Publication Date: 
Tuesday, December 20, 2022

CityHealth, in partnership with the Center for Public Health Law Research at Temple University’s Beasley School of Law and other evaluation partners, rated America’s 75 largest cities on their combined quality and quantity of 12 policies in place in areas that can improve people’s access to healthy choices and address critical health disparities in local communities. 

In 2022, America’s 75 largest cities earned 370 individual policy medals across all 12 policies, including 126 gold medals, 102 silver medals and 142 bronze medals. Complete results can be found at  

CityHealth updated its policy package in 2022 to make sure that its work continues to resonate with cities and is aligned with the latest evidence, can promote health and racial equity, and has bipartisan appeal with a record of successful adoption in at least one city. This updated 12-policy package was developed in consultation with local leaders, public health experts, researchers, and members of the business community. The initiative also expanded the number of cities the largest 40 to the largest 75, based on population.  

All the data are displayed on using the Center’s MonQcle software ranking technology and may be downloaded on each policy page. Learn more about the project’s methodology.