LA · Healthcare shortage profile
Franklin County, LA
Designation volume is the standout signal for Franklin County: 12 active HPSA records, above 85% of real US counties. Population 19,774.
- Active HPSAs
- 12
- Population
- 19,774
- Peak shortage score
- 21.0
- MUA Index
- 49.2
Heavy-burden verdict
According to current HRSA Data Warehouse records, Franklin County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.
- 12
- Active HPSA designations
- 4
- Mental-health shortages
- 21
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Franklin County, LA 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.
-
Peak HPSA score 21.0 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.
-
Closing Franklin County's active designations would take about 3 additional clinician FTEs, with dental the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.2 primary care, 1.2 mental health, 1.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.
-
33.3% of Franklin County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
Few Census ZCTAs touch Franklin County
The Census ZCTA-county crosswalk lists only 8 ZIP Code Tabulation Areas intersecting Franklin County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
3 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Franklin County vs. every real US county
Total active HPSA designations, including counties with none
12 Top 15% higher than 85% 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. Franklin County falls in the upper quarter of LA counties by active-designation volume, at rank 12 of 64. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 22041. Population: 19,774.
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 12 active (designated) HPSAs in Franklin County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Franklin Medical Center R H C - Winnsboro | mental_health | 21.0 |
| Franklin Parish | mental_health | 21.0 |
| Gilbert Health Center | primary_care | 20.0 |
| Gilbert Health Center | mental_health | 19.0 |
| Crowville Health Center | mental_health | 19.0 |
| Franklin Medical Center R H C - Winnsboro | primary_care | 18.0 |
| Crowville Health Center | primary_care | 18.0 |
| Franklin Medical Center R H C - Winnsboro | dental | 16.0 |
| Crowville Health Center | dental | 16.0 |
| Gilbert Health Center | dental | 15.0 |
| Franklin Parish | dental | 14.0 |
| Franklin Parish | primary_care | 13.0 |
Heavy-burden reading for Franklin County
Designation volume is the standout signal for Franklin County: 12 active HPSA records, above 85% of real US counties. Franklin County's severest measured gap is in mental health, scored 21.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 20.0 of 25; Dental care reads 16.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 49.2, and the lower the index, the greater the measured need.
Volume places Franklin County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 21.0. 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.
Franklin County falls in the upper quarter of LA counties by active-designation volume, at rank 12 of 64. 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.
Franklin County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
4 designations
- Mental health
Mental health
4 designations
Heavy-volume FTE gap in Franklin County
HRSA providers_needed summed once per HPSA id for Franklin County's active designations: about 3 FTE, a federal gap estimate, not a headcount of practising clinicians.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Franklin County, LA · 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
Franklin County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Franklin County's 12 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 LA before you draw conclusions from a single score. LA 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 Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Franklin County's 21.0. This compares the designation score only, not local appointment availability or care quality. Start with Pinellas County, FL and Ocean County, NJ.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of Franklin County (12 active)
One peer set for this volume-led county: nearest active designation count to 12 across the national corpus.
Frequently Asked Questions
- Does Franklin County's MUA standing sit beside its HPSA records?
- Yes - Franklin County carries an MUA designation (index 49.2; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Franklin County's 12 active HPSA designations?
- 12 Designated rows (4 primary care, 4 mental health, 4 dental). Highest-scored name on this release: "FRANKLIN MEDICAL CENTER R H C - WINNSBORO" (score 21.0; mental health; 44,470 people in the service area; designated 09/18/2020). Also active: "Franklin Parish", "GILBERT HEALTH CENTER", "GILBERT HEALTH CENTER". Above 85% of real US counties by volume.
- What does volume-plus-score look like for Franklin County?
- Peak active score 21.0 in mental health clears the 17-point line while volume sits at 12 rows.
- What clinician need sits behind Franklin County's designation volume?
- Closing published gaps would take about 3 additional clinician FTEs (id-de-duped providers_needed). "FRANKLIN MEDICAL CENTER R H C - WINNSBORO" is the severity lead inside that inventory.
- Which federal programs follow Franklin County's designation volume?
- 12 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Franklin County's volume compare inside LA?
- 12 active HPSA rows · peak 21.0. Franklin County falls in the upper quarter of LA counties by active-designation volume, at rank 12 of 64. Score-nearest counties on this release include Pinellas County, FL and Ocean County, NJ.
Source: HRSA Data Warehouse. FIPS: 22041. 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.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 22041 (Franklin County, LA), vintage 2026-08-15. Active designation count 12; peak score 21.0; signature 12 active designations. This profile is reference material, not professional advice; see methodology.