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 nearly 62 million people they serve. Together, these public health officials directly affect the health and well-being of one in five Americans. BCHC fosters collaboration, partnership, advocacy, and best practices among member health departments. The Coalition helps member cities develop and share programs based on proven models and best practices. BCHC also provides a unified voice on policy matters primarily at the national level. The Coalition is designed to foster strong connections between major metropolitan health departments to amplify city voices on shared policy issues, provide rapid expertise and support on complex issues, and conserve resources by sharing best practices and other vital tools VISION: Healthy, more equitable communities through big city innovation and leadership. MISSION: Advancing equity and health for present and future generations.