Lack of physical activity and poor nutrition drive poor health outcomes, such as obesity and chronic disease, and cost the US billions of dollars every year. The Centers for Disease Control and Prevention (CDC) has identified evidence-based strategies that can help state and local public health partners promote increased physical activity and healthy eating nationwide. Based on these strategies, NACDD conducted a multi-pronged, qualitative assessment to better understand state decision-makers’ views related to policy approaches to promote healthy eating and active living. A literature review was conducted, followed by key informant interviews and focus groups including state and local health department leaders, legislators, and public health advocates. The information gathered during the assessment was used to develop content-specific guides to assist in tailoring messages that reframe evidence-based approaches that resonate with decision-makers.