HRSA release comparison

What changed in the shortage-designation record

We compared the Health Resources and Services Administration (HRSA) Data Warehouse HPSA records in our Jun 2, 2026 and Jul 25, 2026 source snapshots by stable designation ID. This describes changes in the published record, not why they happened, whether care improved, or what a patient experienced.

Source: HRSA Data Warehouse Health Professional Shortage Area records · Jun 2, 2026 and Jul 25, 2026 snapshots PlainHealthAccess is independent and is not affiliated with HRSA or HHS.

National release overview

Active IDs now
21,166

+939 from prior snapshot

IDs added
904

Not present in the earlier export

IDs absent now
5

Not automatically “withdrawn”

Current stable IDs
42,330

Current, unambiguous stable IDs

Designation status

Status changed for matched IDs

Newly designated
202
No longer designated
160

These counts include only IDs found in both snapshots whose status crossed the “designated” boundary. New IDs are counted separately above.

Recorded measures

Scores and provider need moved both ways

Score increased
183
Score decreased
218
Providers needed increased
241
Providers needed decreased
221

A higher or lower HPSA score is a change within HRSA's designation criteria. It is not direct evidence that appointment access, care quality, or health outcomes improved or worsened.

State and territory detail

Where active-ID counts changed

Net change compares active stable IDs in the two snapshots. It should not be read as a state performance score.

Scroll the table horizontally for all change columns.

State or territory Previous active Current active Net Newly designated No longer designated
Texas TX 912 1,119 +207 76 5
Minnesota MN 476 533 +57 9 6
California CA 1,574 1,623 +49 5 14
Maryland MD 88 133 +45 0 0
Illinois IL 687 731 +44 0 0
Washington WA 597 640 +43 0 0
Missouri MO 883 925 +42 15 13
Oklahoma OK 460 501 +41 22 0
Arkansas AR 351 391 +40 17 4
Kansas KS 365 395 +30 20 0
Maine ME 195 223 +28 0 6
Arizona AZ 622 649 +27 0 0
New Mexico NM 275 302 +27 12 0
Florida FL 612 637 +25 5 1
Nevada NV 153 173 +20 0 0
Michigan MI 777 793 +16 0 6
Louisiana LA 507 523 +16 0 3
Montana MT 315 330 +15 1 4
Kentucky KY 687 701 +14 0 1
New York NY 546 560 +14 0 12
Alaska AK 975 988 +13 2 14
Ohio OH 482 495 +13 0 0
Connecticut CT 105 117 +12 0 10
Pennsylvania PA 392 402 +10 2 9
Oregon OR 403 412 +9 0 12
Idaho ID 244 253 +9 1 0
Alabama AL 245 252 +7 0 1
Delaware DE 30 37 +7 0 0
Georgia GA 370 376 +6 3 0
Colorado CO 303 309 +6 0 0
Wisconsin WI 454 459 +5 0 0
Tennessee TN 380 385 +5 0 3
Indiana IN 362 366 +4 0 7
South Dakota SD 245 249 +4 0 3
North Dakota ND 203 207 +4 3 0
Utah UT 176 180 +4 3 1
South Carolina SC 264 267 +3 0 2
Massachusetts MA 168 171 +3 0 3
North Carolina NC 613 615 +2 1 3
Mississippi MS 386 388 +2 0 3
Hawaii HI 97 99 +2 1 1
Wyoming WY 95 97 +2 0 1
New Hampshire NH 62 64 +2 1 1
Rhode Island RI 40 42 +2 0 0
Iowa IA 448 447 -1 2 7
Virginia VA 439 440 +1 0 4
Nebraska NE 315 316 +1 1 0
New Jersey NJ 126 127 +1 0 0
Vermont VT 41 42 +1 0 0
West Virginia WV 361 361 0 0 0
Puerto Rico PR 215 215 0 0 0
District of Columbia DC 31 31 0 0 0
Federated States of Micronesia FM 24 24 0 0 0
Virgin Islands VI 15 15 0 0 0
Guam GU 12 12 0 0 0
American Samoa AS 6 6 0 0 0
Marshall Islands MH 6 6 0 0 0
Northern Mariana Islands MP 6 6 0 0 0
Palau PW 6 6 0 0 0