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 61 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, through sharing of best practices, leadership, and advocacy
The Coalition represents the health leaders of the largest cities in the nation’s most urban areas. Member cities must have a city population of at least 500,000 to be eligible, and must be a locally controlled health department, not a state agency.* Membership is extended to the health department that has primary jurisdiction over the city, whether it be a city or county agency.
* All members that were in good standing each time eligibility has been amended have been grandfathered in, even if they did not meet the current criteria. This currently includes Cleveland, Long Beach, Minneapolis, and Oakland.
Member Health Departments
61 million Americans
2022 Annual ReportReview BCHC’s year
Looking Forward: BCHC’s Urban Health Agenda
In June 2022, BCHC unveiled its Urban Health Agenda, a vision for the future of urban public health that prioritizes equity.Learn more about our vision
Looking Back: 20 Years of Big City Public Health
As we mark our 20th anniversary in 2022, we look back on two decades of public health innovation and leadership by big cities.View the timeline
BCHC at a glanceDownload our one-pager BCHC at a glance