In Health Affairs, Julia Berenson, Yan Li, Julia Lynch, and José A. Pagán assess state progress on steps to advance health equity. Using publicly available data sources, the authors develop a scorecard for all fifty states and the District of Columbia that measure the use of five evidence-based policies to address health equity domains. The scorecard includes the cigarette excise tax rate, a state’s Medicaid expansion status and the size of its coverage gap, percentage of four-year olds enrolled in state-funded pre-kindergarten, minimum wage level, and the presence of state-funded housing subsidy programs, homelessness prevention and rapid rehousing programs. The group finds that states varied significantly in their implementation of the selected policies and concludes that a variety of approaches to encourage policy changes at the state level will be needed to create healthier, more equitable communities. They describe feasible state-level approaches, such as incremental minimum wage increases and rewards for low-income housing developers, on the five selected policies that can promote health equity.