{
  "finding": "one-choice",
  "title": "Counties with almost no choice",
  "generated": "2026-09-17",
  "license": "https://creativecommons.org/licenses/by/4.0/",
  "attribution": "Advantage Index (https://advantageindex.com/findings/one-choice/), from CMS published files",
  "source": "Centers for Medicare & Medicaid Services: Medicare Advantage/Part D landscape, plan crosswalk",
  "count": 100,
  "rows": [
    {
      "county_key": "CA|lake",
      "area": "CA",
      "county": "Lake",
      "county_slug": "lake",
      "label": "Lake County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|clark",
      "area": "KS",
      "county": "Clark",
      "county_slug": "clark",
      "label": "Clark County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|gove",
      "area": "KS",
      "county": "Gove",
      "county_slug": "gove",
      "label": "Gove County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|graham",
      "area": "KS",
      "county": "Graham",
      "county_slug": "graham",
      "label": "Graham County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|gray",
      "area": "KS",
      "county": "Gray",
      "county_slug": "gray",
      "label": "Gray County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|greeley",
      "area": "KS",
      "county": "Greeley",
      "county_slug": "greeley",
      "label": "Greeley County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|hamilton",
      "area": "KS",
      "county": "Hamilton",
      "county_slug": "hamilton",
      "label": "Hamilton County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|haskell",
      "area": "KS",
      "county": "Haskell",
      "county_slug": "haskell",
      "label": "Haskell County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|meade",
      "area": "KS",
      "county": "Meade",
      "county_slug": "meade",
      "label": "Meade County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|ness",
      "area": "KS",
      "county": "Ness",
      "county_slug": "ness",
      "label": "Ness County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|stanton",
      "area": "KS",
      "county": "Stanton",
      "county_slug": "stanton",
      "label": "Stanton County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|stevens",
      "area": "KS",
      "county": "Stevens",
      "county_slug": "stevens",
      "label": "Stevens County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|trego",
      "area": "KS",
      "county": "Trego",
      "county_slug": "trego",
      "label": "Trego County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|wallace",
      "area": "KS",
      "county": "Wallace",
      "county_slug": "wallace",
      "label": "Wallace County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|wichita",
      "area": "KS",
      "county": "Wichita",
      "county_slug": "wichita",
      "label": "Wichita County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "NV|esmeralda",
      "area": "NV",
      "county": "Esmeralda",
      "county_slug": "esmeralda",
      "label": "Esmeralda County",
      "plans": 1,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "NV|lincoln",
      "area": "NV",
      "county": "Lincoln",
      "county_slug": "lincoln",
      "label": "Lincoln County",
      "plans": 1,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "OR|coos",
      "area": "OR",
      "county": "Coos",
      "county_slug": "coos",
      "label": "Coos County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "OR|curry",
      "area": "OR",
      "county": "Curry",
      "county_slug": "curry",
      "label": "Curry County",
      "plans": 1,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CA|lassen",
      "area": "CA",
      "county": "Lassen",
      "county_slug": "lassen",
      "label": "Lassen County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "CA|sierra",
      "area": "CA",
      "county": "Sierra",
      "county_slug": "sierra",
      "label": "Sierra County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "CO|baca",
      "area": "CO",
      "county": "Baca",
      "county_slug": "baca",
      "label": "Baca County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|garfield",
      "area": "CO",
      "county": "Garfield",
      "county_slug": "garfield",
      "label": "Garfield County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|moffat",
      "area": "CO",
      "county": "Moffat",
      "county_slug": "moffat",
      "label": "Moffat County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "ID|butte",
      "area": "ID",
      "county": "Butte",
      "county_slug": "butte",
      "label": "Butte County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "KS|cheyenne",
      "area": "KS",
      "county": "Cheyenne",
      "county_slug": "cheyenne",
      "label": "Cheyenne County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "KS|ellis",
      "area": "KS",
      "county": "Ellis",
      "county_slug": "ellis",
      "label": "Ellis County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "KS|grant",
      "area": "KS",
      "county": "Grant",
      "county_slug": "grant",
      "label": "Grant County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "KS|kearny",
      "area": "KS",
      "county": "Kearny",
      "county_slug": "kearny",
      "label": "Kearny County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "MT|daniels",
      "area": "MT",
      "county": "Daniels",
      "county_slug": "daniels",
      "label": "Daniels County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|fallon",
      "area": "MT",
      "county": "Fallon",
      "county_slug": "fallon",
      "label": "Fallon County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|garfield",
      "area": "MT",
      "county": "Garfield",
      "county_slug": "garfield",
      "label": "Garfield County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|petroleum",
      "area": "MT",
      "county": "Petroleum",
      "county_slug": "petroleum",
      "label": "Petroleum County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|phillips",
      "area": "MT",
      "county": "Phillips",
      "county_slug": "phillips",
      "label": "Phillips County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|powder-river",
      "area": "MT",
      "county": "Powder River",
      "county_slug": "powder-river",
      "label": "Powder River County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|prairie",
      "area": "MT",
      "county": "Prairie",
      "county_slug": "prairie",
      "label": "Prairie County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|roosevelt",
      "area": "MT",
      "county": "Roosevelt",
      "county_slug": "roosevelt",
      "label": "Roosevelt County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "MT|valley",
      "area": "MT",
      "county": "Valley",
      "county_slug": "valley",
      "label": "Valley County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "VT|caledonia",
      "area": "VT",
      "county": "Caledonia",
      "county_slug": "caledonia",
      "label": "Caledonia County",
      "plans": 2,
      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "VT|orange",
      "area": "VT",
      "county": "Orange",
      "county_slug": "orange",
      "label": "Orange County",
      "plans": 2,
      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "VT|windsor",
      "area": "VT",
      "county": "Windsor",
      "county_slug": "windsor",
      "label": "Windsor County",
      "plans": 2,
      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "WY|sheridan",
      "area": "WY",
      "county": "Sheridan",
      "county_slug": "sheridan",
      "label": "Sheridan County",
      "plans": 2,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "NH|carroll",
      "area": "NH",
      "county": "Carroll",
      "county_slug": "carroll",
      "label": "Carroll County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 2
    },
    {
      "county_key": "NH|coos",
      "area": "NH",
      "county": "Coos",
      "county_slug": "coos",
      "label": "Coos County",
      "plans": 2,
      "plans_zero": 0,
      "orgs": 2
    },
    {
      "county_key": "CA|del-norte",
      "area": "CA",
      "county": "Del Norte",
      "county_slug": "del-norte",
      "label": "Del Norte County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "CA|glenn",
      "area": "CA",
      "county": "Glenn",
      "county_slug": "glenn",
      "label": "Glenn County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "CA|humboldt",
      "area": "CA",
      "county": "Humboldt",
      "county_slug": "humboldt",
      "label": "Humboldt County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "CA|modoc",
      "area": "CA",
      "county": "Modoc",
      "county_slug": "modoc",
      "label": "Modoc County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "CA|siskiyou",
      "area": "CA",
      "county": "Siskiyou",
      "county_slug": "siskiyou",
      "label": "Siskiyou County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "UT|daggett",
      "area": "UT",
      "county": "Daggett",
      "county_slug": "daggett",
      "label": "Daggett County",
      "plans": 3,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "VT|bennington",
      "area": "VT",
      "county": "Bennington",
      "county_slug": "bennington",
      "label": "Bennington County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "VT|essex",
      "area": "VT",
      "county": "Essex",
      "county_slug": "essex",
      "label": "Essex County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "VT|windham",
      "area": "VT",
      "county": "Windham",
      "county_slug": "windham",
      "label": "Windham County",
      "plans": 3,
      "plans_zero": 3,
      "orgs": 1
    },
    {
      "county_key": "WY|big-horn",
      "area": "WY",
      "county": "Big Horn",
      "county_slug": "big-horn",
      "label": "Big Horn County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|campbell",
      "area": "WY",
      "county": "Campbell",
      "county_slug": "campbell",
      "label": "Campbell County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|carbon",
      "area": "WY",
      "county": "Carbon",
      "county_slug": "carbon",
      "label": "Carbon County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|converse",
      "area": "WY",
      "county": "Converse",
      "county_slug": "converse",
      "label": "Converse County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|fremont",
      "area": "WY",
      "county": "Fremont",
      "county_slug": "fremont",
      "label": "Fremont County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|hot-springs",
      "area": "WY",
      "county": "Hot Springs",
      "county_slug": "hot-springs",
      "label": "Hot Springs County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|johnson",
      "area": "WY",
      "county": "Johnson",
      "county_slug": "johnson",
      "label": "Johnson County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|niobrara",
      "area": "WY",
      "county": "Niobrara",
      "county_slug": "niobrara",
      "label": "Niobrara County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|platte",
      "area": "WY",
      "county": "Platte",
      "county_slug": "platte",
      "label": "Platte County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|sublette",
      "area": "WY",
      "county": "Sublette",
      "county_slug": "sublette",
      "label": "Sublette County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|sweetwater",
      "area": "WY",
      "county": "Sweetwater",
      "county_slug": "sweetwater",
      "label": "Sweetwater County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "WY|washakie",
      "area": "WY",
      "county": "Washakie",
      "county_slug": "washakie",
      "label": "Washakie County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 1
    },
    {
      "county_key": "CA|sutter",
      "area": "CA",
      "county": "Sutter",
      "county_slug": "sutter",
      "label": "Sutter County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|decatur",
      "area": "KS",
      "county": "Decatur",
      "county_slug": "decatur",
      "label": "Decatur County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|finney",
      "area": "KS",
      "county": "Finney",
      "county_slug": "finney",
      "label": "Finney County",
      "plans": 3,
      "plans_zero": 0,
      "orgs": 2
    },
    {
      "county_key": "KS|lane",
      "area": "KS",
      "county": "Lane",
      "county_slug": "lane",
      "label": "Lane County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|logan",
      "area": "KS",
      "county": "Logan",
      "county_slug": "logan",
      "label": "Logan County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|norton",
      "area": "KS",
      "county": "Norton",
      "county_slug": "norton",
      "label": "Norton County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|rawlins",
      "area": "KS",
      "county": "Rawlins",
      "county_slug": "rawlins",
      "label": "Rawlins County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|scott",
      "area": "KS",
      "county": "Scott",
      "county_slug": "scott",
      "label": "Scott County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "KS|thomas",
      "area": "KS",
      "county": "Thomas",
      "county_slug": "thomas",
      "label": "Thomas County",
      "plans": 3,
      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "NH|grafton",
      "area": "NH",
      "county": "Grafton",
      "county_slug": "grafton",
      "label": "Grafton County",
      "plans": 3,
      "plans_zero": 0,
      "orgs": 3
    },
    {
      "county_key": "NH|sullivan",
      "area": "NH",
      "county": "Sullivan",
      "county_slug": "sullivan",
      "label": "Sullivan County",
      "plans": 3,
      "plans_zero": 0,
      "orgs": 3
    },
    {
      "county_key": "CO|cheyenne",
      "area": "CO",
      "county": "Cheyenne",
      "county_slug": "cheyenne",
      "label": "Cheyenne County",
      "plans": 4,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|eagle",
      "area": "CO",
      "county": "Eagle",
      "county_slug": "eagle",
      "label": "Eagle County",
      "plans": 4,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|kiowa",
      "area": "CO",
      "county": "Kiowa",
      "county_slug": "kiowa",
      "label": "Kiowa County",
      "plans": 4,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|kit-carson",
      "area": "CO",
      "county": "Kit Carson",
      "county_slug": "kit-carson",
      "label": "Kit Carson County",
      "plans": 4,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|prowers",
      "area": "CO",
      "county": "Prowers",
      "county_slug": "prowers",
      "label": "Prowers County",
      "plans": 4,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "CO|sedgwick",
      "area": "CO",
      "county": "Sedgwick",
      "county_slug": "sedgwick",
      "label": "Sedgwick County",
      "plans": 4,
      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "ID|lemhi",
      "area": "ID",
      "county": "Lemhi",
      "county_slug": "lemhi",
      "label": "Lemhi County",
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      "plans_zero": 3,
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      "county_key": "MT|mccone",
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      "county": "McCone",
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      "plans_zero": 2,
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      "county_key": "NE|cherry",
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      "county": "Cherry",
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      "plans_zero": 0,
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    {
      "county_key": "NE|garden",
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      "county": "Garden",
      "county_slug": "garden",
      "label": "Garden County",
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      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "NE|hooker",
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      "county": "Hooker",
      "county_slug": "hooker",
      "label": "Hooker County",
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      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "NE|mcpherson",
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      "county_slug": "mcpherson",
      "label": "McPherson County",
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      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "NE|red-willow",
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      "county_slug": "red-willow",
      "label": "Red Willow County",
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      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "NE|sheridan",
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      "county_slug": "sheridan",
      "label": "Sheridan County",
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      "plans_zero": 0,
      "orgs": 1
    },
    {
      "county_key": "OK|harper",
      "area": "OK",
      "county": "Harper",
      "county_slug": "harper",
      "label": "Harper County",
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      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "OR|clatsop",
      "area": "OR",
      "county": "Clatsop",
      "county_slug": "clatsop",
      "label": "Clatsop County",
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      "plans_zero": 2,
      "orgs": 1
    },
    {
      "county_key": "CA|butte",
      "area": "CA",
      "county": "Butte",
      "county_slug": "butte",
      "label": "Butte County",
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      "plans_zero": 4,
      "orgs": 2
    },
    {
      "county_key": "CA|mendocino",
      "area": "CA",
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      "county_slug": "mendocino",
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      "plans_zero": 3,
      "orgs": 2
    },
    {
      "county_key": "CA|nevada",
      "area": "CA",
      "county": "Nevada",
      "county_slug": "nevada",
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      "plans_zero": 3,
      "orgs": 2
    },
    {
      "county_key": "CA|san-benito",
      "area": "CA",
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      "county_slug": "san-benito",
      "label": "San Benito County",
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      "plans_zero": 3,
      "orgs": 2
    },
    {
      "county_key": "CA|shasta",
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      "county": "Shasta",
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      "plans_zero": 4,
      "orgs": 2
    },
    {
      "county_key": "CA|tehama",
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      "plans_zero": 4,
      "orgs": 2
    },
    {
      "county_key": "CO|routt",
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      "county": "Routt",
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      "label": "Routt County",
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      "plans_zero": 1,
      "orgs": 2
    },
    {
      "county_key": "OR|baker",
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      "county": "Baker",
      "county_slug": "baker",
      "label": "Baker County",
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      "plans_zero": 3,
      "orgs": 1
    }
  ]
}