The HEAL Cities Campaign focuses on four policy-related areas: Land Use & Transportation, Access to Healthy Food Options, Shared Use, and Workplace Wellness. The Campaign recognizes cities that adopt varied healthy eating and active living policies with four designations:

Eager Cities join the Campaign by providing the Campaign with a Resolution, proclamation, or letter expressing the intent to work with the Campaign to explore HEAL policies.

Active Cities are cities that already had at least one HEAL policy on their books before joining the Campaign. Active Cities join the Campaign by submitting these policies together with a Resolution expressing the intent to work with the Campaign to explore additional HEAL policies.

Fit Cities join the Campaign by adopting and implementing at least one new HEAL policy and submitting the policy with an implementation plan.

Fabulous Cities are Fit Cities that adopt and implement at least two additional new HEAL policies.