Advisory Board January 5, 2026

In its 2025 Policy Assessment report, CityHealth recognized 51 of the largest U.S. cities for their smart policy solutions to help provide residents with a safe place to live, better physical and mental health, and a thriving environment.

Methodology

For the report, CityHealth evaluated 75 of the largest U.S. cities on 12 upstream, prevention-oriented policies that aim to improve people’s access to healthy choices and address health disparities in their communities. The policies include:

  • Affordable housing trusts
  • Complete streets
  • Earned sick leave
  • Eco-friendly purchasing
  • Flavored tobacco restrictions
  • Greenspace
  • Healthy food purchasing
  • Healthy rental housing
  • High-quality, accessible Pre-K
  • Legal support for renters
  • Safer alcohol sales
  • Smoke-free indoor air

Each policy category had its own evaluation metrics, and awarded...

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