{ "slug": "texas-county-primary-care-access-2026", "title": "Texas County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Texas, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 254 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Texas", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "texas" ], "publishedDate": "2026-05-31", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-06-01T10:24:30+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 2026-06-01", "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), 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 to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county'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), not direct counts. Scores are relative WITHIN Texas: a 100 marks the worst county in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "These candidate measures were unavailable for Texas in this release (BRFSS SDOH-module participation varies by state), so they are excluded from the index: Lack of reliable transportation, Food insecurity, Housing insecurity.", "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; 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": "2026-06-01" }, { "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": "2026-06-01" }, { "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": "2026-06-01" } ], "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": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 254, "countiesWithHpsa": 231, "countiesWithHpsaPct": 91, "medianDiabetes": 14.5, "diabetesMin": { "county": "Travis", "value": 9.0 }, "diabetesMax": { "county": "Dimmit", "value": 23.4 }, "medianUninsured": 18.0 }, "keyFindings": [ "231 of Texas's 254 counties (91%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 9.0% in Travis County to 23.4% in Dimmit County, a 14.4-point spread within a single state.", "Dimmit County carries the highest combined targeting-priority index (85.2/100), led by its access & sdoh barriers score.", "The median county uninsured rate (adults 18-64) is 18.0%, and the median adult diabetes prevalence is 14.5%." ], "counties": [ { "fips": "48127", "name": "Dimmit", "population": 8257, "priorityIndex": 85.2, "burdenScore": 88.9, "accessScore": 97.6, "shortageScore": 69.2, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 23.4, "OBESITY": 46.8, "BPHIGH": 42.3, "CHD": 9.9, "GHLTH": 42.7, "PHLTH": 21.4, "ACCESS2": 41.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 44.8, "ACS_NOVEHICLE": 14.2 }, "ci": { "DIABETES": { "lo": 20.7, "hi": 26.2 }, "OBESITY": { "lo": 37.2, "hi": 56.2 }, "BPHIGH": { "lo": 37.7, "hi": 46.7 }, "CHD": { "lo": 8.8, "hi": 11.1 }, "GHLTH": { "lo": 37.4, "hi": 47.8 }, "PHLTH": { "lo": 18.7, "hi": 24.2 }, "ACCESS2": { "lo": 34.5, "hi": 48.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 1 }, { "fips": "48247", "name": "Jim Hogg", "population": 4720, "priorityIndex": 79.0, "burdenScore": 83.5, "accessScore": 64.9, "shortageScore": 88.5, "topDriver": "Provider shortage", "hpsaMaxScore": 23, "hpsaDesignations": 1, "raw": { "DIABETES": 22.8, "OBESITY": 44.7, "BPHIGH": 41.6, "CHD": 9.9, "GHLTH": 40.8, "PHLTH": 20.6, "ACCESS2": 40.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 31.4, "ACS_NOVEHICLE": 5.0 }, "ci": { "DIABETES": { "lo": 20.9, "hi": 24.9 }, "OBESITY": { "lo": 40.0, "hi": 49.8 }, "BPHIGH": { "lo": 39.1, "hi": 44.3 }, "CHD": { "lo": 8.9, "hi": 11.0 }, "GHLTH": { "lo": 36.1, "hi": 45.4 }, "PHLTH": { "lo": 18.4, "hi": 22.8 }, "ACCESS2": { "lo": 33.5, "hi": 47.4 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 2 }, { "fips": "48047", "name": "Brooks", "population": 6848, "priorityIndex": 77.8, "burdenScore": 66.1, "accessScore": 82.7, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 1, "raw": { "DIABETES": 19.8, "OBESITY": 42.6, "BPHIGH": 38.3, "CHD": 8.1, "GHLTH": 36.3, "PHLTH": 18.4, "ACCESS2": 37.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 30.7, "ACS_NOVEHICLE": 14.0 }, "ci": { "DIABETES": { "lo": 18.1, "hi": 21.5 }, "OBESITY": { "lo": 38.7, "hi": 46.6 }, "BPHIGH": { "lo": 36.1, "hi": 40.5 }, "CHD": { "lo": 7.3, "hi": 9.1 }, "GHLTH": { "lo": 32.1, "hi": 40.8 }, "PHLTH": { "lo": 16.5, "hi": 20.5 }, "ACCESS2": { "lo": 31.9, "hi": 44.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 3 }, { "fips": "48505", "name": "Zapata", "population": 13736, "priorityIndex": 77.0, "burdenScore": 73.5, "accessScore": 84.3, "shortageScore": 73.1, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 20.8, "OBESITY": 43.7, "BPHIGH": 38.2, "CHD": 8.4, "GHLTH": 40.2, "PHLTH": 20.0, "ACCESS2": 42.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 37.4, "ACS_NOVEHICLE": 10.3 }, "ci": { "DIABETES": { "lo": 18.2, "hi": 23.4 }, "OBESITY": { "lo": 35.2, "hi": 52.2 }, "BPHIGH": { "lo": 34.0, "hi": 42.3 }, "CHD": { "lo": 7.4, "hi": 9.6 }, "GHLTH": { "lo": 34.6, "hi": 46.2 }, "PHLTH": { "lo": 17.2, "hi": 23.1 }, "ACCESS2": { "lo": 34.6, "hi": 50.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 4 }, { "fips": "48427", "name": "Starr", "population": 65934, "priorityIndex": 76.8, "burdenScore": 71.0, "accessScore": 82.4, "shortageScore": 76.9, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 20, "hpsaDesignations": 1, "raw": { "DIABETES": 20.0, "OBESITY": 45.0, "BPHIGH": 36.6, "CHD": 7.6, "GHLTH": 40.3, "PHLTH": 19.9, "ACCESS2": 43.5, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 33.5, "ACS_NOVEHICLE": 10.5 }, "ci": { "DIABETES": { "lo": 17.6, "hi": 22.6 }, "OBESITY": { "lo": 36.4, "hi": 53.6 }, "BPHIGH": { "lo": 32.5, "hi": 40.8 }, "CHD": { "lo": 6.6, "hi": 8.6 }, "GHLTH": { "lo": 34.4, "hi": 46.3 }, "PHLTH": { "lo": 17.1, "hi": 22.8 }, "ACCESS2": { "lo": 35.5, "hi": 52.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 5 }, { "fips": "48507", "name": "Zavala", "population": 9312, "priorityIndex": 75.9, "burdenScore": 84.4, "accessScore": 70.3, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 4, "raw": { "DIABETES": 22.6, "OBESITY": 47.5, "BPHIGH": 40.6, "CHD": 9.0, "GHLTH": 41.9, "PHLTH": 20.9, "ACCESS2": 42.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 36.3, "ACS_NOVEHICLE": 4.9 }, "ci": { "DIABETES": { "lo": 20.8, "hi": 24.3 }, "OBESITY": { "lo": 43.1, "hi": 51.8 }, "BPHIGH": { "lo": 38.4, "hi": 42.8 }, "CHD": { "lo": 8.1, "hi": 9.9 }, "GHLTH": { "lo": 37.3, "hi": 46.6 }, "PHLTH": { "lo": 18.8, "hi": 23.0 }, "ACCESS2": { "lo": 35.9, "hi": 49.1 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 6 }, { "fips": "48377", "name": "Presidio", "population": 5795, "priorityIndex": 69.5, "burdenScore": 77.3, "accessScore": 69.8, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 22.2, "OBESITY": 41.0, "BPHIGH": 42.9, "CHD": 10.6, "GHLTH": 36.8, "PHLTH": 19.2, "ACCESS2": 34.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 36.3, "ACS_NOVEHICLE": 7.9 }, "ci": { "DIABETES": { "lo": 19.4, "hi": 24.9 }, "OBESITY": { "lo": 32.3, "hi": 49.6 }, "BPHIGH": { "lo": 38.4, "hi": 46.9 }, "CHD": { "lo": 9.2, "hi": 12.1 }, "GHLTH": { "lo": 31.5, "hi": 41.9 }, "PHLTH": { "lo": 16.5, "hi": 21.8 }, "ACCESS2": { "lo": 27.8, "hi": 42.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 7 }, { "fips": "48131", "name": "Duval", "population": 9604, "priorityIndex": 68.4, "burdenScore": 61.7, "accessScore": 66.5, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 1, "raw": { "DIABETES": 18.8, "OBESITY": 41.2, "BPHIGH": 38.4, "CHD": 8.2, "GHLTH": 34.0, "PHLTH": 17.8, "ACCESS2": 35.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 29.0, "ACS_NOVEHICLE": 8.7 }, "ci": { "DIABETES": { "lo": 16.6, "hi": 21.3 }, "OBESITY": { "lo": 32.8, "hi": 50.7 }, "BPHIGH": { "lo": 34.4, "hi": 42.8 }, "CHD": { "lo": 7.2, "hi": 9.3 }, "GHLTH": { "lo": 29.2, "hi": 38.5 }, "PHLTH": { "lo": 15.5, "hi": 20.3 }, "ACCESS2": { "lo": 29.7, "hi": 41.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 8 }, { "fips": "48371", "name": "Pecos", "population": 14623, "priorityIndex": 64.7, "burdenScore": 49.6, "accessScore": 59.8, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 4, "raw": { "DIABETES": 16.5, "OBESITY": 40.2, "BPHIGH": 36.2, "CHD": 6.9, "GHLTH": 30.6, "PHLTH": 16.3, "ACCESS2": 31.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 27.4, "ACS_NOVEHICLE": 8.2 }, "ci": { "DIABETES": { "lo": 14.3, "hi": 18.6 }, "OBESITY": { "lo": 31.4, "hi": 48.7 }, "BPHIGH": { "lo": 32.0, "hi": 40.4 }, "CHD": { "lo": 6.1, "hi": 7.8 }, "GHLTH": { "lo": 26.3, "hi": 34.9 }, "PHLTH": { "lo": 14.1, "hi": 18.5 }, "ACCESS2": { "lo": 26.2, "hi": 36.9 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 9 }, { "fips": "48489", "name": "Willacy", "population": 20037, "priorityIndex": 64.2, "burdenScore": 64.0, "accessScore": 59.5, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 1, "raw": { "DIABETES": 18.8, "OBESITY": 43.2, "BPHIGH": 36.5, "CHD": 7.7, "GHLTH": 37.1, "PHLTH": 18.5, "ACCESS2": 40.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 24.6, "ACS_NOVEHICLE": 4.9 }, "ci": { "DIABETES": { "lo": 16.3, "hi": 21.3 }, "OBESITY": { "lo": 34.1, "hi": 52.7 }, "BPHIGH": { "lo": 32.2, "hi": 41.0 }, "CHD": { "lo": 6.7, "hi": 8.7 }, "GHLTH": { "lo": 31.8, "hi": 42.1 }, "PHLTH": { "lo": 15.9, "hi": 21.1 }, "ACCESS2": { "lo": 33.6, "hi": 47.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 10 }, { "fips": "48323", "name": "Maverick", "population": 57762, "priorityIndex": 63.7, "burdenScore": 56.6, "accessScore": 61.3, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 17.8, "OBESITY": 43.9, "BPHIGH": 34.4, "CHD": 6.6, "GHLTH": 34.5, "PHLTH": 17.4, "ACCESS2": 38.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 22.6, "ACS_NOVEHICLE": 7.2 }, "ci": { "DIABETES": { "lo": 15.5, "hi": 20.2 }, "OBESITY": { "lo": 35.1, "hi": 52.8 }, "BPHIGH": { "lo": 30.4, "hi": 38.5 }, "CHD": { "lo": 5.7, "hi": 7.5 }, "GHLTH": { "lo": 29.2, "hi": 40.3 }, "PHLTH": { "lo": 14.9, "hi": 20.1 }, "ACCESS2": { "lo": 31.6, "hi": 45.9 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 11 }, { "fips": "48215", "name": "Hidalgo", "population": 898471, "priorityIndex": 63.4, "burdenScore": 53.9, "accessScore": 59.5, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 213, "raw": { "DIABETES": 17.4, "OBESITY": 44.2, "BPHIGH": 33.4, "CHD": 6.5, "GHLTH": 33.7, "PHLTH": 16.6, "ACCESS2": 37.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 27.2, "ACS_NOVEHICLE": 5.5 }, "ci": { "DIABETES": { "lo": 15.3, "hi": 19.6 }, "OBESITY": { "lo": 39.5, "hi": 49.3 }, "BPHIGH": { "lo": 30.4, "hi": 36.6 }, "CHD": { "lo": 5.7, "hi": 7.5 }, "GHLTH": { "lo": 28.9, "hi": 38.9 }, "PHLTH": { "lo": 14.3, "hi": 19.1 }, "ACCESS2": { "lo": 29.7, "hi": 45.3 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 12 }, { "fips": "48163", "name": "Frio", "population": 17987, "priorityIndex": 63.2, "burdenScore": 45.5, "accessScore": 63.4, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 3, "raw": { "DIABETES": 15.3, "OBESITY": 40.5, "BPHIGH": 33.1, "CHD": 6.2, "GHLTH": 31.8, "PHLTH": 16.2, "ACCESS2": 37.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 19.6, "ACS_NOVEHICLE": 9.9 }, "ci": { "DIABETES": { "lo": 13.4, "hi": 17.3 }, "OBESITY": { "lo": 31.7, "hi": 49.8 }, "BPHIGH": { "lo": 29.0, "hi": 37.3 }, "CHD": { "lo": 5.5, "hi": 7.0 }, "GHLTH": { "lo": 27.5, "hi": 36.3 }, "PHLTH": { "lo": 14.1, "hi": 18.4 }, "ACCESS2": { "lo": 30.5, "hi": 43.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 13 }, { "fips": "48249", "name": "Jim Wells", "population": 38662, "priorityIndex": 61.4, "burdenScore": 56.4, "accessScore": 54.7, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 18.0, "OBESITY": 40.6, "BPHIGH": 37.3, "CHD": 7.6, "GHLTH": 32.5, "PHLTH": 17.2, "ACCESS2": 32.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 23.2, "ACS_NOVEHICLE": 6.7 }, "ci": { "DIABETES": { "lo": 15.5, "hi": 20.5 }, "OBESITY": { "lo": 31.8, "hi": 49.7 }, "BPHIGH": { "lo": 32.9, "hi": 41.6 }, "CHD": { "lo": 6.6, "hi": 8.5 }, "GHLTH": { "lo": 28.0, "hi": 37.2 }, "PHLTH": { "lo": 14.9, "hi": 19.7 }, "ACCESS2": { "lo": 26.9, "hi": 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"ACS_POVERTY": 5.1, "ACS_NOVEHICLE": 3.0 }, "ci": { "DIABETES": { "lo": 9.6, "hi": 13.1 }, "OBESITY": { "lo": 27.3, "hi": 42.1 }, "BPHIGH": { "lo": 30.8, "hi": 39.2 }, "CHD": { "lo": 5.3, "hi": 7.0 }, "GHLTH": { "lo": 13.7, "hi": 19.4 }, "PHLTH": { "lo": 10.0, "hi": 13.7 }, "ACCESS2": { "lo": 9.2, "hi": 14.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 252 }, { "fips": "48397", "name": "Rockwall", "population": 131307, "priorityIndex": 5.6, "burdenScore": 10.3, "accessScore": 6.5, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 9.4, "OBESITY": 35.1, "BPHIGH": 30.5, "CHD": 4.5, "GHLTH": 15.2, "PHLTH": 10.7, "ACCESS2": 11.3, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 4.3, "ACS_NOVEHICLE": 1.7 }, "ci": { "DIABETES": { "lo": 8.0, "hi": 10.8 }, "OBESITY": { "lo": 27.2, "hi": 43.3 }, "BPHIGH": { "lo": 26.7, "hi": 34.6 }, "CHD": { "lo": 3.9, "hi": 5.2 }, "GHLTH": { "lo": 12.7, "hi": 17.9 }, "PHLTH": { "lo": 9.2, "hi": 12.4 }, "ACCESS2": { "lo": 9.1, "hi": 13.6 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 253 }, { "fips": "48085", "name": "Collin", "population": 1195359, "priorityIndex": 5.5, "burdenScore": 6.4, "accessScore": 10.1, "shortageScore": 0.0, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 9.5, "OBESITY": 32.3, "BPHIGH": 30.4, "CHD": 4.3, "GHLTH": 14.8, "PHLTH": 10.2, "ACCESS2": 10.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 6.3, "ACS_NOVEHICLE": 3.1 }, "ci": { "DIABETES": { "lo": 8.2, "hi": 10.9 }, "OBESITY": { "lo": 27.2, "hi": 37.6 }, "BPHIGH": { "lo": 27.1, "hi": 33.8 }, "CHD": { "lo": 3.7, "hi": 4.8 }, "GHLTH": { "lo": 12.5, "hi": 17.3 }, "PHLTH": { "lo": 8.8, "hi": 11.7 }, "ACCESS2": { "lo": 8.2, "hi": 12.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 254 } ], "faq": [ { "question": "What does the Texas county health-access scorecard measure?", "answer": "It ranks all 254 Texas counties 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 2026-06-01." }, { "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": "1c3d6fcd33d23577" }