Table 2.
Shortage Area Counties, by State
| Total Counties | Counties with VHA Facility(ies) | Counties with no VHA Facility | Shortage Area Counties | Shortage Area Counties with High VHA Enrollment | Rural Counties | Rural Shortage Area Counties | Rural Shortage Area Counties with High Enrollment | Shortage Area Counties as Proportion of Total Counties | |
|---|---|---|---|---|---|---|---|---|---|
| United States | 3,142 | 885 | 2,257 | 2,143 | 547 | 644 | 627 | 232 | 0.68 |
| Northeast Region | |||||||||
| New England Division | |||||||||
| Connecticut | 8 | 6 | 2 | 2 | 0 | 0 | 0 | 0 | 0.25 |
| Maine | 16 | 9 | 7 | 6 | 1 | 2 | 2 | 1 | 0.38 |
| Massachusetts | 14 | 12 | 2 | 2 | 0 | 0 | 0 | 0 | 0.14 |
| New Hampshire | 10 | 8 | 2 | 2 | 0 | 0 | 0 | 0 | 0.2 |
| Rhode Island | 5 | 3 | 2 | 1 | 0 | 0 | 0 | 0 | 0.2 |
| Vermont | 14 | 6 | 8 | 6 | 1 | 3 | 3 | 1 | 0.43 |
| Middle Atlantic Division | |||||||||
| New Jersey | 21 | 17 | 4 | 1 | 0 | 0 | 0 | 0 | 0.05 |
| New York | 62 | 43 | 19 | 18 | 2 | 1 | 1 | 0 | 0.29 |
| Pennsylvania | 67 | 44 | 23 | 18 | 2 | 4 | 3 | 1 | 0.27 |
| Midwest Region | |||||||||
| East North Central Division | |||||||||
| Illinois | 102 | 25 | 77 | 76 | 16 | 10 | 10 | 5 | 0.75 |
| Indiana | 92 | 18 | 74 | 63 | 4 | 5 | 5 | 1 | 0.68 |
| Michigan | 83 | 30 | 53 | 51 | 4 | 14 | 14 | 2 | 0.61 |
| Ohio | 88 | 35 | 53 | 44 | 4 | 2 | 2 | 0 | 0.5 |
| Wisconsin | 72 | 20 | 52 | 47 | 20 | 13 | 13 | 8 | 0.65 |
| Midwest Region | |||||||||
| West North Central Division | |||||||||
| Iowa | 99 | 16 | 83 | 81 | 33 | 20 | 20 | 6 | 0.82 |
| Kansas | 105 | 20 | 85 | 85 | 10 | 42 | 42 | 4 | 0.81 |
| Minnesota | 87 | 14 | 73 | 64 | 42 | 19 | 19 | 16 | 0.74 |
| Missouri | 115 | 30 | 85 | 85 | 32 | 30 | 30 | 15 | 0.74 |
| Nebraska | 93 | 11 | 82 | 82 | 50 | 51 | 50 | 33 | 0.88 |
| North Dakota | 53 | 9 | 44 | 44 | 19 | 37 | 37 | 16 | 0.83 |
| South Dakota | 66 | 12 | 54 | 54 | 29 | 42 | 37 | 20 | 0.82 |
| South Region | |||||||||
| South Atlantic Division | |||||||||
| Delaware | 3 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Dist. of Columbia | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Florida | 67 | 37 | 30 | 30 | 5 | 2 | 2 | 0 | 0.45 |
| Georgia | 159 | 26 | 133 | 129 | 25 | 22 | 21 | 6 | 0.81 |
| Maryland | 24 | 14 | 10 | 7 | 0 | 0 | 0 | 0 | 0.29 |
| North Carolina | 100 | 20 | 80 | 72 | 13 | 16 | 15 | 4 | 0.72 |
| South Carolina | 46 | 13 | 33 | 33 | 7 | 1 | 1 | 0 | 0.72 |
| Virginia | 133 | 24 | 109 | 88 | 10 | 21 | 19 | 3 | 0.66 |
| West Virginia | 55 | 17 | 38 | 36 | 18 | 11 | 8 | 5 | 0.65 |
| East South Central Division | |||||||||
| Alabama | 67 | 16 | 51 | 51 | 11 | 11 | 11 | 5 | 0.76 |
| Kentucky | 120 | 18 | 102 | 92 | 26 | 36 | 36 | 13 | 0.77 |
| Mississippi | 82 | 11 | 71 | 71 | 13 | 21 | 21 | 3 | 0.87 |
| Tennessee | 95 | 21 | 74 | 72 | 7 | 16 | 15 | 1 | 0.76 |
| South Region | |||||||||
| West South Central Division | |||||||||
| Arkansas | 75 | 17 | 58 | 57 | 17 | 13 | 13 | 6 | 0.76 |
| Louisiana | 64 | 16 | 48 | 48 | 9 | 5 | 5 | 1 | 0.75 |
| Oklahoma | 77 | 12 | 65 | 65 | 16 | 16 | 16 | 3 | 0.84 |
| Texas | 254 | 48 | 206 | 197 | 35 | 49 | 49 | 13 | 0.78 |
| West Region | |||||||||
| Mountain Division | |||||||||
| Arizona | 15 | 12 | 3 | 3 | 0 | 0 | 0 | 0 | 0.2 |
| Colorado | 64 | 20 | 44 | 43 | 10 | 20 | 20 | 6 | 0.67 |
| Idaho | 44 | 11 | 33 | 33 | 7 | 10 | 10 | 2 | 0.75 |
| Montana | 56 | 16 | 40 | 40 | 23 | 29 | 28 | 19 | 0.71 |
| Nevada | 17 | 7 | 10 | 10 | 0 | 4 | 4 | 0 | 0.59 |
| New Mexico | 33 | 16 | 17 | 16 | 4 | 6 | 6 | 4 | 0.48 |
| Utah | 29 | 7 | 22 | 22 | 2 | 5 | 5 | 1 | 0.76 |
| Wyoming | 23 | 15 | 8 | 8 | 6 | 4 | 4 | 4 | 0.35 |
| Pacific Division | |||||||||
| Alaska | 29 | 5 | 24 | 24 | 2 | 17 | 17 | 2 | 0.83 |
| California | 58 | 36 | 22 | 22 | 3 | 4 | 4 | 1 | 0.38 |
| Hawaii | 5 | 4 | 1 | 1 | 1 | 0 | 0 | 0 | 0.2 |
| Oregon | 36 | 18 | 18 | 18 | 6 | 5 | 4 | 1 | 0.5 |
| Washington | 39 | 16 | 23 | 23 | 2 | 5 | 5 | 0 | 0.59 |
Notes: United States: Includes the 50 U.S. states and the District of Columbia (Dist. of Columbia). Counties: Includes counties and countylike entities (e.g., parishes in Louisiana). VHA facility: Includes VHA‐administered Community‐Based Outpatient Clinics (CBOCs), Integrated Clinical Facilities, Outpatient Clinics, VA Medical Centers, and Vet Centers. Shortage area county: County has no VHA facility(ies) and county is a HRSA‐designated primary care or mental health HPSA (whole county or partial county). Rural county: USDA Economic Research Service Rural‐Urban Commuting Area (RUCA) Code = 8 or 9.