RT Journal A1 Collins J, Koplan JP T1 Health impact assessment: A step toward health in all policies JF JAMA JO JAMA YR 2009 FD July 15 VO 302 IS 3 SP 315 OP 317 DO 10.1001/jama.2009.1050 UL http://dx.doi.org/10.1001/jama.2009.1050 AB For the past 4 decades, the environmental impact statement (EIS) process has been used to assess the environmental effects of major projects and policies that involve federal funds, such as designing highways, altering waterways, extracting resources on federal lands, and setting Corporate Average Fuel Economy standards. Created under the National Environmental Policy Act of 1969, EISs do not determine policy but rather ensure that stakeholders have full information about unintended environmental impacts before reaching a decision.1 By evaluating alternative proposals and their relative risks and benefits, an EIS helps decision makers choose options that promote favorable outcomes and mitigate adverse environmental consequences.