The goal of this chapter is to provide an overview of the Food, Nutrition and Health (FNH) focus area within the Cooperative Extension Service (CES), which includes discussing influential policy and legislation, demonstrating how this focus area has developed and evolved over time, and commenting on potential future directions. This chapter begins by providing information about US Federal legislation that established the CES, as well as other influential laws and policies that have impacted how it operates today. The discussion then moves to how the overarching vision, mission, and goals of FNH programming have remained constant over time, yet, how efforts, audiences, demographics, and methods of engagement have evolved. Such shifts have emerged alongside advancing research, evaluation tools, national guidelines and recommendations, and technology; and as FNH CES adapted to meet the changing needs of clientele. Changes in FNH CES programming also resulted from efforts to be more inclusive and equitable for audiences. Recommendations for future directions in light of current trends and projections in the field of FNH are provided.