Amid the opioid epidemic and COVID-19 pandemic, the public sector is consumed with health promotion and disease prevention. Preventive programs serve a significant purpose in ensuring population health and reducing burden on the healthcare system (Cohen et al., 2008; Neumann & Cohen, 2009). People are increasingly turning to educational resources outside of the traditional healthcare sector to ward off diseases or alleviate pre-existing conditions (Eakin et al., 1980; Eng et al., 1998). Public library systems often carry such resources, in print and multimedia form, at no cost. Some libraries are providing health programming to supplement, contextualize, or incentivize the use of such resources (Murray, 2008; National Network of Libraries of Medicine, 2014). This study examines preventive health programming offered in the largest public library systems nationwide.