Low-income, underserved communities are often plagued with unhealthy food environments. A community’s comprehensive plan directly influences urban design and land-use regulations, which affect neighborhood food availability. While some local governments are including food access goals and policies in their local plans, little is understood about the quality, specificity and comprehensiveness of these goals and policies. The primary aim of this study is to identify and evaluate the development, adoption and implementation of food access goals and policies of comprehensive and sustainability plans across the U.S. The secondary aim is to provide policy-makers and planners with case examples of innovative food access goal and policy development, adoption and implementation strategies to improve food environments.