Increasing evidence indicates that our health is not determined solely by our behavior, choices, and genetics. Health is determined by many different components including socio-economic status and where a person lives and works. A Health Impact Assessment (HIA) provides decision-makers with an opportunity to understand the impacts of decisions on affected communities, and to consider recommendations for how the proposed activities and changes can best support public health, health equity and environmental justice. This Rapid HIA considers the health impacts of a Municipal Public Access Plan developed by the City of New Brunswick, New Jersey that considers current conditions and opportunities and recommends improvements to public access to the Raritan River that borders the city.