Not listed **AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** LOCAL FOOD HUB IS A CENTRAL VIRGINIA-BASED NONPROFIT THAT ADVANCES EQUITABLE ACCESS TO FRESH FOOD INDEPENDENT FARMS AND FAIRNESS IN FARMING. IT HAS EXTENSIVE EXPERIENCE DEVELOPING AND IMPLEMENTING PRODUCE PRESCRIPTION PROGRAMS SOURCING LOCAL FOOD AND MANAGING FARMERS MARKETS. THIS PROPOSAL COMBINES LOCAL FOOD HUB'S EXPERTISE WITH THAT OF A MAJOR HEALTH CARE SYSTEM STRIVING TO IMPROVE NUTRITIONAL OUTCOMES FOR FOOD-INSECURE FAMILIES.IN THE FIRST YEAR OF THE GRANT LOCAL FOOD HUB WILL INCREASE ACCESS TO ITS FRESH FARMACY: FRUIT AND VEGGIE PRESCRIPTION PROGRAM TO ONE HUNDRED FAMILIES CARED FOR AT THE UNIVERSITY OF VIRGINIA CHILDREN'S CENTER WITH LOW FOOD ACCESS AND DIET-RELATED DISEASE. PARTICIPANTS WILL RECEIVE BI-WEEKLY SHARES OF LOCALLY-SOURCED FRUITS AND VEGETABLES ALONG WITH FARM INFORMATION RECIPES AND ACCESS TO COOKING AND NUTRITION EDUCATIONAL PROGRAMMING.OVER THE SUBSEQUENT EIGHTEEN MONTHS PARTICIPANTS WILL PROGRESS TO A MODEL WHERE THEY PAY WHAT THEY ARE ABLE FOR ONE FRESH FARMACY SHARE PER MONTH AND RECEIVE A SECOND FREE OF CHARGE. IN ADDITION THEY WILL RECEIVE MONTHLY FARMERS MARKET SHOPPING INCENTIVES. COMMUNITY ADVOCATES AND AN INCENTIVE COORDINATOR WILL BE RECRUITED FROM THE PATIENT POOL TO ENCOURAGE PARTICIPATION AND BUILD COMMUNITY SELF-ENGAGEMENT AND OWNERSHIP. CLINICIANS AND SOCIAL WORKERS WILL MONITOR IMPACT USING QUARTERLY SURVEYS AND HEALTH CHECKS EVERY SIX MONTHS. THE PROGRAM'S LENGTH 30 MONTHS IS LONG ENOUGH TO DEMONSTRATE REAL LASTING RESULTS IN BEHAVIOR AND HEALTH. ($472k) 12/31/24 Not listed **AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** EXPANDING FRESH FARMACY AND INTRODUCING FARMERS MARKET INCENTIVE $498.9k 7/5/22