Direct primary care
A sponsored membership for 12 months.
Care for every ZIP Code.
A year of sponsored primary care for up to 25 New Yorkers living with a chronic condition. Starting January 2027.
0%50%100%
HRSA, designated primary-care HPSAs, as of September 30, 2026. A workforce measure, not appointment access.
5.29M
New Yorkers live in designated primary-care shortage areas.
HRSA · Sep 30, 2026
1,130
more primary-care physicians needed to remove those designations.
HRSA · Sep 30, 2026
1.8M
adults in New York are estimated to live with diagnosed diabetes.
SozoRock estimate · CDC PLACES 2025, 2023 data
New York meets the smallest share of primary-care need in its region.
In shortage areas, New York has about a third of the primary-care physicians needed. New Jersey and Vermont have more than four-fifths.
Percent of need met compares available primary-care physicians with the number needed to remove a shortage designation. It is not the share of people receiving care. Same-date snapshot; not a trend.
Source: HRSA, Designated HPSA Quarterly Summary, FY2026 Q4, Table 3 (as of September 30, 2026). National total includes New York. Sources and methods.
Chronic conditions reach every corner of the state.
An estimated 11.5% of New York adults live with diagnosed diabetes, from 7.6% in Tompkins County to 16.1% in the Bronx.
Statewide estimate
11.5%Select a county to compare
Adults with diagnosed diabetes
<9%
9–<10.5%
10.5–<12%
12–<13.5%
13.5%+
CDC PLACES, 2025 release: model-based estimates for 2023, adults 18+, all 62 counties. Statewide figure is a SozoRock population-weighted calculation from the county estimates. County estimates describe communities, not individuals or program results.
Sources and methodsView all 62 counties as a table
| County | Estimate | 95% confidence interval |
|---|---|---|
| Albany | 9.2% | 7.9–10.7% |
| Allegany | 11.1% | 9.5–12.9% |
| Bronx | 16.1% | 14.4–18.0% |
| Broome | 10.9% | 9.4–12.5% |
| Cattaraugus | 12.1% | 10.4–14.0% |
| Cayuga | 11.8% | 9.9–13.7% |
| Chautauqua | 12.6% | 10.7–14.4% |
| Chemung | 11.5% | 9.5–13.5% |
| Chenango | 12.3% | 10.5–14.3% |
| Clinton | 10.7% | 9.1–12.4% |
| Columbia | 11.8% | 9.9–13.8% |
| Cortland | 9.3% | 7.9–10.9% |
| Delaware | 12.5% | 10.6–14.5% |
| Dutchess | 9.9% | 8.5–11.4% |
| Erie | 10.8% | 9.2–12.3% |
| Essex | 11.8% | 10.0–14.0% |
| Franklin | 12.2% | 10.3–14.2% |
| Fulton | 12.1% | 10.3–14.0% |
| Genesee | 10.7% | 9.1–12.4% |
| Greene | 11.7% | 9.9–13.7% |
| Hamilton | 13.4% | 11.3–15.8% |
| Herkimer | 11.3% | 9.7–13.2% |
| Jefferson | 10.0% | 8.7–11.5% |
| Kings | 12.0% | 10.5–13.4% |
| Lewis | 11.8% | 10.1–13.7% |
| Livingston | 10.1% | 8.5–11.8% |
| Madison | 10.3% | 8.7–11.9% |
| Monroe | 11.2% | 9.7–12.8% |
| Montgomery | 11.5% | 9.8–13.2% |
| Nassau | 10.1% | 8.8–11.5% |
| New York | 8.9% | 7.9–10.0% |
| Niagara | 11.3% | 9.6–12.9% |
| Oneida | 11.5% | 9.8–13.2% |
| Onondaga | 10.9% | 9.4–12.5% |
| Ontario | 10.5% | 8.9–12.4% |
| Orange | 11.2% | 9.7–12.8% |
| Orleans | 11.7% | 9.9–13.6% |
| Oswego | 11.2% | 9.5–13.0% |
| Otsego | 10.2% | 8.7–11.8% |
| Putnam | 9.7% | 8.3–11.3% |
| Queens | 14.3% | 12.7–15.9% |
| Rensselaer | 9.9% | 8.4–11.7% |
| Richmond | 11.9% | 10.4–13.5% |
| Rockland | 11.3% | 9.8–12.9% |
| St. Lawrence | 11.9% | 10.2–13.7% |
| Saratoga | 9.6% | 8.0–11.2% |
| Schenectady | 10.2% | 8.7–11.7% |
| Schoharie | 11.3% | 9.7–13.0% |
| Schuyler | 12.4% | 10.6–14.4% |
| Seneca | 11.6% | 9.5–13.6% |
| Steuben | 11.5% | 9.7–13.5% |
| Suffolk | 10.0% | 8.7–11.3% |
| Sullivan | 12.1% | 10.6–14.2% |
| Tioga | 11.3% | 9.5–13.2% |
| Tompkins | 7.6% | 6.5–9.0% |
| Ulster | 10.9% | 9.3–12.7% |
| Warren | 11.2% | 9.5–13.0% |
| Washington | 11.2% | 9.4–13.1% |
| Wayne | 11.2% | 9.4–13.1% |
| Westchester | 10.5% | 9.1–12.0% |
| Wyoming | 11.2% | 9.5–13.0% |
| Yates | 11.6% | 9.8–13.5% |
One clear route to a doctor who knows you.
The Primary Care Access Program sponsors a direct primary care membership with Dr. Michael Purcell and Purcell Integrative Osteopathic Care, a direct primary care practice in Clifton Park, plus the support that makes care usable.
Clinical care stays with the licensed provider. Membership is not health insurance. Part of the SozoRock Health Equity Initiative.
Ongoing telehealth
Care between visits, from home.
Transportation help
Support getting to appointments.
Health access education
Using care, coverage and tools well.
Who can join the first cohort
Up to 25
New Yorkers, one per household
64 or younger
with financial need
Chronic
condition, such as diabetes or high blood pressure
62 counties
open to residents statewide
How the year works
- Now
Join the interest list
- Before enrollment
Eligibility review; sponsor funds confirmed
- January 2027
Membership and support begin
- Months 3, 6, 9
Progress reports to sponsors
- Month 12
Year-end report; sponsor renewal optional
A small first cohort shows where the pathway works, where it fails and what should change before expansion.
Care for every ZIP Code.
$4,320supports one New Yorker for a full year.
First-cohort budget: $108,000. Funds are confirmed before anyone enrolls. Sponsors receive reports at months 3, 6, 9 and 12, and do not select participants or influence clinical care. Sponsor renewal is optional.
Become a sponsorCommunity
$5,000Covers 1 participant-year
Access
$10,000Covers 2 participant-years
Principal
$25,000Covers 5 participant-years
Lead
$50,000Covers 11 participant-years
Other amounts are welcome. Participant-years calculated at $4,320 each, rounded down.
Next: Health Equity Hubs where people already go.
Library hubs
Health literacy and digital support at local libraries.
Community hubs
Health education with community organizations.
Home hubs
Help using provider platforms from home. Not a clinical service.
Our work also includes Proposed Health Access Day and the Fireside and Working Roundtable, a planned series.
Could this year of care be for you, or someone you know?
Join the interest list by email or phone. No health details needed.