TX · Healthcare shortage profile
Shackelford County, TX
Home to 3,105 residents, with 5 active HRSA shortage designations.
- Active HPSAs
- 5
- Population
- 3,105
- Peak shortage score
- 20.0
- MUA Index
- 56.0
Mid-burden verdict
According to current HRSA Data Warehouse records, Shackelford County holds a moderate federal shortage burden - 5 active HPSA designations, more than 47% of the 3,289 real US counties, with primary care the deepest gap.
- 5
- Active HPSA designations
- 2
- Mental-health shortages
- 20
- Peak severity score (of 26)
- Top 53%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Shackelford County, TX 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 Shackelford County's 5 active designations are primary care.
Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 1 dental (denominator 5).
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Closing Shackelford County's active designations would take about 1.1 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.9 primary care, 0.2 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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Peak HPSA score 20.0 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.
Shackelford County vs. every real US county
Total active HPSA designations, including counties with none
5 Top 53% higher than 47% 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. Shackelford County falls in the upper half of TX counties by active-designation volume, at rank 74 of 254. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 48417. Population: 3,105.
Medically Underserved Area
Active HPSA 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 5 active (designated) HPSAs in Shackelford County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Shackelford County Community Resource Center | mental_health | 20.0 |
| Shackelford County | primary_care | 19.0 |
| Shackelford County Community Resource Center | primary_care | 17.0 |
| Shackelford County Community Resource Center | dental | 17.0 |
| Shackelford County | mental_health | 11.0 |
Moderate-burden reading for Shackelford County
Shackelford County's severest measured gap is in mental health, scored 20.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 19.0 of 25; Dental care reads 17.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 56.0, and the lower the index, the greater the measured need.
Shackelford County sits in the middle of the national designation-volume distribution (above 47% of counties) with 5 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/1) before assuming every care category is equally short.
Shackelford County falls in the upper half of TX counties by active-designation volume, at rank 74 of 254. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Clinician FTE gap by care type
HRSA providers_needed summed once per HPSA id for Shackelford County's active designations: 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 Shackelford County, TX · 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 Shackelford County's designations
Shackelford County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Shackelford County's 5 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 TX before you draw conclusions from a single score. TX 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.
Nearby mental-health score peers
Closest U.S. counties on active mental-health HPSA score to Shackelford County's 20.0. Open Sangamon County, IL or Bibb County, GA next.
Showing 3 of 3083 counties nationally with an active designation this severe.
Nationwide counties with similar HRSA profiles
Two peer sets for Shackelford County: active designation volume and primary-care HPSA score, ranked across the national county corpus.
Similar designation volume
Nearest active designation count (5 here).
Similar primary-care score
Nearest active primary-care HPSA score (19.0 here).
Frequently Asked Questions
Is Shackelford County a Medically Underserved Area?
Yes, Shackelford County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 56.0. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
How many healthcare shortage areas does Shackelford County have?
Shackelford County, TX has 5 Health Professional Shortage Area designations: 2 in primary care, 2 in mental health, and 1 in dental care, according to HRSA data.
What does Shackelford County's HPSA score of 20.0 mean?
20.0 in mental health 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 Shackelford County?
Based on HRSA shortage designations, Shackelford 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.
Source: HRSA Data Warehouse. FIPS: 48417. 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.