TX · Healthcare shortage profile
Comal County, TX
Peak severity leads this reading: Comal County's highest active HPSA score is 11.0, still below HRSA's 17-point high-priority line. Population 161,501.
- Active HPSAs
- 1
- Population
- 161,501
- Peak shortage score
- 11.0
- MUA Index
- 62.0
Light-burden verdict
According to current HRSA Data Warehouse records, Comal County carries a comparatively light shortage burden - 1 active HPSA designation, more than 2% of the 3,289 real US counties, with mental health the deepest gap.
- 1
- Active HPSA designations
- 1
- Mental-health shortages
- 11
- Peak severity score (of 26)
- Top 98%
- US counties by volume
Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.
Key findings
What the HRSA Data Warehouse does not surface for Comal 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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Closing Comal County's active designations would take about 6.5 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 6.5 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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100% of Comal County's 1 active designations are mental health.
Discipline mix from designated HPSA records only: 0 primary care, 1 mental health, 0 dental (denominator 1).
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Peak HPSA score 11.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Comal County's mid-pack ZIP footprint
14 Census ZCTAs intersect Comal County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
6 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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Comal County carries 1 active designation, above 2% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Comal County falls in the lower half of TX counties by active-designation volume, at rank 239 of 254. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 48091. Population: 161,501.
Medically Underserved Area
Active HPSA scores
Current designated records only · mental health only on this FIPS. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 1 active (designated) HPSAs in Comal County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Comal County | mental_health | 11.0 |
Light-burden reading for Comal County
Peak severity leads this reading: Comal County's highest active HPSA score is 11.0, still below HRSA's 17-point high-priority line. Comal County's severest measured gap is in mental health, scored 11.0 of 25, still short of the 17-point priority line, though the designation itself is formal. The county also sits inside a Medically Underserved Area, indexed at 62.0, and the lower the index, the greater the measured need.
Comal County carries 1 active designation and sits below the national mid-pack (above 2% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.
Comal County falls in the lower half of TX counties by active-designation volume, at rank 239 of 254. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.
Counties near Comal County's mental score of 11.0
One peer set for this severity-led county: nearest active mental HPSA score to 11.0 (severity lead on this page is “Comal County”).
Yabucoa County, PR
11.0 mental score · 30,426 pop.
Doddridge County, WV
11.0 mental score · 7,808 pop.
Delta County, TX
11.0 mental score · 5,230 pop.
Sherman County, TX
11.0 mental score · 2,782 pop.
Sheridan County, ND
11.0 mental score · 1,265 pop.
Fairfield County, CT
12.0 mental score · 957,419 pop.
Frequently Asked Questions
- Does Comal County's MUA standing sit beside its HPSA records?
- Yes - Comal County carries an MUA designation (index 62.0; 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 Comal County's peak score of 11.0?
- "Comal County" leads the active set (score 11.0; mental health; 100,000 people in the service area; ~6.5 FTE still needed on the record; designated 08/17/2020). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 1 active rows: 0 primary care, 1 mental health, 0 dental.
- What provider types does Comal County's severity cover?
- Active rows break down 0 primary care / 1 mental health / 0 dental. Closing published gaps would take about 6.5 additional clinician FTEs on this release.
Source: HRSA Data Warehouse. FIPS: 48091. This county’s designations come from BCD_HPSA_FCT_DET_MH.csv (mental health) — 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 48091 (Comal County, TX), vintage 2026-08-15. Active designation count 1; peak score 11.0; signature peak score 11.0. This profile is reference material, not professional advice; see methodology.