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Health in All Policies: A Guide for State and Local Governments was created by the Public Health Institute, the California Department of Public Health, and the American Public Health Association in response to growing interest in using collaborative approaches to improve population health by embedding health considerations into decision-making processes across a broad array of sectors. The guide draws heavily on the experiences of the California Health in All Policies Task Force and incorporates information from the published and gray literature and interviews with people across the country. Health in All Policies is based on the recognition that our greatest health challenges—for example, chronic illness, health inequities, climate change, and spiraling healthcare costs—are highly complex and often linked. Promoting healthy communities requires that we address the social determinants of health, such as transportation, education, access to healthy food, economic opportunities, and more. This requires innovative solutions, a new policy paradigm, and structures that break down the siloed nature of government to advance collaboration. Opportunities for health are created primarily outside of the healthcare and traditional public health systems. Differential opportunities for health are the result of a much broader spectrum of societal structural and institutional norms, laws, policies, and practices. None is permanent, nor set in stone. With political will, all are amenable to change. (District of Columbia Department of Health Office of Health Equity, 2019).