Healthcare consolidation is a growing trend across the U.S., particularly in rural areas, and may come with consequences for healthcare that is routine, recurrent, or time sensitive. Service reductions and closures may act as a barrier to care for rural patients, who already travel longer distances to reach health care services. At the same time, the expanding landscape of virtual healthcare services provides an opportunity for greater access to some types of care. This one-year project will develop a unique individual-level longitudinal panel dataset that can be used to evaluate the connections between spatial access and routine healthcare utilization in the largely rural state of Vermont. The dataset will be built from insurance enrollment and claims data from the Vermont Health Care Uniform Reporting and Evaluation System (VHCURES) that captures approximately 400,000 to 500,000 individuals annually from 2007 to 2027. Using insights from prior literature, the dataset will be built to capture spatial access to healthcare providers, healthcare utilization, and residential location and mobility. An exploratory analysis of the dataset will identify specific types of healthcare services and utilization that present opportunities for deeper evaluation of causal relationships. Based on gaps in prior literature and the exploratory analysis, this project will conduct a preliminary case study to demonstrate the value of the dataset. Expected outcomes include a literature review, a rigorously constructed and documented dataset, descriptive statistics, and a final report detailing dataset design, scope, limitations, and promising areas for future research. This project provides a foundation for future analyses to evaluate long-term causal relationships between spatial healthcare access and healthcare utilization to inform investments in health services in rural settings, including those in other regions/jurisdictions.