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Legal Review Concerning the Use of Health Impact Assessments in Non-Health Sectors


The Pew Charitable Trusts worked with the Robert Wood Johnson Foundation, the Health Impact Project, and Arizona State University to develop a guidance document titled "Legal Review Concerning the Use of Health Impact Assessments in Non-Health Sectors." The document provides an overview of existing legal foundations that encourage non-health sectors to consider health in their policy and programmatic decisions. The authors looked at existing laws and regulations that could be utilized to increase the number of communities utilizing health impact assessments (HIAs). They found that among their sample, 61% of jurisdictions had a legal foundation for requiring environment and energy policy decisions to consider health, 19% of jurisdictions had the same requirements for transportation sectors , 19% of agriculture sectors, and 31% of waste disposal and recycling sectors.  While the main thrust of this document focuses on what the existing legal framework is for requiring HIAs, it can serve to inform local jurisdictions seeking to advance health in all policies because it has information on what some of the existing legal requirements are for non-health sectors to consider health.

Primary Toolkit:

Environmental Health in All Policies (HiAP)

Keyword Area:

Health Impact Assessment (HIA), Health Policy, Policies


Institutional Author:





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The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.