About Us

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 55 million people they serve. Together, these public health officials directly affect the health and well-being of one in six Americans.  

The BCHC is a project of the National Association of County and City Health Officials (NACCHO). NACCHO represents the nation's 2,800 local governmental health departments. These city, county, metropolitan, district, and tribal departments work every day to protect and promote health and well being for all people in their communities. For more information about NACCHO, please visit www.naccho.org.


Healthy, more equitable communities through big city innovation and leadership.  


Advancing equity and health for present and future generations.

Read the 2017 Annual Report here.

Download the coalition's informational brochure here.

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BCHC Membership Criteria

The Coalition represents the health leaders of the largest cities in the nation’s most urban areas. Member cities in these urban areas (the top 30 as defined by the U.S. Census Bureau) must have a city population of at least 400,000 to be eligible, and must be a locally controlled health department, not a state agency.

A city outside of the top 30 most urban areas must have a population of at least 800,000 people, and must also be a locally controlled health department.

Membership is extended to the health department that has primary jurisdiction over the city, whether it be a city or county agency.