About Us


The Big Cities Health Coalition (BCHC) is a forum for the leaders of America’s largest metropolitan health departments to exchange strategies and jointly address issues to promote and protect the health and safety of the 54 million people they serve. Together, these public health officials directly affect the health and well-being of one in six Americans.  

The BCHC is a project of the National Association of County and City Health Officials (NACCHO). NACCHO represents the nation's 2,800 local governmental health departments. These city, county, metropolitan, district, and tribal departments work every day to protect and promote health and well being for all people in their communities. For more information about NACCHO, please visit www.naccho.org.


Healthy, more equitable communities through big city innovation and leadership.  


Advancing equity and health for present and future generations.

Download the coalition's informational brochure here.

See our 2016 advocacy and funding priorities here.

BCHC Membership Criteria

The BCHC represents the health leaders of the 28 largest cities in the nation’s most urbanized areas (the top 30 as defined by the U.S. Census Bureau). Member cities in these urban areas must have a population of at least 350,000 to be eligible. Membership is extended to the local governmental public health entity that has primary jurisdiction over the city, whether it be a city or county agency. Note that this definition does allow for multiple health departments from one urbanized area to be Members as long as each city individually meets the population threshold.

Adopted by consensus in January 2015