Counties are the front-line defense in our nation’s response to the COVID-19 pandemic. Collectively, counties own and operate over 900 hospitals and 1,900 public health departments. These resources are mission critical for tackling the current public health crisis. While rural and urban counties are experiencing the impact on critical health services differently – they both are being forced to creatively address the challenges of providing health services to residents with limited resources. This session will highlight the availability of health resources and overview of vaccine deployment efforts across rural and urban counties.