2023 Annual Policy Assessment

In America’s heartland and the South, on its coasts and in its mountains, cities are adopting health-promoting, prevention-oriented policies to address significant challenges — from a lack of affordable housing to mitigating the effects of climate change and extreme weather — that can improve health outcomes for all members of their communities.

Key Findings

  • In 2023, 61% of America’s 75 largest cities earned an overall medal — up from 49% in 2022.
  • 7 cities earned an overall gold medal: Boston, Denver, Minneapolis, New Orleans, Portland, San Antonio, and St. Louis.
  • CityHealth awarded 400 individual policy medals (+8%) across all 12 policies, including 150 (+18%) gold medals, 98 (-5%) silver medals, and 152 (+6%) bronze medals.
  • Policies with the highest penetration include: High-Quality, Accessible Pre-K (67 medals), Greenspace (52 medals), and Affordable Housing Trusts (44 medals).

Explore the 2023 Medals

2023 Medals Webinar

See a recording of CityHealth’s 2023 Policy Assessment Webinar presented on Dec. 12, 2023.

How Does Your City Rate?

See how America’s 75 largest cities stack up when it comes to adopting equitable, health-promoting policies. Cities can earn overall medals as well as individual medals for each of CityHealth’s 12 policies.