The decision-makers for any proposal may or may not regard health
as a central issue. For example, they may prioritise economic benefits
over health. And the decision-makers may or may not be part of the
steering group for the HIA – it all depends on who agreed to take part
during the scoping step of the HIA process. But, whether or not it has
the power to make direct decisions on the proposal being considered,
the steering group will be in a position to make recommendations to
the decision-makers on the potential changes that can be made to a
proposal to minimise its harmful impacts and maximise the health gain.