Three health behaviors: poor diet, lack of physical activity and tobacco use; lead to four chronic diseases: heart disease, lung disease, some cancers and diabetes; which cause over 50% of deaths in Vermont. 3-4-50 is a framework that helps shine a light on preventable chronic disease to both start a conversation about how to encourage Vermonters to make healthier choices and provide concrete, no/low-cost strategies for partners to implement. We are working with communities, schools, worksites and childcare programs, providing tips on working with people in their organization or under their care to help them with healthy choices. These organizations can also “sign on” to 3-4-50, by making a commitment to continue this work. Examples include municipalities committing to healthy community design plans, and worksites, schools and childcare programs developing policies to support healthy eating and physical activity during the work and school day.