Counties the federal government designates as short of primary care, mental health or dental providers, state by state.
| State | Primary care | Whole county | Mental health | Dental |
|---|---|---|---|---|
| Alabama | 64 | 35 | 66 | 49 |
| Alaska | 28 | 20 | 30 | 30 |
| Arizona | 15 | 0 | 15 | 15 |
| Arkansas | 72 | 15 | 73 | 74 |
| California | 45 | 5 | 50 | 37 |
| Colorado | 54 | 16 | 63 | 48 |
| Connecticut | 10 | 2 | 10 | 9 |
| Delaware | 3 | 0 | 3 | 3 |
| Florida | 66 | 17 | 67 | 65 |
| Georgia | 143 | 46 | 153 | 124 |
| Hawaii | 4 | 3 | 4 | 4 |
| Idaho | 43 | 10 | 44 | 41 |
| Illinois | 93 | 40 | 102 | 78 |
| Indiana | 76 | 46 | 92 | 57 |
| Iowa | 74 | 26 | 92 | 49 |
| Kansas | 79 | 15 | 96 | 41 |
| Kentucky | 112 | 36 | 118 | 116 |
| Louisiana | 60 | 25 | 62 | 60 |
| Maine | 13 | 0 | 12 | 15 |
| Maryland | 22 | 2 | 22 | 19 |
| Massachusetts | 11 | 2 | 8 | 4 |
| Michigan | 74 | 5 | 74 | 62 |
| Minnesota | 69 | 36 | 74 | 62 |
| Mississippi | 81 | 24 | 81 | 79 |
| Missouri | 112 | 22 | 113 | 111 |
| Montana | 55 | 25 | 54 | 40 |
| Nebraska | 71 | 28 | 88 | 31 |
| Nevada | 17 | 11 | 17 | 15 |
| New Hampshire | 9 | 0 | 5 | 3 |
| New Jersey | 6 | 1 | 7 | 2 |
| New Mexico | 32 | 19 | 32 | 32 |
| New York | 53 | 4 | 48 | 33 |
| North Carolina | 96 | 8 | 99 | 94 |
| North Dakota | 47 | 36 | 48 | 27 |
| Ohio | 80 | 16 | 78 | 55 |
| Oklahoma | 75 | 9 | 77 | 71 |
| Oregon | 35 | 8 | 34 | 33 |
| Pennsylvania | 37 | 0 | 20 | 44 |
| Rhode Island | 2 | 0 | 3 | 2 |
| South Carolina | 45 | 20 | 46 | 41 |
| South Dakota | 55 | 35 | 66 | 45 |
| Tennessee | 93 | 18 | 94 | 86 |
| Texas | 233 | 128 | 249 | 214 |
| Utah | 22 | 9 | 27 | 18 |
| Vermont | 6 | 3 | 0 | 2 |
| Virginia | 104 | 50 | 133 | 103 |
| Washington | 39 | 22 | 39 | 39 |
| West Virginia | 53 | 7 | 53 | 54 |
| Wisconsin | 49 | 15 | 48 | 44 |
| Wyoming | 22 | 10 | 23 | 8 |
Number of counties with at least one active area-based designation (geographic or population HPSA), and how many are designated as a whole county for primary care. Source: Health Resources and Services Administration (data.hrsa.gov).
HRSA designates Health Professional Shortage Areas (HPSAs) where there are too few providers for the population: for primary care, generally fewer than one doctor for every 3,500 people (or 3,000 in high-need areas). Designations unlock federal programs such as National Health Service Corps clinicians and Medicare bonus payments. Each gets a score from 0 to 25 for primary and mental health care, or 0 to 26 for dental care; higher means greater need.