Return to Home Help & Resources Health Service Areas

Health Service Areas

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Health Service Areas (HSAs) were originally defined by the National Center for Health Statistics, part of the Centers for Disease Control and Prevention, to be a single county or cluster of contiguous counties which are relatively self-contained with respect to hospital care. For further information about their initial use, please visit the Atlas of United States Mortality.

These HSAs have been modified so that none of the HSAs cross state boundaries. These are referred to as HSAs (NCI Modified). There are over 900 HSAs in the United States.

Alabama

Butler, AL:

Calhoun (Anniston), AL - Cleburne, AL:

Chambers, AL - Randolph, AL:

Choctaw, AL - Sumter, AL:

Dallas, AL - Marengo, AL:

Escambia, AL - Conecuh, AL:

Etowah (Gadsden), AL - Marshall, AL:

Houston (Dothan), AL - Dale, AL:

Jefferson (Birmingham), AL - Shelby, AL:

Lamar, AL:

Lauderdale (Florence), AL - Colbert, AL:

Lee (Auburn), AL - Elmore, AL:

Madison (Huntsville), AL - Limestone, AL:

Marion, AL - Fayette, AL:

Mobile (Mobile), AL - Baldwin, AL:

Montgomery (Montgomery), AL - Autauga, AL:

Morgan (Decatur), AL - Lawrence, AL:

Russell, AL:

Talladega, AL - Clay, AL:

Tuscaloosa (Tuscaloosa), AL - Pickens, AL:

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Alaska

Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK:

Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK:

Juneau City and Borough, AK - Sitka City and Borough, AK:

Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK:

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Arizona

Apache, AZ:

Maricopa (Phoenix), AZ - Pinal, AZ:

Mohave, AZ:

Pima (Tucson), AZ - Cochise, AZ:

Yuma, AZ - La Paz, AZ:

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Arkansas

Arkansas, AR - Monroe, AR:

Ashley, AR - Chicot, AR:

Baxter, AR - Marion, AR:

Boone, AR - Carroll, AR:

Craighead, AR - Greene, AR:

Crittenden (West Memphis), AR - St. Francis, AR:

Garland, AR - Hot Spring, AR:

Independence, AR - Sharp, AR:

Jackson, AR:

Jefferson (Pine Bluff), AR - Drew, AR:

Johnson, AR:

Miller, AR - Hempstead, AR:

Mississippi, AR:

Ouachita, AR - Dallas, AR:

Phillips, AR:

Polk, AR:

Pope, AR - Yell, AR:

Pulaski (Little Rock), AR - Faulkner, AR:

Sebastian (Fort Smith), AR - Crawford, AR:

Union, AR - Columbia, AR:

Washington (Fayetteville), AR - Benton, AR:

White, AR - Cleburne, AR:

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California

Alameda (Oakland), CA - Contra Costa, CA:

Alpine, CA:

Butte (Chico), CA - Tehama, CA:

Del Norte, CA:

Fresno (Fresno), CA - Kings, CA:

Humboldt, CA:

Inyo, CA - Mono, CA:

Kern, CA:

Lassen, CA - Plumas, CA:

Los Angeles (Los Angeles), CA:

Marin, CA:

Mendocino, CA:

Nevada, CA - Sierra, CA:

Orange, CA:

Sacramento (Sacramento), CA - Placer, CA:

San Bernardino, CA - Riverside (Riverside), CA:

San Diego (San Diego), CA - Imperial, CA:

San Francisco (San Francisco), CA - San Mateo, CA:

San Joaquin (Stockton), CA - Calaveras, CA:

Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA:

Santa Clara (San Jose), CA - Monterey, CA:

Santa Cruz, CA:

Shasta (Redding), CA - Trinity, CA:

Siskiyou, CA:

Solano (Vallejo), CA - Napa, CA:

Sonoma (Santa Rosa), CA:

Stanislaus (Modesto), CA - Merced, CA:

Sutter (Yuba City), CA - Yuba, CA:

Tulare, CA:

Ventura, CA:

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Colorado

Alamosa, CO - Rio Grande, CO:

Baca, CO:

Boulder, CO - Broomfield, CO:

Chaffee, CO - Lake, CO:

Denver (Denver), CO - Jefferson, CO:

El Paso (Colorado Springs), CO - Teller, CO:

Fremont, CO - Custer, CO:

Jackson, CO:

La Plata, CO - Montezuma, CO:

Larimer, CO:

Logan, CO - Phillips, CO:

Mesa, CO - Garfield, CO:

Montrose, CO - Delta, CO:

Otero, CO - Prowers, CO:

Pueblo (Pueblo), CO - Las Animas, CO:

Routt, CO - Moffat, CO:

Weld, CO - Morgan, CO:

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Connecticut

Fairfield, CT:

Hartford (Hartford), CT - Tolland, CT:

New Haven (New Haven), CT - Litchfield, CT:

New London, CT:

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Delaware

New Castle (Wilmington), DE:

Sussex, DE - Kent, DE:

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District of Columbia

District of Columbia:

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Florida

Alachua (Gainesville), FL - Columbia, FL:

Bay (Panama City), FL - Jackson, FL:

Brevard (Palm Bay), FL - Indian River, FL:

Duval (Jacksonville), FL - Clay, FL:

Escambia (Pensacola), FL - Okaloosa, FL:

Hillsborough (Tampa), FL - Pinellas, FL:

Lee (Cape Coral), FL - Collier, FL:

Leon (Tallahassee), FL - Gadsden, FL:

Manatee, FL:

Marion (Ocala), FL - Citrus, FL:

Miami-Dade (Miami), FL - Broward, FL:

Orange (Orlando), FL - Volusia, FL:

Osceola, FL:

Palm Beach (West Palm Beach), FL - St. Lucie, FL:

Polk (Lakeland), FL - Highlands, FL:

Sarasota (Sarasota), FL - Charlotte, FL:

St. Johns (St. Augustine), FL - Putnam, FL:

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Georgia

Baldwin, GA:

Bibb (Macon), GA - Houston, GA:

Bulloch, GA - Emanuel, GA:

Carroll, GA - Haralson, GA:

Chatham (Savannah), GA - Liberty, GA:

Cherokee, GA - Douglas, GA:

Clarke (Athens), GA - Barrow, GA:

Cobb (Marietta), GA:

Coffee, GA - Jeff Davis, GA:

Colquitt, GA:

Coweta, GA - Troup (La Grange), GA:

Decatur, GA - Seminole, GA:

Dougherty (Albany), GA - Lee, GA:

Elbert, GA - Wilkes, GA:

Floyd, GA - Bartow, GA:

Fulton (Atlanta), GA - DeKalb, GA:

Gilmer, GA - Fannin, GA:

Glynn, GA - Camden, GA:

Hall, GA - Habersham, GA:

Henry, GA - Forsyth, GA:

Jasper, GA:

Laurens, GA - Toombs, GA:

Lowndes, GA - Brooks, GA:

Morgan, GA - Greene, GA:

Muscogee (Columbus), GA - Harris, GA:

Newton (Covington), GA:

Putnam, GA - Hancock, GA:

Quitman, GA:

Rabun, GA:

Richmond (South Augusta), GA - Columbia, GA:

Spalding (Griffin), GA - Butts, GA:

Stephens, GA - Hart, GA:

Sumter, GA - Crisp, GA:

Thomas, GA - Mitchell, GA:

Tift, GA - Ben Hill, GA:

Upson, GA - Lamar, GA:

Walker, GA - Catoosa, GA:

Ware, GA - Pierce, GA:

Warren, GA - Glascock, GA:

Washington, GA - Jefferson, GA:

Wayne, GA - Appling, GA:

Whitfield, GA - Murray, GA:

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Hawaii

Hawaii, HI:

Honolulu (Honolulu), HI - Maui, HI:

Kauai, HI:

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Idaho

Ada (Boise City), ID - Canyon, ID:

Bannock, ID - Bingham, ID:

Blaine, ID - Camas, ID:

Bonneville, ID - Madison, ID:

Cassia, ID - Minidoka, ID:

Franklin, ID - Bear Lake, ID:

Kootenai, ID - Bonner, ID:

Latah, ID:

Lemhi, ID:

Nez Perce, ID - Idaho, ID:

Payette, ID - Washington, ID:

Twin Falls, ID - Jerome, ID:

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Illinois

Adams, IL - Pike, IL:

Champaign (Champaign), IL - Coles, IL:

Clark, IL:

Cook (Chicago), IL - DuPage, IL:

Crawford, IL - Lawrence, IL:

Effingham, IL - Fayette, IL:

Hancock, IL:

Henderson, IL:

Jefferson, IL - Wayne, IL:

Kane (Aurora), IL - DeKalb, IL:

Kankakee (Kankakee), IL - Iroquois, IL:

Knox, IL - Warren, IL:

La Salle, IL - Livingston, IL:

Macon (Decatur), IL - Shelby, IL:

Macoupin, IL - Montgomery, IL:

Madison (Alton), IL - Jersey, IL:

Marion, IL - Washington, IL:

Massac, IL - Johnson, IL:

McLean (Bloomington), IL - Woodford, IL:

Morgan, IL - Greene, IL:

Peoria (Peoria), IL - Tazewell, IL:

Richland, IL - Clay, IL:

Rock Island (Moline), IL - Henry, IL:

Saline, IL - Gallatin, IL:

Sangamon (Springfield), IL - Christian, IL:

St. Clair (Belleville), IL - Clinton, IL:

Stephenson, IL - Jo Daviess, IL:

Union, IL - Alexander, IL:

Vermilion, IL - Edgar, IL:

Wabash, IL:

White, IL - Hamilton, IL:

Whiteside, IL - Carroll, IL:

Will (Joliet), IL - Grundy, IL:

Williamson, IL - Jackson, IL:

Winnebago (Rockford), IL - Ogle, IL:

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Indiana

Allen (Fort Wayne), IN - Noble, IN:

Bartholomew, IN - Jackson, IN:

Boone, IN:

Clark (Jeffersonville), IN - Scott, IN:

Dearborn, IN - Jefferson (Madison), IN:

Delaware (Muncie), IN - Randolph, IN:

Dubois, IN:

Elkhart (Elkhart), IN - Kosciusko, IN:

Floyd (New Albany), IN - Harrison, IN:

Fountain, IN - Warren, IN:

Franklin, IN:

Grant, IN - Miami, IN:

Hamilton, IN - Madison (Anderson), IN:

Hancock, IN - Henry (New Castle), IN:

Howard (Kokomo), IN - Cass, IN:

Huntington, IN - Adams, IN:

Knox, IN - Daviess, IN:

La Porte, IN - Starke, IN:

Lake (Gary), IN - Porter, IN:

Lawrence, IN - Orange, IN:

Marion (Indianapolis), IN - Johnson, IN:

Monroe (Bloomington), IN - Greene, IN:

Montgomery, IN:

Perry, IN:

St. Joseph (South Bend), IN - Marshall, IN:

Tippecanoe (Lafayette), IN - Clinton, IN:

Vanderburgh (Evansville), IN - Warrick, IN:

Vigo (Terre Haute), IN - Clay, IN:

Wayne, IN - Fayette, IN:

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Iowa

Allamakee, IA:

Appanoose, IA - Davis, IA:

Black Hawk (Waterloo), IA - Bremer, IA:

Carroll, IA - Sac, IA:

Cerro Gordo, IA - Kossuth, IA:

Clay, IA - Dickinson, IA:

Clayton, IA - Delaware, IA:

Clinton, IA:

Crawford, IA:

Des Moines, IA - Henry, IA:

Dubuque (Dubuque), IA - Jackson, IA:

Emmet, IA:

Floyd, IA - Chickasaw, IA:

Guthrie, IA - Greene, IA:

Howard, IA:

Lee, IA:

Linn (Cedar Rapids), IA - Johnson, IA:

Lucas, IA - Wayne, IA:

Lyon, IA:

Marshall, IA - Tama, IA:

Mitchell, IA:

Montgomery, IA - Adams, IA:

OBrien, IA - Osceola, IA:

Page, IA - Fremont, IA:

Polk (Des Moines), IA - Dallas, IA:

Pottawattamie (Council Bluffs), IA - Harrison, IA:

Poweshiek, IA:

Scott (Davenport), IA - Muscatine, IA:

Sioux, IA:

Story, IA - Boone, IA:

Wapello, IA - Mahaska, IA:

Webster, IA - Humboldt, IA:

Winneshiek, IA:

Woodbury (Sioux City), IA - Plymouth, IA:

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Kansas

Atchison, KS:

Barber, KS:

Barton, KS - Pawnee, KS:

Cherokee, KS:

Cheyenne, KS - Rawlins, KS:

Clay, KS:

Cloud, KS - Republic, KS:

Crawford, KS - Bourbon, KS:

Decatur, KS - Sheridan, KS:

Doniphan, KS:

Ellis, KS - Rooks, KS:

Finney, KS - Scott, KS:

Ford, KS - Gray, KS:

Geary, KS - Dickinson, KS:

Grant, KS - Stanton, KS:

Johnson (Overland Park), KS - Douglas, KS:

Kingman, KS - Harper, KS:

Labette, KS - Neosho, KS:

Lyon, KS - Coffey, KS:

Marshall, KS - Washington, KS:

McPherson, KS:

Mitchell, KS - Osborne, KS:

Montgomery, KS - Chautauqua, KS:

Ness, KS:

Phillips, KS - Norton, KS:

Pratt, KS - Kiowa, KS:

Reno, KS - Rice, KS:

Russell, KS:

Saline, KS - Ellsworth, KS:

Sedgwick (Wichita), KS - Butler, KS:

Seward, KS - Morton, KS:

Shawnee (Topeka), KS - Riley, KS:

Stevens, KS:

Thomas, KS - Sherman, KS:

Wichita, KS - Greeley, KS:

Wilson, KS:

Wyandotte (Kansas City), KS - Leavenworth, KS:

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Kentucky

Barren, KY - Hart, KY:

Bourbon (Paris), KY - Nicholas, KY:

Boyd, KY - Greenup, KY:

Boyle, KY - Lincoln, KY:

Calloway, KY:

Carroll, KY - Trimble, KY:

Christian (Hopkinsville), KY - Hopkins, KY:

Clinton, KY - Cumberland, KY:

Daviess (Owensboro), KY - Ohio, KY:

Fayette (Lexington-Fayette), KY - Jessamine, KY:

Floyd, KY - Johnson, KY:

Franklin, KY - Anderson, KY:

Fulton, KY:

Hardin, KY - Meade, KY:

Harlan, KY - Bell, KY:

Harrison, KY - Robertson, KY:

Henderson (Henderson), KY - Union, KY:

Jefferson (Louisville), KY - Bullitt, KY:

Kenton (Covington), KY - Campbell, KY:

Laurel, KY - Whitley, KY:

Letcher, KY:

Lewis, KY:

Madison, KY - Rockcastle, KY:

Mason, KY - Fleming, KY:

McCracken, KY - Graves, KY:

Montgomery, KY - Bath, KY:

Pike, KY:

Pulaski, KY - Wayne, KY:

Rowan, KY - Morgan, KY:

Taylor, KY - Adair, KY:

Warren, KY - Logan, KY:

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Louisiana

Caddo (Shreveport), LA - Bossier, LA:

Calcasieu (Lake Charles), LA - Vernon, LA:

Claiborne, LA:

Concordia, LA - Tensas, LA:

East Baton Rouge (Baton Rouge), LA - Livingston, LA:

Lafayette (Lafayette), LA - Iberia, LA:

Lincoln, LA - Union, LA:

Madison, LA:

Orleans (New Orleans), LA - Jefferson, LA:

Ouachita (Monroe), LA - Morehouse, LA:

Rapides (Alexandria), LA - Avoyelles, LA:

St. Landry, LA - Evangeline, LA:

St. Mary, LA:

St. Tammany (Slidell), LA - Washington, LA:

Tangipahoa, LA - St. Helena, LA:

Terrebonne (Houma), LA - Lafourche, LA:

Winn, LA:

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Maine

Androscoggin (Lewiston), ME - Oxford, ME:

Aroostook, ME:

Cumberland (Portland), ME - Knox, ME:

Kennebec, ME - Somerset, ME:

Penobscot (Bangor), ME - Hancock, ME:

York, ME:

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Maryland

Allegany (Cumberland), MD - Garrett, MD:

Baltimore, MD - Baltimore City, MD:

Frederick, MD:

Harford, MD - Cecil, MD:

Kent, MD:

Montgomery, MD - Prince Georges, MD:

Queen Annes, MD - Talbot, MD:

Washington (Hagerstown), MD:

Wicomico, MD - Worcester, MD:

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Massachusetts

Berkshire (Pittsfield), MA:

Bristol (New Bedford), MA:

Essex (Lynn), MA:

Hampden (Springfield), MA - Hampshire, MA:

Middlesex, MA - Suffolk (Boston), MA:

Worcester (Worcester), MA - Franklin, MA:

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Michigan

Alpena, MI - Presque Isle, MI:

Bay (Bay City), MI - Iosco, MI:

Berrien (Benton Harbor), MI - Van Buren, MI:

Calhoun (Battle Creek), MI - Barry, MI:

Chippewa, MI - Emmet, MI:

Dickinson, MI - Menominee, MI:

Genesee (Flint), MI - Lapeer, MI:

Gogebic, MI - Ontonagon, MI:

Grand Traverse, MI - Manistee, MI:

Houghton, MI - Baraga, MI:

Ingham (Lansing), MI - Eaton, MI:

Jackson (Jackson), MI - Lenawee, MI:

Kalamazoo (Kalamazoo), MI - St. Joseph, MI:

Kent (Grand Rapids), MI - Ionia, MI:

Marquette, MI - Delta, MI:

Midland (Midland), MI - Isabella, MI:

Monroe, MI:

Muskegon (Muskegon), MI - Newaygo, MI:

Ottawa (Holland), MI - Allegan, MI:

Roscommon, MI - Otsego, MI:

Saginaw (Saginaw), MI - Tuscola, MI:

St. Clair (Port Huron), MI - Sanilac, MI:

Washtenaw, MI - Livingston, MI:

Wayne (Detroit), MI - Oakland, MI:

Wexford, MI - Osceola, MI:

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Minnesota

Beltrami, MN - Clearwater, MN:

Big Stone, MN - Traverse, MN:

Blue Earth, MN - Nicollet, MN:

Brown, MN - Renville, MN:

Clay, MN - Becker, MN:

Crow Wing, MN - Cass, MN:

Douglas, MN - Pope, MN:

Freeborn, MN - Faribault, MN:

Goodhue, MN:

Hennepin (Minneapolis), MN - Anoka, MN:

Houston, MN:

Isanti (Cambridge), MN - Mille Lacs, MN:

Kandiyohi, MN - Chippewa, MN:

Lyon, MN - Lincoln, MN:

Martin, MN:

Nobles, MN - Cottonwood, MN:

Olmsted (Rochester), MN - Winona, MN:

Otter Tail, MN - Grant, MN:

Pennington, MN - Marshall, MN:

Pipestone, MN - Rock, MN:

Polk, MN:

Ramsey (St. Paul), MN - Dakota, MN:

Rice, MN:

Roseau, MN - Lake of the Woods, MN:

St. Louis (Duluth), MN - Itasca, MN:

Stearns (St. Cloud), MN - Benton, MN:

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Mississippi

Adams, MS - Jefferson, MS:

Alcorn, MS - Tishomingo, MS:

Bolivar, MS - Leflore, MS:

Coahoma, MS - Tallahatchie, MS:

DeSoto, MS - Marshall, MS:

Forrest, MS - Lamar, MS:

Grenada, MS - Montgomery, MS:

Harrison (Biloxi), MS - Hancock, MS:

Hinds (Jackson), MS - Rankin, MS:

Jackson (Pascagoula), MS - George, MS:

Jefferson Davis, MS - Lawrence, MS:

Jones, MS - Wayne, MS:

Lafayette, MS - Calhoun, MS:

Lauderdale, MS - Neshoba, MS:

Lee, MS - Monroe, MS:

Lincoln, MS - Copiah, MS:

Lowndes, MS - Clay, MS:

Oktibbeha, MS - Winston, MS:

Pearl River, MS:

Pike, MS - Marion, MS:

Pontotoc, MS - Union, MS:

Warren, MS - Claiborne, MS:

Washington, MS - Sharkey, MS:

Wilkinson, MS:

Yazoo, MS:

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Missouri

Adair, MO - Sullivan, MO:

Atchison, MO - Holt, MO:

Audrain, MO - Montgomery, MO:

Boone (Columbia), MO - Randolph, MO:

Buchanan (St. Joseph), MO - Nodaway, MO:

Camden, MO:

Cape Girardeau, MO - Butler, MO:

Clark, MO:

Cole, MO - Callaway, MO:

Dunklin, MO:

Greene (Springfield), MO - Christian, MO:

Grundy, MO - Mercer, MO:

Henry, MO - Bates, MO:

Howell, MO - Oregon, MO:

Jackson (Kansas City), MO - Clay, MO:

Jasper (Joplin), MO - Newton, MO:

Linn, MO:

Livingston, MO - Carroll, MO:

Madison, MO:

Marion, MO - Pike, MO:

Pemiscot, MO:

Pettis, MO - Saline, MO:

Pulaski, MO - Phelps, MO:

St. Charles (St. Charles), MO - Lincoln, MO:

St. Louis, MO - St. Louis City, MO:

Taney, MO:

Vernon, MO - Cedar, MO:

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Montana

Cascade (Great Falls), MT - Glacier, MT:

Custer, MT - Fallon, MT:

Fergus, MT - Petroleum, MT:

Flathead, MT - Lincoln, MT:

Gallatin and Yellowstone National Park, MT - Madison, MT:

Hill, MT - Blaine, MT:

Lewis and Clark, MT - Jefferson, MT:

Missoula, MT - Ravalli, MT:

Park, MT - Sweet Grass, MT:

Powell, MT:

Richland, MT - Dawson, MT:

Roosevelt, MT - Valley, MT:

Sheridan, MT - Daniels, MT:

Silver Bow, MT - Deer Lodge, MT:

Wheatland, MT - Meagher, MT:

Yellowstone (Billings), MT - Big Horn, MT:

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Nebraska

Adams, NE - Clay, NE:

Boyd, NE:

Buffalo, NE - Dawson, NE:

Cedar, NE - Knox, NE:

Chase, NE - Dundy, NE:

Cherry, NE:

Cheyenne, NE - Kimball, NE:

Custer, NE - Valley, NE:

Dakota, NE - Thurston, NE:

Dawes, NE - Sheridan, NE:

Douglas (Omaha), NE - Sarpy, NE:

Fillmore, NE - Thayer, NE:

Hall, NE - Hamilton, NE:

Holt, NE - Brown, NE:

Lancaster (Lincoln), NE - Gage, NE:

Lincoln, NE - Keith, NE:

Madison, NE - Wayne, NE:

Nemaha, NE:

Otoe, NE - Johnson, NE:

Phelps, NE - Furnas, NE:

Platte, NE - Boone, NE:

Red Willow, NE - Hitchcock, NE:

Richardson, NE - Pawnee, NE:

Scotts Bluff, NE - Box Butte, NE:

York, NE - Polk, NE:

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Nevada

Clark (Las Vegas), NV - Nye, NV:

Elko, NV - Lander, NV:

Washoe (Reno), NV - Carson City, NV:

White Pine, NV:

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New Hampshire

Cheshire, NH:

Coos, NH:

Grafton, NH - Sullivan, NH:

Hillsborough (Manchester), NH - Merrimack, NH:

Rockingham, NH:

Strafford (Rochester), NH:

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New Jersey

Atlantic (Atlantic City), NJ - Cape May, NJ:

Bergen, NJ - Hudson (Jersey City), NJ:

Camden (Camden), NJ - Burlington, NJ:

Cumberland, NJ:

Essex (Newark), NJ - Middlesex, NJ:

Hunterdon, NJ - Warren (Phillipsburg), NJ:

Mercer, NJ:

Monmouth, NJ - Ocean (Brick Township), NJ:

Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ:

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New Mexico

Bernalillo (Albuquerque), NM - Sandoval, NM:

Chaves, NM - Eddy, NM:

Colfax, NM:

Curry, NM - Roosevelt, NM:

Dona Ana (Las Cruces), NM - Luna, NM:

Grant, NM - Hidalgo, NM:

Lea, NM:

McKinley, NM:

Otero, NM - Lincoln, NM:

San Juan, NM:

San Miguel, NM - Mora, NM:

Santa Fe (Santa Fe), NM - Rio Arriba, NM:

Union, NM:

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New York

Albany (Albany), NY - Rensselaer, NY:

Broome (Binghamton), NY - Tioga, NY:

Cattaraugus, NY - Allegany, NY:

Chautauqua, NY:

Clinton, NY - Franklin, NY:

Columbia, NY - Greene, NY:

Erie (Buffalo), NY - Monroe, NY:

Fulton, NY - Montgomery (Amsterdam), NY:

Kings (New York), NY - Queens, NY:

Oneida (Utica), NY - Madison, NY:

Onondaga (Syracuse), NY - Oswego, NY:

Ontario (Geneva), NY - Wayne, NY:

Orange (Newburgh), NY - Sullivan, NY:

Otsego, NY - Chenango, NY:

Rockland, NY:

Saratoga, NY - Schenectady (Schenectady), NY:

St. Lawrence, NY - Jefferson, NY:

Steuben, NY - Chemung (Elmira), NY:

Suffolk, NY - Nassau, NY:

Tompkins, NY - Cortland, NY:

Westchester (Yonkers), NY - Dutchess, NY:

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North Carolina

Alamance, NC:

Alleghany, NC:

Buncombe (Asheville), NC - Henderson, NC:

Cabarrus (Concord), NC - Rowan, NC:

Caswell, NC:

Catawba (Hickory), NC - Burke, NC:

Cherokee, NC - Clay, NC:

Cumberland (Fayetteville), NC - Sampson, NC:

Currituck, NC:

Durham (Durham), NC - Granville, NC:

Forsyth (Winston-Salem), NC - Surry, NC:

Gaston (Gastonia), NC - Cleveland, NC:

Guilford (Greensboro), NC - Davidson, NC:

Hertford, NC - Bertie, NC:

Iredell (Statesville), NC - Alexander, NC:

Jackson, NC - Macon, NC:

McDowell, NC:

Mecklenburg (Charlotte), NC - Union, NC:

Moore, NC - Richmond, NC:

Nash, NC - Halifax, NC:

New Hanover (Wilmington), NC - Brunswick, NC:

Onslow, NC - Craven, NC:

Orange (Chapel Hill), NC - Harnett, NC:

Pasquotank, NC - Dare, NC:

Pitt, NC - Beaufort, NC:

Polk, NC:

Robeson, NC - Columbus, NC:

Wake (Raleigh), NC - Johnston, NC:

Watauga, NC - Ashe, NC:

Wayne, NC - Lenoir, NC:

Wilkes, NC:

Yancey, NC - Avery, NC:

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North Dakota

Bowman, ND - Hettinger, ND:

Burleigh (Bismarck), ND - Morton, ND:

Cass (Fargo), ND - Richland, ND:

Dickey, ND - LaMoure, ND:

Grand Forks (Grand Forks), ND - Walsh, ND:

Grant, ND:

McIntosh, ND - Logan, ND:

Ramsey, ND - Benson, ND:

Rolette, ND - Pierce, ND:

Stark, ND - Dunn, ND:

Stutsman, ND - Wells, ND:

Ward, ND - Bottineau, ND:

Williams, ND - McKenzie, ND:

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Ohio

Allen (Lima), OH - Auglaize, OH:

Belmont, OH - Monroe, OH:

Clark (Springfield), OH - Champaign, OH:

Columbiana, OH:

Cuyahoga (Cleveland), OH - Lake, OH:

Defiance, OH - Williams, OH:

Fairfield (Lancaster), OH - Athens, OH:

Franklin (Columbus), OH - Delaware, OH:

Hamilton (Cincinnati), OH - Butler, OH:

Hancock, OH - Seneca, OH:

Highland, OH - Clinton, OH:

Jackson, OH - Gallia, OH:

Jefferson (Steubenville), OH - Harrison, OH:

Lawrence, OH:

Licking (Newark), OH - Knox, OH:

Logan, OH:

Lorain (Lorain), OH - Erie, OH:

Lucas (Toledo), OH - Wood, OH:

Mahoning (Youngstown), OH - Trumbull, OH:

Marion, OH - Crawford, OH:

Miami (Piqua), OH - Shelby, OH:

Montgomery (Dayton), OH - Greene, OH:

Muskingum, OH - Guernsey, OH:

Richland (Mansfield), OH - Ashland, OH:

Scioto, OH - Ross, OH:

Stark (Canton), OH - Wayne, OH:

Summit (Akron), OH - Portage, OH:

Washington, OH:

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Oklahoma

Beaver, OK:

Beckham, OK - Roger Mills, OK:

Bryan, OK - Atoka, OK:

Carter, OK - Marshall, OK:

Choctaw, OK:

Cleveland (Norman), OK - McClain, OK:

Comanche (Lawton), OK - Kiowa, OK:

Custer, OK - Washita, OK:

Delaware, OK:

Garfield (Enid), OK - Kingfisher, OK:

Grady, OK - Caddo, OK:

Jackson, OK - Greer, OK:

Kay (Ponca City), OK - Osage, OK:

Le Flore, OK - Sequoyah, OK:

McCurtain, OK:

Muskogee, OK - Wagoner, OK:

Oklahoma (Oklahoma City), OK - Canadian, OK:

Okmulgee, OK - Okfuskee, OK:

Payne, OK - Pawnee, OK:

Pittsburg, OK - Pushmataha, OK:

Pontotoc, OK - Seminole, OK:

Stephens, OK - Jefferson, OK:

Texas, OK - Cimarron, OK:

Tulsa (Tulsa), OK - Rogers, OK:

Washington, OK - Nowata, OK:

Woodward, OK - Dewey, OK:

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Oregon

Coos, OR - Curry, OR:

Deschutes, OR - Crook, OR:

Grant, OR:

Jackson (Medford), OR - Josephine, OR:

Klamath, OR - Lake, OR:

Lane (Eugene), OR - Douglas, OR:

Lincoln, OR - Tillamook, OR:

Linn, OR - Benton, OR:

Malheur, OR:

Marion (Salem), OR - Yamhill, OR:

Multnomah (Portland), OR - Washington, OR:

Umatilla, OR - Morrow, OR:

Union, OR - Baker, OR:

Wasco, OR - Hood River, OR:

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Pennsylvania

Allegheny (Pittsburgh), PA - Westmoreland, PA:

Berks, PA:

Bradford, PA - Susquehanna, PA:

Cambria, PA - Blair (Altoona), PA:

Centre (State College), PA - Clearfield, PA:

Crawford, PA:

Dauphin (Harrisburg), PA - Cumberland, PA:

Elk, PA:

Erie (Erie), PA - Warren, PA:

Franklin, PA - Fulton, PA:

Lackawanna (Scranton), PA - Wayne, PA:

Lancaster, PA:

Lawrence, PA:

Lehigh (Allentown), PA - Northampton, PA:

Luzerne (Wilkes-Barre), PA - Columbia, PA:

Lycoming (Williamsport), PA - Clinton, PA:

Mc Kean, PA - Potter, PA:

Mercer, PA:

Mifflin, PA - Huntingdon, PA:

Philadelphia (Philadelphia), PA - Montgomery, PA:

Pike, PA:

Schuylkill, PA - Northumberland, PA:

Tioga, PA:

Venango, PA - Clarion, PA:

Washington, PA - Fayette, PA:

York (York), PA - Adams, PA:

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Rhode Island

Newport, RI:

Providence (Providence), RI - Kent, RI:

Return to Top

South Carolina

Aiken, SC - Edgefield, SC:

Beaufort, SC - Jasper, SC:

Charleston (Charleston), SC - Berkeley, SC:

Florence (Florence), SC - Darlington, SC:

Greenville (Greenville), SC - Anderson, SC:

Horry, SC - Georgetown, SC:

Lancaster, SC - Kershaw, SC:

Laurens, SC - Greenwood, SC:

Marion, SC - Dillon, SC:

Orangeburg, SC - Bamberg, SC:

Richland (Columbia), SC - Lexington, SC:

Spartanburg (Spartanburg), SC - Cherokee, SC:

Sumter, SC - Clarendon, SC:

York (Rock Hill), SC - Chester, SC:

Return to Top

South Dakota

Beadle, SD - Hand, SD:

Brookings, SD - Kingsbury, SD:

Brown, SD - Spink, SD:

Codington, SD - Grant, SD:

Davison, SD - Charles Mix, SD:

Dewey, SD - Walworth, SD:

Hughes, SD - Stanley, SD:

Lawrence, SD:

Minnehaha (Sioux Falls), SD - Lincoln, SD:

Oglala Lakota, SD - Bennett, SD:

Pennington (Rapid City), SD - Meade, SD:

Perkins, SD - Harding, SD:

Roberts, SD:

Todd, SD - Tripp, SD:

Yankton, SD - Clay, SD:

Return to Top

Tennessee

Anderson (Oak Ridge), TN - Roane, TN:

Bedford, TN:

Bradley, TN - Polk, TN:

Claiborne, TN:

Coffee, TN - Franklin, TN:

Cumberland, TN - Fentress, TN:

Davidson (Nashville-Davidson), TN - Williamson, TN:

Dyer, TN - Lauderdale, TN:

Greene, TN - Cocke, TN:

Hamblen (Morristown), TN - Jefferson, TN:

Hamilton (Chattanooga), TN - Marion, TN:

Hardin, TN - McNairy, TN:

Henry, TN - Carroll, TN:

Johnson, TN:

Knox (Knoxville), TN - Blount, TN:

Lawrence, TN - Wayne, TN:

Lincoln, TN:

Madison (Jackson), TN - Gibson, TN:

Maury, TN - Giles, TN:

Montgomery (Clarksville), TN - Stewart, TN:

Putnam, TN - White, TN:

Rutherford (Murfreesboro), TN - Warren, TN:

Scott, TN:

Shelby (Memphis), TN - Tipton, TN:

Sullivan (Kingsport), TN - Hawkins, TN:

Sumner (Hendersonville), TN - Wilson, TN:

Washington (Johnson City), TN - Carter, TN:

Weakley, TN - Obion, TN:

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Texas

Anderson, TX - Cherokee, TX:

Angelina, TX - Walker, TX:

Bee, TX - Karnes, TX:

Bell (Killeen), TX - Coryell, TX:

Bexar (San Antonio), TX - Guadalupe, TX:

Bowie (Texarkana), TX:

Brazoria (Lake Jackson), TX - Wharton, TX:

Brazos (Bryan), TX - Washington, TX:

Brewster, TX - Presidio, TX:

Brown, TX - Coleman, TX:

Cameron (Brownsville), TX - Willacy, TX:

Childress, TX - Hall, TX:

Collingsworth, TX:

Comal, TX:

Dallas (Dallas), TX - Collin, TX:

Deaf Smith, TX - Parmer, TX:

Denton (Denton), TX - Wise, TX:

Dimmit, TX:

Ector (Odessa), TX - Reeves, TX:

El Paso (El Paso), TX - Hudspeth, TX:

Erath, TX - Comanche, TX:

Fayette, TX - Colorado, TX:

Gaines, TX - Andrews, TX:

Galveston, TX:

Gray, TX - Wheeler, TX:

Grayson (Sherman), TX - Fannin, TX:

Gregg (Longview), TX - Rusk, TX:

Hale, TX - Castro, TX:

Harris (Houston), TX - Fort Bend, TX:

Harrison (Marshall), TX - Cass, TX:

Hays (San Marcos), TX - Caldwell, TX:

Hidalgo (Mcallen), TX - Starr, TX:

Howard, TX - Glasscock, TX:

Jefferson (Beaumont), TX - Orange, TX:

Kerr, TX - Gillespie, TX:

Lamar, TX - Red River, TX:

Leon, TX - Madison, TX:

Lipscomb, TX:

Lubbock (Lubbock), TX - Hockley, TX:

Maverick, TX - Val Verde, TX:

McLennan (Waco), TX - Hill, TX:

Midland (Midland), TX - Pecos, TX:

Nacogdoches, TX - Shelby, TX:

Navarro, TX - Freestone, TX:

Nolan, TX - Mitchell, TX:

Nueces (Corpus Christi), TX - San Patricio, TX:

Palo Pinto, TX - Jack, TX:

Potter (Amarillo), TX - Randall, TX:

Scurry, TX:

Smith (Tyler), TX - Henderson, TX:

Tarrant (Fort Worth), TX - Johnson, TX:

Taylor (Abilene), TX - Jones, TX:

Terry, TX - Yoakum, TX:

Titus, TX - Morris, TX:

Tom Green (San Angelo), TX - Runnels, TX:

Travis (Austin), TX - Williamson, TX:

Uvalde, TX:

Victoria (Victoria), TX - Calhoun, TX:

Webb (Laredo), TX - Zapata, TX:

Wichita (Wichita Falls), TX - Montague, TX:

Wilbarger, TX - Hardeman, TX:

Return to Top

Utah

Cache, UT:

Carbon, UT - Emery, UT:

Daggett, UT:

Davis, UT - Weber (Ogden), UT:

Grand, UT:

Iron, UT - Beaver, UT:

Salt Lake (Salt Lake City), UT - Tooele, UT:

San Juan, UT:

Utah (Provo), UT - Sanpete, UT:

Washington, UT - Kane, UT:

Return to Top

Vermont

Bennington, VT:

Caledonia, VT - Orleans, VT:

Chittenden (Burlington), VT - Franklin, VT:

Essex, VT:

Rutland, VT:

Washington, VT - Windsor, VT:

Windham, VT:

Return to Top

Virginia

Accomack, VA - Northampton, VA:

Albemarle, VA - Charlottesville City, VA:

Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA:

Augusta, VA - Staunton City, VA:

Brunswick, VA - Greensville, VA:

Carroll, VA - Grayson, VA:

Fairfax, VA - Arlington, VA:

Frederick, VA - Shenandoah, VA:

Halifax with South Boston City, VA - Mecklenburg, VA:

Henrico (Richmond), VA - Chesterfield, VA:

Henry, VA - Patrick, VA:

Montgomery, VA - Pulaski, VA:

Newport News City, VA - Hampton City, VA:

Petersburg City, VA - Prince George, VA:

Pittsylvania (Danville), VA - Danville City, VA:

Prince William (Dale City), VA - Fauquier, VA:

Roanoke City, VA - Roanoke, VA:

Rockingham, VA - Harrisonburg City, VA:

Stafford, VA - Spotsylvania, VA:

Tazewell, VA - Buchanan, VA:

Virginia Beach City, VA - Norfolk City, VA:

Washington, VA - Smyth, VA:

Wise, VA - Lee, VA:

Return to Top

Washington

Asotin, WA - Garfield, WA:

Benton (Kennewick), WA - Franklin, WA:

Clallam, WA - Jefferson, WA:

Clark, WA - Cowlitz, WA:

Grant, WA - Chelan, WA:

King (Seattle), WA - Snohomish, WA:

Klickitat, WA - Skamania, WA:

Lewis, WA - Pacific, WA:

Pierce, WA:

Spokane (Spokane), WA - Stevens, WA:

Thurston (Olympia), WA - Grays Harbor, WA:

Walla Walla, WA - Columbia, WA:

Whatcom, WA:

Whitman, WA:

Yakima (Yakima), WA - Kittitas, WA:

Return to Top

West Virginia

Berkeley, WV - Jefferson, WV:

Cabell (Huntington), WV - Wayne, WV:

Greenbrier, WV - Monroe, WV:

Hancock (Weirton), WV - Brooke, WV:

Harrison, WV - Upshur, WV:

Kanawha (Charleston), WV - Putnam, WV:

Logan, WV - Mingo, WV:

Mason, WV:

Mercer, WV - McDowell, WV:

Mineral, WV - Hardy, WV:

Monongalia, WV - Marion, WV:

Ohio (Wheeling), WV - Marshall, WV:

Pendleton, WV:

Raleigh, WV - Fayette, WV:

Randolph, WV - Barbour, WV:

Wood (Parkersburg), WV - Jackson, WV:

Return to Top

Wisconsin

Ashland, WI - Sawyer, WI:

Barron, WI - Rusk, WI:

Brown (Green Bay), WI - Oconto, WI:

Crawford, WI:

Dane (Madison), WI - Sauk, WI:

Douglas, WI:

Eau Claire (Eau Claire), WI - Chippewa, WI:

Jackson, WI:

Juneau, WI - Adams, WI:

La Crosse (La Crosse), WI - Monroe, WI:

Marathon (Wausau), WI - Wood, WI:

Marinette, WI - Florence, WI:

Milwaukee (Milwaukee), WI - Waukesha, WI:

Oneida, WI - Vilas, WI:

Outagamie (Appleton), WI - Waupaca, WI:

Polk, WI:

Portage, WI:

Racine (Racine), WI - Kenosha, WI:

Rock (Janesville), WI - Green, WI:

Shawano, WI - Langlade, WI:

Sheboygan (Sheboygan), WI - Manitowoc, WI:

St. Croix, WI - Pierce, WI:

Walworth, WI - Jefferson, WI:

Washburn, WI - Burnett, WI:

Winnebago (Oshkosh), WI - Fond du Lac, WI:

Return to Top

Wyoming

Albany, WY - Carbon, WY:

Campbell, WY - Crook, WY:

Fremont, WY - Washakie, WY:

Goshen, WY - Niobrara, WY:

Laramie (Cheyenne), WY:

Natrona (Casper), WY - Converse, WY:

Park, WY - Big Horn, WY:

Platte, WY:

Sheridan, WY - Johnson, WY:

Sweetwater, WY:

Teton, WY - Lincoln, WY:

Uinta, WY:

Weston, WY:

Return to Top

Puerto Rico

Puerto Rico: