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 62 million people they serve. Together, these public health officials directly affect the health and well-being of nearly one in five Americans.  


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


Advancing equity and health for present and future generations.

Read the 2018 Annual Report here.

Download the coalition's informational brochure here.

MAP CITIES 9_17 (1).png

BCHC Membership Criteria

The Coalition represents the health leaders of the largest cities in the nation’s most urban areas. Member cities in these urban areas (the top 30 as defined by the U.S. Census Bureau) must have a city population of at least 400,000 to be eligible, and must be a locally controlled health department, not a state agency.

A city outside of the top 30 most urban areas must have a population of at least 800,000 people, and must also be a locally controlled health department.

Membership is extended to the health department that has primary jurisdiction over the city, whether it be a city or county agency.

The BCHC is affiliated with the National Association of County and City Health Officials (NACCHO). NACCHO represents the nation's nearly 3,000 local governmental health departments.