Public Health & Risk

Texas County Primary-Care Access & Health-Burden Scorecard

Name: Texas County Primary-Care Access & Health-Burden Scorecard
Creator: KYFEX

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.

KYFEX·May 31, 2026

Key findings

1
231 of Texas's 254 counties (91%) fall within a federally designated primary-care Health Professional Shortage Area.
2
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.
3
Dimmit County carries the highest combined targeting-priority index (85.2/100), led by its access & sdoh barriers score.
4
The median county uninsured rate (adults 18-64) is 18.0%, and the median adult diabetes prevalence is 14.5%.

How it is built

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.

Health-burden axis

Diagnosed diabetesObesityHigh blood pressureCoronary heart diseaseFair or poor self-rated healthFrequent physical distress

Access & SDOH barriers axis

Uninsured (adults 18-64)Below poverty (ACS)Households without a vehicle (ACS)

All 254 counties, ranked by targeting priority

Higher scores mean greater relative need within Texas. Scroll horizontally for all columns.

#	County	Priority	Burden	Access	Shortage	Diabetes	Uninsured	Top driver
1	Dimmit	85.2	88.9	97.6	69.2	23.4%	41.1%	Access & SDOH barriers
2	Jim Hogg	79.0	83.5	64.9	88.5	22.8%	40.6%	Provider shortage
3	Brooks	77.8	66.1	82.7	84.6	19.8%	37.8%	Provider shortage
4	Zapata	77.0	73.5	84.3	73.1	20.8%	42.8%	Access & SDOH barriers
5	Starr	76.8	71.0	82.4	76.9	20.0%	43.5%	Access & SDOH barriers
6	Zavala	75.9	84.4	70.3	73.1	22.6%	42.4%	Health burden
7	Presidio	69.5	77.3	69.8	61.5	22.2%	34.8%	Health burden
8	Duval	68.4	61.7	66.5	76.9	18.8%	35.4%	Provider shortage
9	Pecos	64.7	49.6	59.8	84.6	16.5%	31.1%	Provider shortage
10	Willacy	64.2	64.0	59.5	69.2	18.8%	40.8%	Provider shortage
11	Maverick	63.7	56.6	61.3	73.1	17.8%	38.8%	Provider shortage
12	Hidalgo	63.4	53.9	59.5	76.9	17.4%	37.4%	Provider shortage
13	Frio	63.2	45.5	63.4	80.8	15.3%	37.0%	Provider shortage
14	Jim Wells	61.4	56.4	54.7	73.1	18.0%	32.9%	Provider shortage
15	San Augustine	61.0	85.0	51.9	46.2	20.9%	17.5%	Health burden
16	Reeves	60.9	54.6	55.0	73.1	17.6%	37.3%	Provider shortage
17	Live Oak	60.8	54.6	47.1	80.8	16.2%	25.3%	Provider shortage
18	Webb	60.4	45.6	54.9	80.8	16.1%	36.2%	Provider shortage
19	Cochran	60.3	68.0	55.2	57.7	18.6%	32.3%	Health burden
20	La Salle	60.3	47.6	52.5	80.8	15.5%	39.7%	Provider shortage
21	Shelby	60.1	57.8	41.7	80.8	16.4%	18.9%	Provider shortage
22	Newton	59.6	73.6	36.0	69.2	18.6%	16.2%	Health burden
23	Hudspeth	59.4	45.6	51.9	80.8	14.3%	38.6%	Provider shortage
24	Swisher	58.8	55.9	51.2	69.2	16.6%	26.5%	Provider shortage
25	Jefferson	58.6	48.1	39.3	88.5	15.6%	18.9%	Provider shortage
26	Culberson	58.3	64.0	45.5	65.4	19.3%	31.3%	Provider shortage
27	Cameron	58.1	50.9	57.9	65.4	18.3%	35.9%	Provider shortage
28	Terry	57.0	53.9	48.0	69.2	16.4%	29.2%	Provider shortage
29	Menard	56.3	59.1	28.9	80.8	17.6%	20.5%	Provider shortage
30	Crosby	56.2	57.3	46.0	65.4	17.1%	27.2%	Provider shortage
31	Uvalde	55.7	45.9	48.1	73.1	15.7%	28.5%	Provider shortage
32	Gonzales	55.6	51.6	49.9	65.4	16.0%	25.8%	Provider shortage
33	Matagorda	55.3	51.1	41.7	73.1	16.4%	22.6%	Provider shortage
34	Hall	55.3	59.6	29.5	76.9	17.5%	21.3%	Provider shortage
35	El Paso	55.2	34.1	47.0	84.6	15.4%	29.0%	Provider shortage
36	Real	55.1	64.6	31.5	69.2	18.3%	18.3%	Provider shortage
37	Hale	54.7	47.4	43.6	73.1	15.6%	28.9%	Provider shortage
38	Nolan	53.6	56.7	46.4	57.7	16.5%	22.9%	Provider shortage
39	Limestone	53.4	53.3	29.9	76.9	16.1%	18.1%	Provider shortage
40	Liberty	53.1	43.3	35.2	80.8	13.9%	23.8%	Provider shortage
41	Wilbarger	53.0	55.9	37.7	65.4	16.5%	21.3%	Provider shortage
42	Trinity	52.8	55.8	37.1	65.4	16.4%	14.5%	Provider shortage
43	San Patricio	52.4	47.5	40.6	69.2	15.4%	24.9%	Provider shortage
44	Bailey	52.3	46.4	60.6	50.0	15.5%	30.2%	Access & SDOH barriers
45	Camp	52.2	54.1	41.0	61.5	16.1%	19.8%	Provider shortage
46	Upton	52.1	54.0	40.9	61.5	16.6%	27.2%	Provider shortage
47	Atascosa	51.9	46.3	40.1	69.2	15.4%	27.4%	Provider shortage
48	Polk	51.8	51.1	27.4	76.9	15.4%	17.3%	Provider shortage
49	Howard	51.6	37.3	36.8	80.8	13.7%	23.5%	Provider shortage
50	Ector	51.6	32.2	41.7	80.8	12.8%	28.0%	Provider shortage
51	Red River	51.6	59.2	26.3	69.2	16.9%	14.3%	Provider shortage
52	Dawson	51.4	47.6	45.2	61.5	15.3%	29.9%	Provider shortage
53	Deaf Smith	51.4	52.2	44.3	57.7	16.4%	34.7%	Provider shortage
54	Falls	51.3	53.1	35.5	65.4	16.1%	19.5%	Provider shortage
55	Moore	51.2	43.3	44.9	65.4	14.9%	29.3%	Provider shortage
56	Collingsworth	51.1	51.1	33.1	69.2	15.5%	20.2%	Provider shortage
57	Lynn	51.0	46.2	33.8	73.1	15.2%	21.9%	Provider shortage
58	Harrison	50.8	40.6	31.0	80.8	13.8%	14.4%	Provider shortage
59	Haskell	50.7	46.3	32.8	73.1	14.9%	20.2%	Provider shortage
60	Crane	50.7	43.0	47.7	61.5	15.0%	30.5%	Provider shortage
61	Refugio	50.3	57.0	43.8	50.0	17.6%	24.3%	Health burden
62	Karnes	50.3	40.8	52.5	57.7	14.0%	28.2%	Provider shortage
63	Foard	50.2	69.4	38.9	42.3	18.2%	18.4%	Health burden
64	Edwards	50.1	66.3	49.4	34.6	19.3%	25.2%	Health burden
65	San Jacinto	50.0	56.2	28.3	65.4	16.4%	17.6%	Provider shortage
66	Harris	49.9	27.4	37.6	84.6	13.2%	21.3%	Provider shortage
67	Robertson	49.9	47.7	40.5	61.5	15.4%	17.4%	Provider shortage
68	Jeff Davis	49.7	75.4	35.1	38.5	21.2%	17.5%	Health burden
69	Angelina	49.7	53.8	33.8	61.5	14.9%	18.8%	Provider shortage
70	Marion	49.6	64.3	30.7	53.8	18.1%	13.6%	Health burden
71	Jasper	49.1	58.6	34.9	53.8	16.3%	15.0%	Health burden
72	Garza	49.0	46.5	46.6	53.8	14.9%	30.9%	Provider shortage
73	Lamb	48.9	53.1	35.8	57.7	16.6%	27.3%	Provider shortage
74	Comanche	48.9	45.9	27.8	73.1	14.8%	18.1%	Provider shortage
75	Ward	48.8	38.9	38.4	69.2	14.4%	26.0%	Provider shortage
76	Baylor	48.4	48.1	35.5	61.5	14.9%	15.3%	Provider shortage
77	Ochiltree	48.2	41.0	38.1	65.4	14.1%	26.1%	Provider shortage
78	Bexar	48.2	27.8	36.1	80.8	13.9%	21.9%	Provider shortage
79	Hockley	48.2	37.2	34.3	73.1	14.1%	23.2%	Provider shortage
80	Titus	48.2	48.6	38.2	57.7	15.6%	24.8%	Provider shortage
81	Stephens	48.2	40.3	38.9	65.4	13.8%	18.4%	Provider shortage
82	Houston	48.1	56.2	38.1	50.0	16.8%	17.9%	Health burden
83	Tyler	48.1	54.3	36.1	53.8	15.3%	17.3%	Health burden
84	Jack	47.6	41.8	43.2	57.7	13.4%	18.0%	Provider shortage
85	Val Verde	47.6	41.4	47.7	53.8	15.6%	32.3%	Provider shortage
86	DeWitt	47.5	49.8	38.9	53.8	16.0%	21.2%	Provider shortage
87	Briscoe	47.5	62.5	26.2	53.8	17.5%	20.5%	Health burden
88	Walker	47.5	37.4	36.0	69.2	13.3%	18.1%	Provider shortage
89	Kimble	47.4	55.6	29.0	57.7	16.6%	16.9%	Provider shortage
90	Bee	47.3	37.3	43.0	61.5	13.9%	27.7%	Provider shortage
91	Nacogdoches	47.3	32.2	36.7	73.1	13.2%	16.7%	Provider shortage
92	Coleman	47.3	49.5	30.8	61.5	15.4%	14.5%	Provider shortage
93	Dallas	47.1	25.1	35.4	80.8	12.5%	20.6%	Provider shortage
94	Sabine	46.5	57.1	21.0	61.5	16.6%	12.5%	Provider shortage
95	Gray	46.4	42.2	27.8	69.2	13.9%	20.1%	Provider shortage
96	Lubbock	46.3	21.6	32.8	84.6	11.4%	17.6%	Provider shortage
97	Nueces	46.3	42.7	42.3	53.8	15.8%	24.6%	Provider shortage
98	Cass	46.2	53.1	31.6	53.8	15.7%	13.5%	Provider shortage
99	Bowie	46.1	38.7	30.5	69.2	13.8%	14.1%	Provider shortage
100	Winkler	46.1	36.6	36.3	65.4	14.1%	27.6%	Provider shortage
101	Dickens	46.0	55.8	32.2	50.0	16.7%	18.7%	Health burden
102	Floyd	45.8	54.6	48.2	34.6	17.0%	27.6%	Health burden
103	Goliad	45.8	47.3	32.4	57.7	15.6%	18.1%	Provider shortage
104	Madison	45.6	37.0	38.2	61.5	13.1%	21.3%	Provider shortage
105	Hunt	45.6	32.7	23.2	80.8	12.3%	16.2%	Provider shortage
106	Lamar	45.5	45.2	33.7	57.7	14.3%	14.2%	Provider shortage
107	Palo Pinto	45.4	46.3	28.5	61.5	14.4%	16.7%	Provider shortage
108	Cherokee	45.4	43.8	34.8	57.7	14.7%	19.1%	Provider shortage
109	Wheeler	45.4	46.1	32.3	57.7	14.7%	17.3%	Provider shortage
110	Henderson	45.3	44.2	26.3	65.4	14.5%	14.9%	Provider shortage
111	Potter	45.2	50.1	47.1	38.5	15.3%	23.8%	Health burden
112	Aransas	45.2	50.2	31.7	53.8	15.9%	16.0%	Provider shortage
113	Hill	44.7	42.4	30.2	61.5	14.2%	16.6%	Provider shortage
114	Navarro	44.7	46.6	33.8	53.8	15.3%	20.8%	Provider shortage
115	Bastrop	44.7	38.1	26.9	69.2	13.4%	21.6%	Provider shortage
116	Wichita	44.6	28.8	31.8	73.1	12.1%	15.9%	Provider shortage
117	McCulloch	44.5	47.9	31.7	53.8	15.5%	19.0%	Provider shortage
118	Stonewall	44.4	51.5	20.3	61.5	15.8%	17.2%	Provider shortage
119	Coke	44.3	52.3	22.8	57.7	15.9%	16.8%	Provider shortage
120	Wharton	43.9	45.2	36.5	50.0	15.0%	21.3%	Provider shortage
121	Sutton	43.9	53.1	28.6	50.0	17.4%	27.2%	Health burden
122	Rusk	43.8	40.7	25.2	65.4	13.9%	16.9%	Provider shortage
123	Hamilton	43.8	46.3	27.3	57.7	14.6%	14.6%	Provider shortage
124	Bandera	43.8	47.5	18.6	65.4	15.7%	14.1%	Provider shortage
125	Fayette	43.7	36.2	21.8	73.1	13.8%	14.2%	Provider shortage
126	Schleicher	43.7	39.4	26.3	65.4	14.8%	22.5%	Provider shortage
127	Galveston	43.5	25.1	24.5	80.8	12.3%	15.0%	Provider shortage
128	Gregg	43.5	37.1	28.1	65.4	13.5%	16.3%	Provider shortage
129	Jones	43.2	38.4	29.6	61.5	13.0%	22.3%	Provider shortage
130	Llano	43.2	50.6	17.4	61.5	15.7%	12.2%	Provider shortage
131	Morris	43.1	52.1	27.3	50.0	15.9%	14.7%	Health burden
132	Castro	43.1	44.1	35.2	50.0	15.5%	27.7%	Provider shortage
133	Leon	43.0	48.2	19.3	61.5	15.3%	15.7%	Provider shortage
134	Milam	43.0	45.3	29.8	53.8	14.9%	17.6%	Provider shortage
135	Austin	42.9	43.5	23.7	61.5	14.7%	17.2%	Provider shortage
136	Young	42.9	38.2	28.9	61.5	13.4%	15.2%	Provider shortage
137	Lipscomb	42.7	43.7	26.8	57.7	14.8%	20.1%	Provider shortage
138	Midland	42.7	18.6	28.6	80.8	10.8%	20.0%	Provider shortage
139	Grimes	42.7	42.2	24.3	61.5	14.4%	18.5%	Provider shortage
140	San Saba	42.5	42.4	27.4	57.7	14.2%	20.7%	Provider shortage
141	Bell	42.4	33.7	28.2	65.4	12.6%	16.2%	Provider shortage
142	Jackson	42.4	44.3	32.9	50.0	14.7%	19.7%	Provider shortage
143	Colorado	42.3	42.4	22.9	61.5	14.9%	17.7%	Provider shortage
144	Freestone	42.0	45.8	22.5	57.7	14.7%	16.1%	Provider shortage
145	Upshur	41.8	42.5	21.3	61.5	13.9%	14.1%	Provider shortage
146	Shackelford	41.5	28.3	23.1	73.1	12.3%	11.4%	Provider shortage
147	Fannin	41.4	40.6	22.0	61.5	13.2%	15.3%	Provider shortage
148	Brazos	41.4	7.9	35.4	80.8	9.7%	15.6%	Provider shortage
149	Parmer	41.4	40.6	29.8	53.8	15.0%	28.6%	Provider shortage
150	Andrews	41.3	30.8	31.7	61.5	12.7%	25.9%	Provider shortage
151	Tarrant	41.3	19.5	23.5	80.8	11.7%	16.8%	Provider shortage
152	Hopkins	41.2	39.2	22.8	61.5	13.4%	16.1%	Provider shortage
153	Ellis	41.1	25.2	17.3	80.8	11.6%	15.6%	Provider shortage
154	Kleberg	41.0	33.9	50.6	38.5	14.0%	27.9%	Access & SDOH barriers
155	Cooke	40.9	35.7	25.4	61.5	13.0%	15.2%	Provider shortage
156	Donley	40.8	40.5	16.4	65.4	14.0%	14.6%	Provider shortage
157	Dallam	40.8	44.4	28.0	50.0	14.7%	27.4%	Provider shortage
158	Runnels	40.7	41.4	23.0	57.7	14.7%	19.3%	Provider shortage
159	Wood	40.7	43.7	24.5	53.8	14.6%	13.6%	Provider shortage
160	Fisher	40.3	41.1	22.0	57.7	14.5%	15.7%	Provider shortage
161	Mitchell	40.3	37.9	29.2	53.8	13.3%	24.2%	Provider shortage
162	Brazoria	40.3	23.2	16.8	80.8	12.0%	16.2%	Provider shortage
163	Orange	40.2	35.1	24.1	61.5	12.4%	13.4%	Provider shortage
164	Tom Green	40.1	31.8	26.9	61.5	12.9%	19.3%	Provider shortage
165	Anderson	40.0	42.6	35.2	42.3	13.9%	19.1%	Health burden
166	Lee	39.9	50.5	27.0	42.3	15.4%	18.6%	Health burden
167	Scurry	39.9	37.2	24.8	57.7	13.6%	21.3%	Provider shortage
168	Kenedy	39.8	58.9	41.3	19.2	18.5%	35.1%	Health burden
169	Calhoun	39.7	37.8	27.4	53.8	14.7%	22.0%	Provider shortage
170	Van Zandt	39.5	39.2	17.8	61.5	13.4%	13.9%	Provider shortage
171	Eastland	39.4	42.1	30.0	46.2	14.1%	15.9%	Provider shortage
172	Burleson	39.4	38.4	22.1	57.7	14.0%	15.9%	Provider shortage
173	Childress	39.0	30.1	29.3	57.7	12.0%	21.6%	Provider shortage
174	Brown	38.8	39.8	30.4	46.2	14.0%	16.6%	Provider shortage
175	Brewster	38.7	24.4	22.4	69.2	12.8%	15.8%	Provider shortage
176	Kinney	38.6	46.6	42.3	26.9	15.8%	25.4%	Health burden
177	Caldwell	38.3	43.7	32.6	38.5	14.6%	25.9%	Health burden
178	McMullen	38.2	59.1	28.5	26.9	17.8%	22.3%	Health burden
179	Loving	38.0	—	56.8	19.2	—	—	Access & SDOH barriers
180	Montgomery	38.0	16.2	17.1	80.8	11.4%	14.7%	Provider shortage
181	Knox	37.5	48.8	25.3	38.5	15.6%	19.1%	Health burden
182	Panola	37.5	40.7	21.9	50.0	13.8%	13.9%	Provider shortage
183	Lavaca	37.4	44.2	17.9	50.0	14.6%	15.4%	Provider shortage
184	Concho	37.2	42.5	30.7	38.5	14.2%	23.7%	Health burden
185	Hansford	37.1	36.4	28.8	46.2	13.6%	23.4%	Provider shortage
186	Erath	37.0	19.8	25.9	65.4	10.8%	14.7%	Provider shortage
187	Smith	36.8	33.2	23.3	53.8	13.2%	15.3%	Provider shortage
188	Victoria	36.6	38.4	36.7	34.6	14.5%	22.5%	Health burden
189	Gaines	36.5	29.3	30.2	50.0	11.8%	25.6%	Provider shortage
190	Reagan	36.3	36.8	25.9	46.2	14.5%	27.0%	Provider shortage
191	Bosque	36.0	42.4	15.5	50.0	14.3%	14.7%	Provider shortage
192	Delta	35.9	41.1	24.4	42.3	13.7%	13.4%	Provider shortage
193	Archer	35.3	34.0	14.3	57.7	12.7%	12.3%	Provider shortage
194	Hutchinson	35.2	33.4	26.1	46.2	12.9%	16.7%	Provider shortage
195	Clay	35.0	36.5	14.8	53.8	13.2%	11.3%	Provider shortage
196	Rains	35.0	41.6	17.3	46.2	14.1%	12.4%	Provider shortage
197	Chambers	34.8	20.1	19.0	65.4	10.8%	15.9%	Provider shortage
198	Taylor	34.5	22.2	23.6	57.7	11.2%	15.7%	Provider shortage
199	Wise	34.3	27.4	13.9	61.5	11.9%	15.2%	Provider shortage
200	Franklin	34.0	34.1	14.2	53.8	13.0%	12.5%	Provider shortage
201	Denton	34.0	8.6	12.5	80.8	9.9%	11.2%	Provider shortage
202	McLennan	33.9	28.8	30.5	42.3	12.5%	16.8%	Provider shortage
203	Kent	33.6	31.6	11.6	57.7	12.9%	12.0%	Provider shortage
204	Cottle	33.5	68.1	32.5	0.0	18.8%	19.7%	Health burden
205	Oldham	33.5	35.0	19.3	46.2	13.3%	15.0%	Provider shortage
206	Lampasas	33.4	37.5	16.6	46.2	14.0%	14.5%	Provider shortage
207	King	33.3	60.8	16.0	23.1	16.8%	16.1%	Health burden
208	Carson	32.9	26.2	14.8	57.7	11.7%	11.5%	Provider shortage
209	Travis	32.9	1.6	24.0	73.1	9.0%	13.9%	Provider shortage
210	Kerr	32.4	41.6	24.9	30.8	14.7%	15.7%	Health burden
211	Throckmorton	32.4	49.9	20.4	26.9	15.4%	13.1%	Health burden
212	Fort Bend	32.2	10.6	12.9	73.1	12.0%	12.6%	Provider shortage
213	Martin	32.2	26.9	15.9	53.8	12.1%	21.8%	Provider shortage
214	Motley	32.2	45.6	16.4	34.6	14.7%	15.1%	Health burden
215	Hardin	32.1	31.0	19.0	46.2	12.4%	12.6%	Provider shortage
216	Hartley	32.0	26.8	19.2	50.0	12.0%	18.8%	Provider shortage
217	Irion	31.8	34.2	11.3	50.0	13.4%	14.5%	Provider shortage
218	Montague	31.6	39.1	24.8	30.8	13.4%	14.1%	Health burden
219	Sherman	31.6	30.3	14.6	50.0	12.9%	20.9%	Provider shortage
220	Coryell	31.0	20.2	22.9	50.0	10.3%	16.0%	Provider shortage
221	Williamson	30.9	7.6	12.0	73.1	9.8%	12.2%	Provider shortage
222	Randall	30.5	20.5	17.3	53.8	10.8%	14.0%	Provider shortage
223	Mason	30.3	40.1	16.2	34.6	14.4%	14.4%	Health burden
224	Parker	29.1	22.2	11.4	53.8	10.7%	12.1%	Provider shortage
225	Blanco	27.9	31.9	9.4	42.3	13.1%	11.9%	Provider shortage
226	Terrell	27.5	35.0	20.5	26.9	15.0%	16.8%	Health burden
227	Wilson	27.5	28.9	19.1	34.6	13.1%	17.5%	Provider shortage
228	Armstrong	25.5	30.3	3.8	42.3	12.6%	11.4%	Provider shortage
229	Hardeman	24.1	48.7	23.6	0.0	15.2%	17.5%	Health burden
230	Glasscock	23.4	17.8	17.9	34.6	10.9%	15.4%	Provider shortage
231	Sterling	23.4	14.8	5.5	50.0	10.5%	15.6%	Provider shortage
232	Yoakum	23.2	33.7	35.8	0.0	13.5%	27.1%	Access & SDOH barriers
233	Roberts	23.1	25.5	17.0	26.9	11.6%	11.0%	Provider shortage
234	Medina	22.8	39.5	28.8	0.0	14.4%	21.6%	Health burden
235	Borden	22.6	33.8	7.0	26.9	13.2%	11.4%	Health burden
236	Crockett	22.6	49.4	18.5	0.0	16.5%	28.2%	Health burden
237	Washington	19.7	33.7	25.5	0.0	13.2%	13.2%	Health burden
238	Gillespie	19.0	35.1	21.9	0.0	13.6%	13.7%	Health burden
239	Burnet	17.8	36.2	17.3	0.0	13.5%	14.7%	Health burden
240	Callahan	17.2	37.0	14.6	0.0	13.2%	12.5%	Health burden
241	Mills	16.7	38.6	11.5	0.0	14.1%	13.4%	Health burden
242	Grayson	16.2	29.3	19.4	0.0	12.5%	13.7%	Health burden
243	Kaufman	14.8	24.8	19.5	0.0	11.2%	16.8%	Health burden
244	Johnson	14.4	24.5	18.6	0.0	11.9%	16.3%	Health burden
245	Guadalupe	14.3	24.8	18.2	0.0	12.8%	17.1%	Health burden
246	Waller	14.3	21.7	21.2	0.0	11.1%	17.6%	Health burden
247	Somervell	14.2	29.4	13.1	0.0	12.3%	13.4%	Health burden
248	Hood	13.5	29.4	11.1	0.0	12.5%	11.7%	Health burden
249	Hemphill	13.2	22.7	16.8	0.0	11.6%	16.4%	Health burden
250	Hays	11.6	13.3	21.4	0.0	10.2%	16.6%	Access & SDOH barriers
251	Comal	10.5	20.7	10.9	0.0	11.2%	12.9%	Health burden
252	Kendall	10.1	20.1	10.3	0.0	11.1%	11.5%	Health burden
253	Rockwall	5.6	10.3	6.5	0.0	9.4%	11.3%	Health burden
254	Collin	5.5	6.4	10.1	0.0	9.5%	10.1%	Access & SDOH barriers

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

CDC PLACES — Local Data for Better Health (County Data)
PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023) · accessed 2026-05-31
HRSA — Primary Care Health Professional Shortage Areas
Shortage Area HPSA detail (Primary Care discipline, designated) · accessed 2026-05-31
U.S. Census Bureau — American Community Survey (5-year)
ACS 2019-2023 5-year estimates · accessed 2026-05-31

Frequently asked questions

What does the Texas county health-access scorecard measure?

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.

Which public datasets is it built from?

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 2026-05-31.

How should the Targeting-Priority Index be used?

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.