Our Policy Package

Explore Our Policies

CityHealth rates the nation’s 40 largest cities based on their progress in adopting an evidence-based policy package.

This policy package was derived using a three-part process that considered:

  1. The evidence-base of policies addressing the key social determinants of health
  2. Cities’ jurisdictional authority and precedent
  3. Analysis by a policy advisory committee representing key partners, influencers, and community representatives

The goal was to provide city leaders with a pragmatic, achievable, yet aspirational, package of policies that could align with their city priorities and needs.

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Earned Sick Leave

Earned sick leave laws reduce the spread of contagious illnesses, increase employment and income stability, and save cities money in health care costs.

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High-quality, Accessible Pre-Kindergarten

Children who attend high-quality pre-k are more likely to succeed in school, go on to stable jobs and earn more as adults—all of which are linked to better health and stronger communities.

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Affordable Housing/Inclusionary Zoning

AAs cities grow, it’s important that residents of all income levels have access to affordable housing that sets them up for good health.

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Complete Streets

Complete streets policies unlock opportunities by allowing city residents to safely walk, bike, drive and take public transit around their community.

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Tobacco 21

Curbing tobacco use among young adults has been shown to decrease the number of people who start – and continue – smoking.

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Smoke Free Indoor Air Policies

Comprehensive smoke-free air laws protect non-smokers from secondhand smoke and reduce smokers’ consumption of tobacco – the leading cause of preventable death in the U.S.

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Safer Alcohol Sales

Earned sick leave laws reduce the spread of contagious illnesses, increase employment and income stability, and save cities money in health care costs.

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Food Safety and Restaurant Inspection Ratings

Policies requiring food establishments to publicly post safety inspection “grades” empower consumers, reduce foodborne illiness rates and cut down on health care costs.

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Healthy Food Procurement

Policies that make sure healthy food options are available on public property aid city residents in making smart decisions that will help them achieve and maintain a healthy weight.

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