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Mental health shortage map for Maine and Nebraska

88 of Nebraska's 93 counties, home to 56% of the state's residents, sit entirely inside a federally designated mental health professional shortage area. In Maine, 12 of 16 counties have all or part of their area designated. This map shows where, using the federal government's own shortage data.

Written under the clinical direction of Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last updated September 29, 2026 · Editorial policy

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TL;DR. Federal data (HRSA, checked September 28, 2026): 88 of 93 Nebraska counties are wholly inside a designated mental health shortage area; the only exceptions are Cass, Dodge, Douglas, Sarpy, and Washington counties in and around Omaha. In Maine, 12 of 16 counties have at least part designated; Cumberland, Lincoln, Sagadahoc, and York counties have none. Another 13 Maine designations are under HRSA review for possible withdrawal.

88 of 93

Nebraska counties that are entirely inside a designated mental health shortage area

56%

of Nebraskans live in those counties (1,101,744 people, 2020 Census)

12 of 16

Maine counties with all or part of their area designated

19

active mental health shortage designations across both states (5 in Nebraska, 14 in Maine)

Nebraska

Adams County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 31,205.Antelope County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 6,295.Arthur County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 434.Banner County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 674.Blaine County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 431.Boone County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 5,379.Box Butte County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 10,842.Boyd County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 1,810.Brown County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 2,903.Buffalo County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 50,084.Burt County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 6,722.Butler County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 8,369.Cass County: No current designation. Highest mental health HPSA score: none. 2020 population: 26,598.Cedar County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 8,380.Chase County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 3,893.Cherry County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 5,455.Cheyenne County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 9,468.Clay County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 6,104.Colfax County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 10,582.Cuming County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 9,013.Custer County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 10,545.Dakota County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 21,582.Dawes County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 8,199.Dawson County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 24,111.Deuel County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 1,838.Dixon County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 5,606.Dodge County: No current designation. Highest mental health HPSA score: none. 2020 population: 37,167.Douglas County: No current designation. Highest mental health HPSA score: none. 2020 population: 584,526.Dundy County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 1,654.Fillmore County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 5,551.Franklin County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 2,889.Frontier County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 2,519.Furnas County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 4,636.Gage County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 21,704.Garden County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 1,874.Garfield County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 1,813.Gosper County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 1,893.Grant County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 611.Greeley County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 2,188.Hall County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 62,895.Hamilton County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 9,429.Harlan County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 3,073.Hayes County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 856.Hitchcock County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 2,616.Holt County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 10,127.Hooker County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 711.Howard County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 6,475.Jefferson County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 7,240.Johnson County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 5,290.Kearney County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 6,688.Keith County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 8,335.Keya Paha County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 769.Kimball County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 3,434.Knox County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 8,391.Lancaster County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 322,608.Lincoln County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 34,676.Logan County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 716.Loup County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 607.Madison County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 35,585.McPherson County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 399.Merrick County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 7,668.Morrill County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 4,555.Nance County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 3,380.Nemaha County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 7,074.Nuckolls County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 4,095.Otoe County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 15,912.Pawnee County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 2,544.Perkins County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 2,858.Phelps County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 8,968.Pierce County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 7,317.Platte County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 34,296.Polk County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 5,214.Red Willow County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 10,702.Richardson County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 7,871.Rock County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 1,262.Saline County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 14,292.Sarpy County: No current designation. Highest mental health HPSA score: none. 2020 population: 190,604.Saunders County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 22,278.Scotts Bluff County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 36,084.Seward County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 17,609.Sheridan County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 5,127.Sherman County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 2,959.Sioux County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 1,135.Stanton County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 5,842.Thayer County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 5,034.Thomas County: Whole county designated. Highest mental health HPSA score: 7. 2020 population: 669.Thurston County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 6,773.Valley County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 4,059.Washington County: No current designation. Highest mental health HPSA score: none. 2020 population: 20,865.Wayne County: Whole county designated. Highest mental health HPSA score: 17. 2020 population: 9,697.Webster County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 3,395.Wheeler County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 774.York County: Whole county designated. Highest mental health HPSA score: 12. 2020 population: 14,125.

Hover over or tap a county to see its designation.

Maine

Androscoggin County: Part of county designated. Highest mental health HPSA score: 13. 2020 population: 111,139.Aroostook County: Part of county designated. Highest mental health HPSA score: 18. 2020 population: 67,105.Cumberland County: No current designation. Highest mental health HPSA score: none. 2020 population: 303,069.Franklin County: Whole county, low-income residents. Highest mental health HPSA score: 16. 2020 population: 29,456.Hancock County: Part of county designated. Highest mental health HPSA score: 15. 2020 population: 55,478.Kennebec County: Part of county designated. Highest mental health HPSA score: 17. 2020 population: 123,642.Knox County: Part of county designated. Highest mental health HPSA score: 12. 2020 population: 40,607.Lincoln County: No current designation. Highest mental health HPSA score: none. 2020 population: 35,237.Oxford County: Part of county designated. Highest mental health HPSA score: 18. 2020 population: 57,777.Penobscot County: Part of county designated. Highest mental health HPSA score: 18. 2020 population: 152,199.Piscataquis County: Whole county designated. Highest mental health HPSA score: 19. 2020 population: 16,800.Sagadahoc County: No current designation. Highest mental health HPSA score: none. 2020 population: 36,699.Somerset County: Whole county, low-income residents. Highest mental health HPSA score: 18. 2020 population: 50,477.Waldo County: Part of county designated. Highest mental health HPSA score: 17. 2020 population: 39,607.Washington County: Part of county designated. Highest mental health HPSA score: 18. 2020 population: 31,095.York County: No current designation. Highest mental health HPSA score: none. 2020 population: 211,972.

Hover over or tap a county to see its designation.

  • Whole county designated
  • Whole county, low-income residents
  • Part of county designated
  • No current designation

Source: HRSA mental health Health Professional Shortage Area (HPSA) designations, data checked September 28, 2026; county populations from the 2020 Census. Designations cover the people named in the designation; a low-income population designation covers low-income residents, not everyone in the county.

What this shows

What a mental health shortage area is

The Health Resources and Services Administration (HRSA), part of the U.S. Department of Health and Human Services, designates Health Professional Shortage Areas (HPSAs) where there are too few providers for the population. Mental health is one of three HPSA types, alongside primary care and dental care.

Each mental health HPSA gets a score from 0 to 25; higher means a greater shortage. HRSA builds the score from the population-to-provider ratio, the share of residents below the federal poverty level, the share of older adults and children, alcohol and substance use prevalence, and travel time to the nearest source of care outside the area (HRSA scoring criteria).

There are two kinds of designation on this map. A geographic designation covers everyone who lives in the area. A low-income population designation covers only the area's low-income residents, meaning providers there aren't accessible enough to that group even if the area as a whole has some.

Nebraska

Nebraska: 88 of 93 counties designated

Nebraska's mental health shortage designations follow its behavioral health catchment areas. All 5 are geographic designations, and together they cover every county except Cass, Dodge, Douglas, Sarpy, and Washington, the counties in and around Omaha.

CountyDesignationHighest score (0 to 25)2020 populationProposed for withdrawal
Adams CountyWhole county designated1231,2050
Antelope CountyWhole county designated176,2950
Arthur CountyWhole county designated74340
Banner CountyWhole county designated196740
Blaine CountyWhole county designated124310
Boone CountyWhole county designated175,3790
Box Butte CountyWhole county designated1910,8420
Boyd CountyWhole county designated171,8100
Brown CountyWhole county designated172,9030
Buffalo CountyWhole county designated1250,0840
Burt CountyWhole county designated176,7220
Butler CountyWhole county designated128,3690
Cass CountyNo current designationNone26,5980
Cedar CountyWhole county designated178,3800
Chase CountyWhole county designated73,8930
Cherry CountyWhole county designated175,4550
Cheyenne CountyWhole county designated199,4680
Clay CountyWhole county designated126,1040
Colfax CountyWhole county designated1710,5820
Cuming CountyWhole county designated179,0130
Custer CountyWhole county designated1210,5450
Dakota CountyWhole county designated1721,5820
Dawes CountyWhole county designated198,1990
Dawson CountyWhole county designated724,1110
Deuel CountyWhole county designated191,8380
Dixon CountyWhole county designated175,6060
Dodge CountyNo current designationNone37,1670
Douglas CountyNo current designationNone584,5260
Dundy CountyWhole county designated71,6540
Fillmore CountyWhole county designated125,5510
Franklin CountyWhole county designated122,8890
Frontier CountyWhole county designated72,5190
Furnas CountyWhole county designated124,6360
Gage CountyWhole county designated1221,7040
Garden CountyWhole county designated191,8740
Garfield CountyWhole county designated121,8130
Gosper CountyWhole county designated71,8930
Grant CountyWhole county designated76110
Greeley CountyWhole county designated122,1880
Hall CountyWhole county designated1262,8950
Hamilton CountyWhole county designated129,4290
Harlan CountyWhole county designated123,0730
Hayes CountyWhole county designated78560
Hitchcock CountyWhole county designated72,6160
Holt CountyWhole county designated1710,1270
Hooker CountyWhole county designated77110
Howard CountyWhole county designated126,4750
Jefferson CountyWhole county designated127,2400
Johnson CountyWhole county designated125,2900
Kearney CountyWhole county designated126,6880
Keith CountyWhole county designated78,3350
Keya Paha CountyWhole county designated177690
Kimball CountyWhole county designated193,4340
Knox CountyWhole county designated178,3910
Lancaster CountyWhole county designated12322,6080
Lincoln CountyWhole county designated734,6760
Logan CountyWhole county designated77160
Loup CountyWhole county designated126070
Madison CountyWhole county designated1735,5850
McPherson CountyWhole county designated73990
Merrick CountyWhole county designated127,6680
Morrill CountyWhole county designated194,5550
Nance CountyWhole county designated173,3800
Nemaha CountyWhole county designated127,0740
Nuckolls CountyWhole county designated124,0950
Otoe CountyWhole county designated1215,9120
Pawnee CountyWhole county designated122,5440
Perkins CountyWhole county designated72,8580
Phelps CountyWhole county designated128,9680
Pierce CountyWhole county designated177,3170
Platte CountyWhole county designated1734,2960
Polk CountyWhole county designated125,2140
Red Willow CountyWhole county designated710,7020
Richardson CountyWhole county designated127,8710
Rock CountyWhole county designated171,2620
Saline CountyWhole county designated1214,2920
Sarpy CountyNo current designationNone190,6040
Saunders CountyWhole county designated1222,2780
Scotts Bluff CountyWhole county designated1936,0840
Seward CountyWhole county designated1217,6090
Sheridan CountyWhole county designated195,1270
Sherman CountyWhole county designated122,9590
Sioux CountyWhole county designated191,1350
Stanton CountyWhole county designated175,8420
Thayer CountyWhole county designated125,0340
Thomas CountyWhole county designated76690
Thurston CountyWhole county designated176,7730
Valley CountyWhole county designated124,0590
Washington CountyNo current designationNone20,8650
Wayne CountyWhole county designated179,6970
Webster CountyWhole county designated123,3950
Wheeler CountyWhole county designated127740
York CountyWhole county designated1214,1250

Nebraska designations

HRSA designation nameTypeScoreDesignated populationCountiesLast updated by HRSA
Region 1 MH Catchment AreaGeographic1980,231Banner; Box Butte; Cheyenne; Dawes; Deuel; Garden; Kimball; Morrill; Scotts Bluff; Sheridan; Sioux2025/09/04
Catchment Area 4Geographic17201,633Antelope; Boone; Boyd; Brown; Burt; Cedar; Cherry; Colfax; Cuming; Dakota; Dixon; Holt; Keya Paha; Knox; Madison; Nance; Pierce; Platte; Rock; Stanton; Thurston; Wayne2025/09/22
Mental Health Catchment Area 3Geographic12224,179Adams; Blaine; Buffalo; Clay; Custer; Franklin; Furnas; Garfield; Greeley; Hall; Hamilton; Harlan; Howard; Kearney; Loup; Merrick; Nuckolls; Phelps; Sherman; Valley; Webster; Wheeler2026/02/18
Mental Health Catchment Area 5Geographic12465,357Butler; Fillmore; Gage; Jefferson; Johnson; Lancaster; Nemaha; Otoe; Pawnee; Polk; Richardson; Saline; Saunders; Seward; Thayer; York2025/09/22
Catchment Area 2Geographic795,113Arthur; Chase; Dawson; Dundy; Frontier; Gosper; Grant; Hayes; Hitchcock; Hooker; Keith; Lincoln; Logan; McPherson; Perkins; Red Willow; Thomas2025/09/22

Maine

Maine: 12 of 16 counties with a designation

Maine designates shortage areas town by town, so most counties are only partly covered. 14 designations are active: 5 geographic and 9 for low-income residents. Cumberland, Lincoln, Sagadahoc, and York counties have none. Another 13 designations are listed by HRSA as "proposed for withdrawal," meaning they're under review and may lose their designation; we show them separately and leave them out of the totals.

CountyDesignationHighest score (0 to 25)2020 populationProposed for withdrawal
Androscoggin CountyPart of county designated13111,1391
Aroostook CountyPart of county designated1867,1054
Cumberland CountyNo current designationNone303,0690
Franklin CountyWhole county, low-income residents1629,4562
Hancock CountyPart of county designated1555,4781
Kennebec CountyPart of county designated17123,6422
Knox CountyPart of county designated1240,6070
Lincoln CountyNo current designationNone35,2370
Oxford CountyPart of county designated1857,7773
Penobscot CountyPart of county designated18152,1994
Piscataquis CountyWhole county designated1916,8002
Sagadahoc CountyNo current designationNone36,6990
Somerset CountyWhole county, low-income residents1850,4774
Waldo CountyPart of county designated1739,6071
Washington CountyPart of county designated1831,0953
York CountyNo current designationNone211,9720

Active Maine designations

HRSA designation nameTypeScoreDesignated populationCountiesLast updated by HRSA
Piscataquis CountyGeographic1916,723Piscataquis2026/05/27
HoultonGeographic1818,514Aroostook; Penobscot2026/04/01
LI-Bethel SALow-income population1815,719Oxford2026/04/01
LI-Calais/Machias SALow-income population188,703Washington2026/05/27
LI-Somerset CountyLow-income population1819,435Somerset2026/04/01
LI-Augusta SALow-income population1713,607Kennebec2026/05/27
LI-Presque Isle SALow-income population1712,920Aroostook2026/04/01
LI-Waterville SALow-income population1717,676Kennebec; Waldo2026/05/27
Millinocket SAGeographic1721,527Penobscot2026/04/01
LI-Franklin CountyLow-income population169,752Franklin2026/05/27
Ellsworth SAGeographic1530,354Hancock; Washington2026/04/01
LI-Livermore SALow-income population134,604Androscoggin; Kennebec; Oxford2026/05/27
LI-Fort KentLow-income population124,081Aroostook2026/04/01
Stonington SAGeographic126,719Hancock; Knox2026/05/27

Maine designations proposed for withdrawal

HRSA designation nameTypeScoreDesignated populationCountiesLast updated by HRSA
Houlton-Mental Health Analysis Area 30Geographic1918,109Aroostook; Penobscot; Washington2025/09/22
Dover FoxcroftGeographic1824,122Penobscot; Piscataquis; Somerset2026/04/01
LI - EllsworthLow-income population188,274Hancock; Washington2025/09/22
SkowheganGeographic1832,060Piscataquis; Somerset2025/09/22
FarmingtonGeographic1723,763Franklin; Kennebec; Oxford; Somerset2025/09/22
Lincoln/MillinocketGeographic1716,910Aroostook; Penobscot2025/09/22
NorwayGeographic1729,219Oxford2025/09/22
Fort KentHigh-needs geographic1611,929Aroostook2025/09/22
MHCA-14 RumfordGeographic1629,398Androscoggin; Franklin; Kennebec; Oxford2026/04/01
CalaisGeographic1524,834Washington2026/04/01
Caribou/Presque IsleHigh-needs geographic1537,451Aroostook2025/09/22
LI - BelfastLow-income population147,776Waldo2025/09/22
LI - PittsfieldLow-income population135,851Penobscot; Somerset2026/04/01

Downloads

Use this data

Journalists, researchers, and public agencies are welcome to use these tables. Please credit "shrinkMD analysis of HRSA shortage designation data" and link to this page.

County table (CSV) · Every designation (CSV)

Methodology

How we built this map

We retrieved every mental health HPSA designation for Maine and Nebraska from HRSA's official shortage-area data service on September 28, 2026, including each designation's type, status, score, designated population, component areas (counties, towns, or census tracts), and HRSA's last-update date. County boundaries and 2020 Census populations come from the U.S. Census Bureau.

A county is "whole county designated" when HRSA lists the entire county as a component of an active geographic designation. "Whole county, low-income residents" means the entire county is a component of a low-income population designation. "Part of county" means only some towns or tracts are designated. We count only designations with the status "Designated" and list "Proposed for withdrawal" designations separately.

Limits: designations change as HRSA and state primary care offices review them, so check HRSA's Find Shortage Areas tool for the current status of any single designation. Designated populations can overlap where two designations cover the same people, so we don't add them together. This map doesn't include facility designations (such as health centers, rural health clinics, and tribal sites), which HRSA scores separately. A shortage designation measures provider supply against need; it doesn't measure wait times.

We plan to refresh this data every quarter. Questions or corrections: [email protected].

Sources

Sources

All data retrieved September 28, 2026.

If you live in a shortage area

Finding care when psychiatrists are scarce

A shortage designation doesn't mean care is impossible to get; it means you may need to look further or wait longer. Your primary care clinician can often start treatment for common conditions and refer you on. Our guide to choosing the right kind of mental health professional explains who does what.

Telepsychiatry can help when the nearest psychiatrist is hours away, as long as the clinician is licensed in your state. shrinkMD is opening first in Maine and Nebraska; you can join the waitlist. If you're in crisis, call or text 988 or call 911.

Frequently asked questions

Good questions, clear answers

Is there a psychiatrist shortage in Nebraska?

Federal data says yes for most of the state. As of September 28, 2026, 88 of Nebraska's 93 counties are entirely inside a designated mental health professional shortage area. The exceptions are Cass, Dodge, Douglas, Sarpy, and Washington counties.

Is there a psychiatrist shortage in Maine?

Parts of Maine are designated. As of September 28, 2026, 12 of Maine's 16 counties have all or part of their area inside an active mental health shortage designation. Cumberland, Lincoln, Sagadahoc, and York counties have none.

What's a mental health HPSA score?

A number from 0 to 25 that HRSA assigns to each mental health shortage designation. Higher scores mean a greater shortage, based on the population-to-provider ratio, poverty, the share of older adults and children, substance use prevalence, and travel time to care.

Where does this data come from?

HRSA's official shortage designation data, retrieved September 28, 2026, with 2020 Census county populations. Downloads and the full methodology are on this page.

Can I use this map or data?

Yes. Please credit "shrinkMD analysis of HRSA shortage designation data" and link to this page.

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