About Us

Our Methodology

How We Assess Cities

With our city assessment, CityHealth created a public accountability tool to convey the status of the 12 policies in the nation’s 75 largest cities. Working with leading subject matter experts, CityHealth developed criteria for scoring individual policies as gold, silver, bronze, or no medal.

To award medals, the Center for Public Health Law Research at Temple University’s Beasley School of Law and other evaluation partners performed policy surveillance, the systematic collection and analysis of laws of public health significance, based on the criteria established for each policy. Medals are awarded for high-achieving policies (gold), good policies (silver), and acceptable policies (bronze). Cities with no policy, or a policy that did not meet the minimum requirements, received no medal. CityHealth’s assessment also includes information about relevant county and state level laws impacting city policy adoption.

Report Methodology

Our 2023 Report Methodology describes how we score cities on each policy. Explore the criteria used to determine our gold, silver, and bronze medals.