This Altarum Institute Policy Roundtable examined innovative approaches, including financial incentives, to encourage healthy food choices by SNAP program participants. We also examined the added economic benefit that can occur when more SNAP dollars are spent on local food and circulate in the local economy. Speakers from Altarum’s Center for Food Assistance and Nutrition, the Bipartisan Policy Center, the Fair Food Network, the U.S. Department of Agriculture Food and Nutrition Service, and the W.K. Kellogg Foundation discussed what is being tested, and what is known to be working, in this critical effort to improve health status through healthier food purchases supported by SNAP.