This bill mandates the Secretary of Agriculture, in coordination with the Secretary of Health and Human Services, to establish a competitive pilot grant program within two years of enactment. The program will award grants to eligible entities to support Food is Medicine programs , which are designed to provide food or medical nutrition therapy services to individuals experiencing, at risk of, or recovering from various diet-related diseases . Grant funds can be used for activities such as operating emergency feeding operations, providing medically tailored meals and produce prescriptions, offering evidence-based cooking skills, promoting dietary intervention strategies, and facilitating participant transportation. In awarding these grants, the Secretary must prioritize entities that incorporate local and regional foods or include registered dieticians and nutrition professionals. The program also emphasizes ensuring geographic diversity and equitable treatment of urban, rural, tribal, and U.S. territory communities, while advancing health outcomes. The bill authorizes $20,000,000 for fiscal years 2027 through 2031 and requires the Secretary to submit initial and final reports to Congress, analyzing program efficiency, assessing the effect on patient outcomes and system costs, and detailing the program's implementation and impact on participants' health.