Food-as-medicine is emerging as a durable component of American health policy, reflecting a broader shift toward integrating social determinants of health into care delivery. Policymakers and payors are increasingly recognizing nutrition as a clinical tool to manage chronic, diet-sensitive conditions that drive significant healthcare spending, particularly among Medicaid and Medicare populations. Federal policy has enabled state Medicaid programs and Medicare Advantage plans to scale nutrition programs such as medically tailored meals and groceries by creating multiple pathways for coverage. This paper highlights the experience in California, which suggests that these interventions can reduce downstream costs while improving health outcomes. At the same time, Medicare Advantage plans are expanding nutrition benefits as part of care management strategies for high-risk populations. Together, these developments indicate that food-as-medicine programs are likely to continue to scale across the country as they become more permanently integrated into public insurance coverage.