HRSA Counties Indexed
5
with HPSA / MUA coverage
Medically underserved areas & HPSA profile
Medically Underserved Areas in American Samoa
4 Medically Underserved Areas and 6 active HRSA Health Professional Shortage Area designations across American Samoa.
- MUAs
- 4
- Total HPSAs
- 6
- Primary care
- 2
- Mental health
- 2
- Dental
- 2
Upper-middle density verdict
Within HRSA's current state and territory corpus, American Samoa occupies the upper-middle density quarter. The Data Warehouse counts 6 active shortage designations across 5 counties; Western County has the largest county count at 6; about 100.0% of residents live in a geographic shortage county.
- 6
- Active HPSA designations
- 2
- Primary-care shortages
- 4
- Medically underserved areas
- 100.0%
- Residents in a shortage county
Key findings
What the HRSA Data Warehouse does not surface for American Samoa 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.
-
Western County holds 100% of American Samoa's 6 active designations (6 of 6).
5 of 5 counties in this profile carry at least one active record; the remainder are zero-active on this release.
-
33.3% of American Samoa's active designations are primary care.
Discipline mix from state aggregates: 2 primary care, 2 mental health, 2 dental (denominator 6).
-
Closing American Samoa's active designations would take about 43 additional clinician FTEs, led by primary care.
HRSA providers_needed summed once per HPSA id across the state: 17 primary care, 12 mental health, 14 dental. Federal gap estimate, not a practising-clinician headcount.
HRSA state registry desk
American Samoa designation file stamps
- HPSA-VOL
- 6
- MUA-COUNT
- 4
- PC/MH/DH
- 2/2/2
- RANK
- 20/56
- DENSITY
- MID-HIGH
- BOOK
- 5 counties
Lead discipline: primary-care. Photo-finish peer: Marshall Islands (6HPSAs).
Corpus placement
Where American Samoa sits among all 56 states and territories
American Samoa's 6 active HPSA designations across 49,710 residents work out to 12.1 per 100,000, good for rank 20 of 56, ahead of the 7.3 national median and 64% of the corpus.
3 of those are county-wide geographic designations; the remainder are facility-, population- or clinic-based, which is why the county map and the designation count answer different questions.
Designation density tracks rural geography as much as unmet need: AK records 134.7 designations per 100,000 residents and NJ 1.5, because a sparsely-settled state accumulates more separate designations to cover the same population. Designations also overlap, so this counts designations, not people. Counted as distinct HRSA designation IDs, the same unit as the totals above. Computed from the designation records and county populations behind this page; states without county population data are given no placement rather than an estimated one.
Snapshot comparison
Change since the previous HRSA snapshot
Between Jun 2, 2026 and Jul 25, 2026, the number of active stable HPSA IDs recorded for American Samoa changed from 6 to 6 (0).
- IDs added
- 0
- IDs absent now
- 0
- Newly designated
- 0
- No longer designated
- 0
Among IDs present in both snapshots, scores rose for 0 and fell for 1; recorded providers needed rose for 0 and fell for 0. These are changes in published designation records, not evidence of cause, care quality, or patient outcomes. See the national comparison and limitations.
Medically Underserved Areas
4
Residents in Geographic Shortage Areas
49,710
% Residents in Geographic Shortage
100.0%
Discipline Mix
2 / 2 / 2 PC/MH/D
Primary care · Mental health · Dental
% Residents in Geographic Shortage-Designated Counties 100.0%
American Samoa Shortage Designations by Care Type
How American Samoa's 6 active HRSA designations split across the three provider categories. According to KFF's May 2026 tracker, American Samoa has not adopted ACA Medicaid expansion. That policy context does not measure provider supply, appointment availability, or care quality.
American Samoa HPSA designations by type
Active Health Professional Shortage Area designations, by provider category.
- Primary care
Primary care
2 designations
- Mental health
Mental health
2 designations
- Dental
Dental
2 designations
American Samoa HPSA Counties by Care Type
County lists for the three HRSA shortage disciplines searchers ask for by name (dental, primary care, mental health). Counts are live designated-HPSA records in this release, not provider headcounts.
Dental HPSA counties in American Samoa
5 counties with at least one active dental designation ; led by Western (2). Full list (designation count in parentheses): Western (2) , Eastern (1) , Manu'a (1) , Rose Island (1) , Swains Island (1) .
Primary-care HPSA counties in American Samoa
5 counties with at least one active primary-care designation ; led by Western (2). Full list: Western (2) , Eastern (1) , Manu'a (1) , Rose Island (1) , Swains Island (1) .
Mental-health HPSA counties in American Samoa
5 counties with at least one active mental-health designation ; led by Western (2). Full list: Western (2) , Eastern (1) , Manu'a (1) , Rose Island (1) , Swains Island (1) .
All counties in American Samoa, by total shortage volume
All 5American Samoa counties, ranked by active HPSA designations across primary care, mental health, and dental. On a narrow screen, this list keeps each county’s total and MUA status visible; the care-type split is available on wider screens.
| # | County | Designations | MUA |
|---|---|---|---|
| 1 | Western | 6 | - |
| 2 | Eastern | 3 | MUA |
| 3 | Manu'a | 3 | MUA |
| 4 | Rose Island | 3 | MUA |
| 5 | Swains Island | 3 | MUA |
Medically Underserved Areas in American Samoa
All 4 MUA designations in American Samoa, lowest MUA Index first.
| Name | MUA Index |
|---|---|
| Null | 32.5 |
| Null | 32.5 |
| Null | 32.5 |
| Null | 32.5 |
Upper-middle density reading for American Samoa
American Samoa carries 6 active HPSA designations with 4 Medically Underserved Areas, enough for a formal shortage footprint without landing in the densest US tier. Compare the three discipline counts (2/2/2) before assuming every care category is equally short.
Geographic shortage counties cover about 100.0% of residents. That coverage signal routes federal recruitment dollars; it is not a service-denial verdict for any one household.
Nationwide states with similar HRSA shortage footprints
Two peer sets for American Samoa: total active HPSA designations and Medically Underserved Area counts, ranked against every other state and territory.
Similar designation volume
Nearest total HPSA count (6 active here).
Similar MUA inventory
Nearest MUA count (4 here).
Frequently Asked Questions
How many Medically Underserved Areas are in American Samoa? ▼
American Samoa has 4 Medically Underserved Areas (MUAs). About 49,710 residents (100.0% of the state) live in a county with a geographic HRSA shortage designation. MUA-designated areas qualify for enhanced federal funding and Community Health Center grants.
Which counties in American Samoa have dental HPSA designations? ▼
5 American Samoa counties carry at least one active dental Health Professional Shortage Area in the current HRSA release: Western (2), Eastern (1), Manu'a (1), Rose Island (1), Swains Island (1). Counts are designated dental HPSA records per county, not a dentist headcount.
Are there doctor shortages in American Samoa? ▼
Yes. American Samoa has 6 Health Professional Shortage Areas (HPSAs), including 2 in primary care, 2 in mental health, and 2 in dental care. About 100.0% of American Samoa residents live in a county that HRSA has designated as a geographic (whole-community) shortage area; additional residents are covered by population-group and facility designations counted separately.
What are HPSAs? ▼
Health Professional Shortage Areas (HPSAs) are federal designations by the Health Resources and Services Administration (HRSA) identifying communities with insufficient healthcare providers. HPSAs are categorized into three types: primary care, mental health, and dental. In American Samoa, there are 6 designated HPSAs and 4 Medically Underserved Areas (MUAs).
Source: HRSA Data Warehouse Not affiliated with HRSA
Choose the next comparison
Use American Samoa's designation totals as a starting point, then move to the comparison that answers the next decision without treating a shortage designation as a personal care outcome.
- Compare American Samoa's primary-care shortage record with every other state before drawing conclusions from a raw total; population and geography affect designation counts. Compare states
- Western County has the most active HPSA designations in this state profile. Open its county record to inspect the local primary-care, mental-health, and dental breakdown. Open county profile
- Use the national statistics reference for the source vintage, aggregate context, and methodology behind these state-level figures. Read national context
HRSA designations describe structural provider-shortage criteria and federal-program eligibility. They do not measure appointment availability, insurance coverage, care quality, or an individual patient’s access to care.
Read our methodology - how this data is sourced, computed, and verified.
Verify with U.S. Census Bureau →
Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page aggregates every county-level HPSA and MUA designation on record for American Samoa (AS) and ranks the state's per-capita designation density among all states and territories. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026.