health burden",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 16.1,
        "OBESITY": 38.8,
        "BPHIGH": 41.5,
        "CHD": 9.9,
        "GHLTH": 28.7,
        "PHLTH": 19.1,
        "ACCESS2": 12.3,
        "LACKTRPT": 11.6,
        "FOODINSECU": 21.5,
        "HOUSINSECU": 15.6,
        "ACS_POVERTY": 22.1,
        "ACS_NOVEHICLE": 8.6
      },
      "ci": {
        "DIABETES": {
          "lo": 13.7,
          "hi": 18.6
        },
        "OBESITY": {
          "lo": 29.6,
          "hi": 48.8
        },
        "BPHIGH": {
          "lo": 36.6,
          "hi": 46.5
        },
        "CHD": {
          "lo": 8.7,
          "hi": 11.2
        },
        "GHLTH": {
          "lo": 24.8,
          "hi": 33.2
        },
        "PHLTH": {
          "lo": 16.7,
          "hi": 21.8
        },
        "ACCESS2": {
          "lo": 9.8,
          "hi": 15.1
        },
        "LACKTRPT": {
          "lo": 10.0,
          "hi": 13.4
        },
        "FOODINSECU": {
          "lo": 18.0,
          "hi": 25.6
        },
        "HOUSINSECU": {
          "lo": 13.2,
          "hi": 18.4
        }
      },
      "rank": 2
    },
    {
      "fips": "32009",
      "name": "Esmeralda",
      "population": 736,
      "priorityIndex": 68.5,
      "burdenScore": 92.2,
      "accessScore": 82.6,
      "shortageScore": 30.8,
      "topDriver": "Health burden",
      "hpsaMaxScore": 8,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 17.7,
        "OBESITY": 36.1,
        "BPHIGH": 44.8,
        "CHD": 12.1,
        "GHLTH": 29.9,
        "PHLTH": 19.4,
        "ACCESS2": 14.7,
        "LACKTRPT": 10.9,
        "FOODINSECU": 20.3,
        "HOUSINSECU": 14.5,
        "ACS_POVERTY": 19.4,
        "ACS_NOVEHICLE": 31.4
      },
      "ci": {
        "DIABETES": {
          "lo": 15.1,
          "hi": 20.5
        },
        "OBESITY": {
          "lo": 27.4,
          "hi": 45.6
        },
        "BPHIGH": {
          "lo": 39.7,
          "hi": 49.9
        },
        "CHD": {
          "lo": 10.5,
          "hi": 13.9
        },
        "GHLTH": {
          "lo": 25.5,
          "hi": 34.9
        },
        "PHLTH": {
          "lo": 16.8,
          "hi": 22.3
        },
        "ACCESS2": {
          "lo": 11.8,
          "hi": 18.1
        },
        "LACKTRPT": {
          "lo": 9.2,
          "hi": 12.7
        },
        "FOODINSECU": {
          "lo": 16.8,
          "hi": 24.4
        },
        "HOUSINSECU": {
          "lo": 12.1,
          "hi": 17.2
        }
      },
      "rank": 3
    },
    {
      "fips": "32023",
      "name": "Nye",
      "population": 55720,
      "priorityIndex": 67.1,
      "burdenScore": 77.7,
      "accessScore": 50.6,
      "shortageScore": 73.1,
      "topDriver": "Health burden",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 7,
      "raw": {
        "DIABETES": 15.7,
        "OBESITY": 39.7,
        "BPHIGH": 42.3,
        "CHD": 10.1,
        "GHLTH": 27.4,
        "PHLTH": 18.3,
        "ACCESS2": 13.1,
        "LACKTRPT": 9.4,
        "FOODINSECU": 17.6,
        "HOUSINSECU": 13.2,
        "ACS_POVERTY": 15.5,
        "ACS_NOVEHICLE": 5.1
      },
      "ci": {
        "DIABETES": {
          "lo": 13.4,
          "hi": 18.1
        },
        "OBESITY": {
          "lo": 32.7,
          "hi": 47.3
        },
        "BPHIGH": {
          "lo": 37.8,
          "hi": 46.8
        },
        "CHD": {
          "lo": 8.8,
          "hi": 11.5
        },
        "GHLTH": {
          "lo": 23.3,
          "hi": 31.5
        },
        "PHLTH": {
          "lo": 15.7,
          "hi": 20.8
        },
        "ACCESS2": {
          "lo": 10.7,
          "hi": 15.9
        },
        "LACKTRPT": {
          "lo": 8.0,
          "hi": 10.8
        },
        "FOODINSECU": {
          "lo": 14.5,
          "hi": 20.7
        },
        "HOUSINSECU": {
          "lo": 11.2,
          "hi": 15.5
        }
      },
      "rank": 4
    },
    {
      "fips": "32003",
      "name": "Clark",
      "population": 2336573,
      "priorityIndex": 58.4,
      "burdenScore": 23.9,
      "accessScore": 66.7,
      "shortageScore": 84.6,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 22,
      "hpsaDesignations": 203,
      "raw": {
        "DIABETES": 12.4,
        "OBESITY": 31.4,
        "BPHIGH": 34.5,
        "CHD": 6.2,
        "GHLTH": 22.5,
        "PHLTH": 14.9,
        "ACCESS2": 15.4,
        "LACKTRPT": 10.5,
        "FOODINSECU": 19.1,
        "HOUSINSECU": 16.8,
        "ACS_POVERTY": 13.2,
        "ACS_NOVEHICLE": 7.6
      },
      "ci": {
        "DIABETES": {
          "lo": 10.7,
          "hi": 14.1
        },
        "OBESITY": {
          "lo": 26.5,
          "hi": 36.5
        },
        "BPHIGH": {
          "lo": 31.1,
          "hi": 38.0
        },
        "CHD": {
          "lo": 5.4,
          "hi": 6.9
        },
        "GHLTH": {
          "lo": 19.6,
          "hi": 25.7
        },
        "PHLTH": {
          "lo": 13.1,
          "hi": 16.9
        },
        "ACCESS2": {
          "lo": 12.5,
          "hi": 18.5
        },
        "LACKTRPT": {
          "lo": 9.1,
          "hi": 12.0
        },
        "FOODINSECU": {
          "lo": 16.3,
          "hi": 22.1
        },
        "HOUSINSECU": {
          "lo": 14.5,
          "hi": 19.2
        }
      },
      "rank": 5
    },
    {
      "fips": "32015",
      "name": "Lander",
      "population": 5769,
      "priorityIndex": 54.3,
      "burdenScore": 43.3,
      "accessScore": 54.2,
      "shortageScore": 65.4,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 13.0,
        "OBESITY": 35.1,
        "BPHIGH": 36.0,
        "CHD": 7.7,
        "GHLTH": 24.6,
        "PHLTH": 16.5,
        "ACCESS2": 13.9,
        "LACKTRPT": 10.4,
        "FOODINSECU": 18.9,
        "HOUSINSECU": 15.0,
        "ACS_POVERTY": 11.4,
        "ACS_NOVEHICLE": 2.4
      },
      "ci": {
        "DIABETES": {
          "lo": 11.0,
          "hi": 15.1
        },
        "OBESITY": {
          "lo": 26.7,
          "hi": 44.1
        },
        "BPHIGH": {
          "lo": 31.3,
          "hi": 40.6
        },
        "CHD": {
          "lo": 6.8,
          "hi": 8.8
        },
        "GHLTH": {
          "lo": 21.0,
          "hi": 28.5
        },
        "PHLTH": {
          "lo": 14.3,
          "hi": 18.9
        },
        "ACCESS2": {
          "lo": 11.2,
          "hi": 16.7
        },
        "LACKTRPT": {
          "lo": 8.9,
          "hi": 11.9
        },
        "FOODINSECU": {
          "lo": 15.6,
          "hi": 22.2
        },
        "HOUSINSECU": {
          "lo": 12.6,
          "hi": 17.4
        }
      },
      "rank": 6
    },
    {
      "fips": "32007",
      "name": "Elko",
      "population": 54293,
      "priorityIndex": 49.4,
      "burdenScore": 26.9,
      "accessScore": 52.1,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 6,
      "raw": {
        "DIABETES": 11.0,
        "OBESITY": 38.0,
        "BPHIGH": 32.1,
        "CHD": 6.2,
        "GHLTH": 22.1,
        "PHLTH": 15.1,
        "ACCESS2": 13.9,
        "LACKTRPT": 9.9,
        "FOODINSECU": 17.4,
        "HOUSINSECU": 14.6,
        "ACS_POVERTY": 11.0,
        "ACS_NOVEHICLE": 6.4
      },
      "ci": {
        "DIABETES": {
          "lo": 9.5,
          "hi": 12.8
        },
        "OBESITY": {
          "lo": 31.6,
          "hi": 45.1
        },
        "BPHIGH": {
          "lo": 28.3,
          "hi": 35.9
        },
        "CHD": {
          "lo": 5.4,
          "hi": 7.0
        },
        "GHLTH": {
          "lo": 19.0,
          "hi": 25.5
        },
        "PHLTH": {
          "lo": 13.2,
          "hi": 17.2
        },
        "ACCESS2": {
          "lo": 11.3,
          "hi": 16.7
        },
        "LACKTRPT": {
          "lo": 8.4,
          "hi": 11.6
        },
        "FOODINSECU": {
          "lo": 14.0,
          "hi": 20.9
        },
        "HOUSINSECU": {
          "lo": 12.1,
          "hi": 17.4
        }
      },
      "rank": 7
    },
    {
      "fips": "32510",
      "name": "Carson City",
      "population": 58036,
      "priorityIndex": 48.4,
      "burdenScore": 28.4,
      "accessScore": 40.0,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 12.1,
        "OBESITY": 33.1,
        "BPHIGH": 34.5,
        "CHD": 7.2,
        "GHLTH": 22.2,
        "PHLTH": 15.1,
        "ACCESS2": 12.9,
        "LACKTRPT": 8.6,
        "FOODINSECU": 15.3,
        "HOUSINSECU": 12.6,
        "ACS_POVERTY": 11.1,
        "ACS_NOVEHICLE": 6.2
      },
      "ci": {
        "DIABETES": {
          "lo": 10.3,
          "hi": 14.0
        },
        "OBESITY": {
          "lo": 26.3,
          "hi": 40.2
        },
        "BPHIGH": {
          "lo": 30.4,
          "hi": 38.7
        },
        "CHD": {
          "lo": 6.3,
          "hi": 8.2
        },
        "GHLTH": {
          "lo": 18.9,
          "hi": 25.7
        },
        "PHLTH": {
          "lo": 13.1,
          "hi": 17.3
        },
        "ACCESS2": {
          "lo": 10.4,
          "hi": 16.0
        },
        "LACKTRPT": {
          "lo": 7.4,
          "hi": 10.0
        },
        "FOODINSECU": {
          "lo": 12.7,
          "hi": 18.4
        },
        "HOUSINSECU": {
          "lo": 10.6,
          "hi": 14.9
        }
      },
      "rank": 8
    },
    {
      "fips": "32001",
      "name": "Churchill",
      "population": 25803,
      "priorityIndex": 47.8,
      "burdenScore": 36.1,
      "accessScore": 34.1,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 11.7,
        "OBESITY": 37.8,
        "BPHIGH": 35.4,
        "CHD": 7.3,
        "GHLTH": 22.0,
        "PHLTH": 15.6,
        "ACCESS2": 11.4,
        "LACKTRPT": 8.9,
        "FOODINSECU": 15.4,
        "HOUSINSECU": 12.6,
        "ACS_POVERTY": 9.1,
        "ACS_NOVEHICLE": 4.3
      },
      "ci": {
        "DIABETES": {
          "lo": 9.9,
          "hi": 13.6
        },
        "OBESITY": {
          "lo": 29.7,
          "hi": 45.8
        },
        "BPHIGH": {
          "lo": 31.1,
          "hi": 39.8
        },
        "CHD": {
          "lo": 6.3,
          "hi": 8.3
        },
        "GHLTH": {
          "lo": 18.6,
          "hi": 25.6
        },
        "PHLTH": {
          "lo": 13.4,
          "hi": 17.8
        },
        "ACCESS2": {
          "lo": 9.2,
          "hi": 14.2
        },
        "LACKTRPT": {
          "lo": 7.5,
          "hi": 10.3
        },
        "FOODINSECU": {
          "lo": 12.3,
          "hi": 18.5
        },
        "HOUSINSECU": {
          "lo": 10.4,
          "hi": 15.0
        }
      },
      "rank": 9
    },
    {
      "fips": "32019",
      "name": "Lyon",
      "population": 62583,
      "priorityIndex": 46.7,
      "burdenScore": 38.4,
      "accessScore": 36.2,
      "shortageScore": 65.4,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 6,
      "raw": {
        "DIABETES": 12.3,
        "OBESITY": 35.2,
        "BPHIGH": 37.5,
        "CHD": 7.5,
        "GHLTH": 22.7,
        "PHLTH": 15.8,
        "ACCESS2": 12.4,
        "LACKTRPT": 8.6,
        "FOODINSECU": 15.4,
        "HOUSINSECU": 12.3,
        "ACS_POVERTY": 11.0,
        "ACS_NOVEHICLE": 2.5
      },
      "ci": {
        "DIABETES": {
          "lo": 10.3,
          "hi": 14.4
        },
        "OBESITY": {
          "lo": 27.5,
          "hi": 43.0
        },
        "BPHIGH": {
          "lo": 32.7,
          "hi": 42.2
        },
        "CHD": {
          "lo": 6.5,
          "hi": 8.6
        },
        "GHLTH": {
          "lo": 19.2,
          "hi": 26.5
        },
        "PHLTH": {
          "lo": 13.5,
          "hi": 18.1
        },
        "ACCESS2": {
          "lo": 10.0,
          "hi": 15.2
        },
        "LACKTRPT": {
          "lo": 7.5,
          "hi": 10.1
        },
        "FOODINSECU": {
          "lo": 12.8,
          "hi": 18.7
        },
        "HOUSINSECU": {
          "lo": 10.4,
          "hi": 14.7
        }
      },
      "rank": 10
    },
    {
      "fips": "32027",
      "name": "Pershing",
      "population": 6364,
      "priorityIndex": 46.3,
      "burdenScore": 35.5,
      "accessScore": 45.8,
      "shortageScore": 57.7,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 12.1,
        "OBESITY": 35.7,
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        "ACCESS2": 15.0,
        "LACKTRPT": 9.1,
        "FOODINSECU": 16.5,
        "HOUSINSECU": 13.8,
        "ACS_POVERTY": 8.1,
        "ACS_NOVEHICLE": 4.1
      },
      "ci": {
        "DIABETES": {
          "lo": 10.3,
          "hi": 14.0
        },
        "OBESITY": {
          "lo": 27.3,
          "hi": 44.7
        },
        "BPHIGH": {
          "lo": 31.0,
          "hi": 40.0
        },
        "CHD": {
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        },
        "GHLTH": {
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        "PHLTH": {
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        },
        "ACCESS2": {
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          "hi": 18.2
        },
        "LACKTRPT": {
          "lo": 7.9,
          "hi": 10.5
        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
          "lo": 11.8,
          "hi": 16.2
        }
      },
      "rank": 11
    },
    {
      "fips": "32033",
      "name": "White Pine",
      "population": 8522,
      "priorityIndex": 45.4,
      "burdenScore": 41.4,
      "accessScore": 41.1,
      "shortageScore": 53.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 5,
      "raw": {
        "DIABETES": 12.6,
        "OBESITY": 34.4,
        "BPHIGH": 36.4,
        "CHD": 8.1,
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        "PHLTH": 16.2,
        "ACCESS2": 13.2,
        "LACKTRPT": 9.5,
        "FOODINSECU": 16.9,
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        "ACS_POVERTY": 8.4,
        "ACS_NOVEHICLE": 1.3
      },
      "ci": {
        "DIABETES": {
          "lo": 10.8,
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        },
        "OBESITY": {
          "lo": 26.6,
          "hi": 43.1
        },
        "BPHIGH": {
          "lo": 32.2,
          "hi": 41.1
        },
        "CHD": {
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        },
        "GHLTH": {
          "lo": 20.6,
          "hi": 28.0
        },
        "PHLTH": {
          "lo": 14.1,
          "hi": 18.7
        },
        "ACCESS2": {
          "lo": 10.8,
          "hi": 16.2
        },
        "LACKTRPT": {
          "lo": 8.1,
          "hi": 11.0
        },
        "FOODINSECU": {
          "lo": 13.9,
          "hi": 20.1
        },
        "HOUSINSECU": {
          "lo": 11.3,
          "hi": 15.9
        }
      },
      "rank": 12
    },
    {
      "fips": "32013",
      "name": "Humboldt",
      "population": 17136,
      "priorityIndex": 43.2,
      "burdenScore": 27.0,
      "accessScore": 48.9,
      "shortageScore": 53.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 11.5,
        "OBESITY": 36.2,
        "BPHIGH": 32.0,
        "CHD": 6.6,
        "GHLTH": 22.4,
        "PHLTH": 15.1,
        "ACCESS2": 14.0,
        "LACKTRPT": 9.3,
        "FOODINSECU": 17.0,
        "HOUSINSECU": 14.0,
        "ACS_POVERTY": 12.2,
        "ACS_NOVEHICLE": 3.5
      },
      "ci": {
        "DIABETES": {
          "lo": 9.8,
          "hi": 13.4
        },
        "OBESITY": {
          "lo": 28.2,
          "hi": 44.6
        },
        "BPHIGH": {
          "lo": 28.0,
          "hi": 36.3
        },
        "CHD": {
          "lo": 5.8,
          "hi": 7.5
        },
        "GHLTH": {
          "lo": 18.9,
          "hi": 26.3
        },
        "PHLTH": {
          "lo": 13.0,
          "hi": 17.4
        },
        "ACCESS2": {
          "lo": 11.2,
          "hi": 17.1
        },
        "LACKTRPT": {
          "lo": 7.9,
          "hi": 10.8
        },
        "FOODINSECU": {
          "lo": 13.8,
          "hi": 20.4
        },
        "HOUSINSECU": {
          "lo": 11.6,
          "hi": 16.4
        }
      },
      "rank": 13
    },
    {
      "fips": "32031",
      "name": "Washoe",
      "population": 498022,
      "priorityIndex": 37.8,
      "burdenScore": 4.4,
      "accessScore": 35.8,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 29,
      "raw": {
        "DIABETES": 10.0,
        "OBESITY": 28.5,
        "BPHIGH": 29.7,
        "CHD": 6.1,
        "GHLTH": 20.8,
        "PHLTH": 14.0,
        "ACCESS2": 12.0,
        "LACKTRPT": 8.2,
        "FOODINSECU": 14.6,
        "HOUSINSECU": 12.6,
        "ACS_POVERTY": 10.7,
        "ACS_NOVEHICLE": 6.5
      },
      "ci": {
        "DIABETES": {
          "lo": 8.7,
          "hi": 11.6
        },
        "OBESITY": {
          "lo": 23.9,
          "hi": 33.6
        },
        "BPHIGH": {
          "lo": 26.7,
          "hi": 33.0
        },
        "CHD": {
          "lo": 5.3,
          "hi": 7.0
        },
        "GHLTH": {
          "lo": 17.8,
          "hi": 24.2
        },
        "PHLTH": {
          "lo": 12.2,
          "hi": 16.1
        },
        "ACCESS2": {
          "lo": 9.6,
          "hi": 14.7
        },
        "LACKTRPT": {
          "lo": 6.9,
          "hi": 9.7
        },
        "FOODINSECU": {
          "lo": 11.8,
          "hi": 17.7
        },
        "HOUSINSECU": {
          "lo": 10.4,
          "hi": 15.0
        }
      },
      "rank": 14
    },
    {
      "fips": "32017",
      "name": "Lincoln",
      "population": 4452,
      "priorityIndex": 35.1,
      "burdenScore": 27.7,
      "accessScore": 12.3,
      "shortageScore": 65.4,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 11.8,
        "OBESITY": 31.6,
        "BPHIGH": 37.0,
        "CHD": 7.9,
        "GHLTH": 20.4,
        "PHLTH": 15.0,
        "ACCESS2": 9.4,
        "LACKTRPT": 7.1,
        "FOODINSECU": 12.1,
        "HOUSINSECU": 10.0,
        "ACS_POVERTY": 6.6,
        "ACS_NOVEHICLE": 3.1
      },
      "ci": {
        "DIABETES": {
          "lo": 9.9,
          "hi": 13.8
        },
        "OBESITY": {
          "lo": 23.4,
          "hi": 40.3
        },
        "BPHIGH": {
          "lo": 32.4,
          "hi": 41.7
        },
        "CHD": {
          "lo": 6.8,
          "hi": 9.0
        },
        "GHLTH": {
          "lo": 17.2,
          "hi": 24.0
        },
        "PHLTH": {
          "lo": 12.9,
          "hi": 17.3
        },
        "ACCESS2": {
          "lo": 7.6,
          "hi": 11.6
        },
        "LACKTRPT": {
          "lo": 6.1,
          "hi": 8.2
        },
        "FOODINSECU": {
          "lo": 10.0,
          "hi": 14.5
        },
        "HOUSINSECU": {
          "lo": 8.4,
          "hi": 11.8
        }
      },
      "rank": 15
    },
    {
      "fips": "32029",
      "name": "Storey",
      "population": 4177,
      "priorityIndex": 34.1,
      "burdenScore": 28.5,
      "accessScore": 0.8,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 12.4,
        "OBESITY": 31.6,
        "BPHIGH": 38.5,
        "CHD": 8.4,
        "GHLTH": 19.1,
        "PHLTH": 14.4,
        "ACCESS2": 8.7,
        "LACKTRPT": 5.9,
        "FOODINSECU": 9.9,
        "HOUSINSECU": 8.2,
        "ACS_POVERTY": 7.1,
        "ACS_NOVEHICLE": 0.9
      },
      "ci": {
        "DIABETES": {
          "lo": 10.4,
          "hi": 14.6
        },
        "OBESITY": {
          "lo": 23.8,
          "hi": 40.6
        },
        "BPHIGH": {
          "lo": 33.8,
          "hi": 43.7
        },
        "CHD": {
          "lo": 7.1,
          "hi": 9.7
        },
        "GHLTH": {
          "lo": 15.3,
          "hi": 23.2
        },
        "PHLTH": {
          "lo": 12.1,
          "hi": 16.9
        },
        "ACCESS2": {
          "lo": 6.7,
          "hi": 11.2
        },
        "LACKTRPT": {
          "lo": 4.8,
          "hi": 7.0
        },
        "FOODINSECU": {
          "lo": 7.6,
          "hi": 12.4
        },
        "HOUSINSECU": {
          "lo": 6.6,
          "hi": 9.9
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      },
      "rank": 16
    },
    {
      "fips": "32005",
      "name": "Douglas",
      "population": 49545,
      "priorityIndex": 31.8,
      "burdenScore": 22.8,
      "accessScore": 3.3,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 5,
      "raw": {
        "DIABETES": 12.2,
        "OBESITY": 27.1,
        "BPHIGH": 38.2,
        "CHD": 8.5,
        "GHLTH": 19.0,
        "PHLTH": 14.7,
        "ACCESS2": 8.6,
        "LACKTRPT": 6.0,
        "FOODINSECU": 10.1,
        "HOUSINSECU": 8.2,
        "ACS_POVERTY": 8.3,
        "ACS_NOVEHICLE": 2.7
      },
      "ci": {
        "DIABETES": {
          "lo": 10.3,
          "hi": 14.4
        },
        "OBESITY": {
          "lo": 21.1,
          "hi": 34.0
        },
        "BPHIGH": {
          "lo": 33.8,
          "hi": 42.8
        },
        "CHD": {
          "lo": 7.3,
          "hi": 9.8
        },
        "GHLTH": {
          "lo": 15.9,
          "hi": 22.6
        },
        "PHLTH": {
          "lo": 12.6,
          "hi": 17.0
        },
        "ACCESS2": {
          "lo": 6.9,
          "hi": 10.8
        },
        "LACKTRPT": {
          "lo": 5.0,
          "hi": 7.1
        },
        "FOODINSECU": {
          "lo": 8.0,
          "hi": 12.6
        },
        "HOUSINSECU": {
          "lo": 6.7,
          "hi": 10.0
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      },
      "rank": 17
    }
  ],
  "faq": [
    {
      "question": "What does the Nevada county-level health-access scorecard measure?",
      "answer": "It ranks all 17 Nevada counties and independent cities by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap."
    },
    {
      "question": "Which public datasets is it built from?",
      "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01."
    },
    {
      "question": "How should the Targeting-Priority Index be used?",
      "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers."
    }
  ],
  "contentHash": "31e366bbe531503e"
}