PA · Healthcare shortage profile
Lancaster County, PA
Peak severity leads this reading: Lancaster County's highest active HPSA score is 21.0, clearing HRSA's 17-point high-priority line. Population 552,984.
- Active HPSAs
- 4
- Population
- 552,984
- Peak shortage score
- 21.0
- MUA Index
- 51.6
Mid-burden verdict
According to current HRSA Data Warehouse records, Lancaster County holds a moderate federal shortage burden - 4 active HPSA designations, more than 44% of the 3,289 real US counties, with dental the deepest gap.
- 4
- Active HPSA designations
- 2
- Dental shortages
- 21
- Peak severity score (of 26)
- Top 56%
- US counties by volume
Dense ZCTA lattice over Lancaster County
Lancaster County intersects 61 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
49 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.
Key findings
What the HRSA Data Warehouse does not surface for Lancaster County, PA 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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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.
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Closing Lancaster 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): 3 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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50% of Lancaster County's 4 active designations are dental.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 2 dental (denominator 4).
Lancaster County vs. every real US county
Total active HPSA designations, including counties with none
4 Top 56% higher than 44% 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. Lancaster County falls in the lower half of PA counties by active-designation volume, at rank 34 of 67. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 42071. Population: 552,984.
Single high-priority discipline
Lancaster County's only high-priority (≥17) footprint is dental care
Current HRSA Data Warehouse rows attribute 2 active dental care designations to Lancaster County , with a peak score of 21.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the dental care records.
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 4 active (designated) HPSAs in Lancaster County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Union Community Care | dental | 21.0 |
| LI-Lancaster City | dental | 17.0 |
| Union Community Care | primary_care | 15.0 |
| Union Community Care | mental_health | 12.0 |
Moderate-burden reading for Lancaster County
Peak severity leads this reading: Lancaster County's highest active HPSA score is 21.0, clearing HRSA's 17-point high-priority line. Dental care carries Lancaster County's deepest shortage reading, 21.0 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 15.0 of 25; Mental health reads 12.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 51.6, and the lower the index, the greater the measured need.
Lancaster County sits in the middle of the national designation-volume distribution (above 44% of counties) with 4 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (1/1/2) before assuming every care category is equally short.
Lancaster County falls in the lower half of PA counties by active-designation volume, at rank 34 of 67. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Acting on Lancaster County's high-priority dental care
Lancaster County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Lancaster County's high-priority dental care designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's dental care burden compares with the rest of PA before drawing conclusions from a single score. PA overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. 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 dental score peers
Closest U.S. counties on active dental HPSA score to Lancaster County's 21.0. Open Forrest County, MS or Bonner County, ID next.
Showing 3 of 2744 counties nationally with an active designation this severe.
Counties near Lancaster County's dental score of 21.0
One peer set for this severity-led county: nearest active dental HPSA score to 21.0 (severity lead on this page is “UNION COMMUNITY CARE”).
Forrest County, MS
21.0 dental score · 78,158 pop.
Bonner County, ID
21.0 dental score · 47,110 pop.
Chippewa County, MI
21.0 dental score · 36,785 pop.
Ramsey County, MN
21.0 dental score · 552,352 pop.
Cumberland County, NC
21.0 dental score · 334,728 pop.
La Crosse County, WI
21.0 dental score · 120,784 pop.
Frequently Asked Questions
- Does Lancaster County's MUA standing sit beside its HPSA records?
- Yes - Lancaster County carries an MUA designation (index 51.6; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Which record sets Lancaster County's peak score of 21.0?
- "UNION COMMUNITY CARE" leads the active set (score 21.0; dental; 46,561 people in the service area; designated 10/26/2002). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 4 active rows: 1 primary care, 1 mental health, 2 dental.
- Which other active designations sit under Lancaster County's severity reading?
- After "UNION COMMUNITY CARE", the next active names on this release are "UNION COMMUNITY CARE", "LI-Lancaster City", "UNION COMMUNITY CARE" and "UNION COMMUNITY CARE". Provider need (id-de-duped) totals ~3 FTE across disciplines that still carry a gap.
- Which federal pathways follow Lancaster County's high-severity geography?
- Lancaster County's 4 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "UNION COMMUNITY CARE".
Source: HRSA Data Warehouse. FIPS: 42071. 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 42071 (Lancaster County, PA), vintage 2026-08-15. Active designation count 4; peak score 21.0; signature peak score 21.0. This profile is reference material, not professional advice; see methodology.