There is compelling evidence to support ‘Food is Medicine’ interventions, whether they involve medically tailored meals and groceries, or produce prescriptions. These programs can not only impact personal well-being, health outcomes, health care utilization and costs, but also address food insecurity. As we explore building the foundation for such interventions to be implemented sustainably through a systemwide change with our partners, we are looking to support two pilots within the County’s healthcare network. Through the Fair Oaks Health Center pilot, we will learn to fine tune the workflow for food insecurity screening and patient referrals to local food resources. At the Coastside Clinic, we will be funding Fresh Approach to support a healthy foods voucher prescription program to promote consumption of fresh produce from the local farmers’ market. The findings from these efforts will inform strategies for scaling up the programs.