CA · Healthcare shortage profile
Santa Cruz County, CA
Home to 270,861 residents, with 10 active HRSA shortage designations.
- Active HPSAs
- 10
- Population
- 270,861
- Peak shortage score
- 25.0
- MUA Index
- 46.7
Heavy-burden verdict
According to current HRSA Data Warehouse records, Santa Cruz County ranks among the most underserved counties in the country - 10 active HPSA designations, more than 83% of the 3,289 real US counties, with primary care the deepest gap.
- 10
- Active HPSA designations
- 3
- Dental shortages
- 25
- Peak severity score (of 26)
- Top 17%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Santa Cruz County, CA on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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40% of Santa Cruz County's 10 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 3 mental health, 3 dental (denominator 10).
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Closing Santa Cruz County's active designations would take about 0.3 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.3 primary care. This is the federal gap estimate, not a headcount of practising clinicians.
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Peak HPSA score 25.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
Santa Cruz County vs. every real US county
Total active HPSA designations, including counties with none
10 Top 17% higher than 83% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Santa Cruz County falls in the lower half of CA counties by active-designation volume, at rank 41 of 58. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 06087. Population: 270,861.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 10 active (designated) HPSAs in Santa Cruz County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Santa Cruz Community Health Centers | dental | 25.0 |
| County OF Santa Cruz | dental | 23.0 |
| Salud Para LA Gente | mental_health | 21.0 |
| Santa Cruz Community Health Centers | mental_health | 21.0 |
| Salud Para LA Gente | dental | 21.0 |
| County OF Santa Cruz | mental_health | 20.0 |
| Salud Para LA Gente | primary_care | 16.0 |
| County OF Santa Cruz | primary_care | 14.0 |
| Santa Cruz Community Health Centers | primary_care | 14.0 |
| LI - Mssa 184/Freedom/Watsonville | primary_care | 7.0 |
Heavy-burden reading for Santa Cruz County
Dental care carries Santa Cruz County's deepest shortage reading, 25.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 16.0 of 25; Mental health reads 21.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 46.7, and the lower the index, the greater the measured need.
Volume places Santa Cruz County above 83% of real US counties (10 active designations: 4 primary care, 3 mental health, 3 dental). Peak severity on the current designated set is 25.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Santa Cruz County falls in the lower half of CA counties by active-designation volume, at rank 41 of 58. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Santa Cruz County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Mental health
Mental health
3 designations
- Dental
Dental
3 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Santa Cruz County, CA · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Santa Cruz County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Santa Cruz County's 10 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of CA before you draw conclusions from a single score. CA overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Santa Cruz County's 25.0. This compares the designation score only, not local appointment availability or care quality. Start with Salt Lake County, UT and Fresno County, CA.
Showing 6 of 2746 counties nationally with an active designation this severe.
Nationwide counties with similar HRSA profiles
Two peer sets for Santa Cruz County: active designation volume and primary-care HPSA score, ranked across the national county corpus.
Similar designation volume
Nearest active designation count (10 here).
Similar primary-care score
Nearest active primary-care HPSA score (16.0 here).
Frequently Asked Questions
Is Santa Cruz County a Medically Underserved Area?
Yes, Santa Cruz County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 46.7. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
How many healthcare shortage areas does Santa Cruz County have?
Santa Cruz County, CA has 10 Health Professional Shortage Area designations: 4 in primary care, 3 in mental health, and 3 in dental care, according to HRSA data.
What does Santa Cruz County's HPSA score of 25.0 mean?
25.0 in dental care clears 17, HRSA's high-priority line, which is what makes providers here eligible for NHSC placement and enhanced reimbursement.
What healthcare providers are needed in Santa Cruz County?
Based on HRSA shortage designations, Santa Cruz County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.
Which federal programs do Santa Cruz County's designations unlock?
Santa Cruz County's 10 active designations open NHSC placement, Community Health Center grants, the Medicare bonus and J-1 waivers, but eligibility follows the designated area and provider type, not the county line.
How does Santa Cruz County compare to other counties in CA?
Santa Cruz County has 10 total HPSA designations with a peak shortage score of 25.0. You can compare shortage levels across all counties in CA on the state overview page, or view national county rankings to see where Santa Cruz County stands relative to the rest of the country. Score-nearest counties on this release include Salt Lake County, UT and Fresno County, CA.
Source: HRSA Data Warehouse. FIPS: 06087. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.