Much change has occurred in the recent past around food systems at the local level. As interest continues to rise, we were curious to examine connections of local food systems and well-being in the context of the places they operate at the state level. Health is a central component of food well-being. In this article, we focus on physical well-being. We explore the connection between food systems, as represented by farmers markets (FMs), community-supported agriculture (CSAs), and physical well-being using state level data. To investigate these relationships, we conducted an ordinal logistic regression model analyzing 2016 data from the United States Department of Agriculture for the 50 states. The results of this study suggest that there is an inconclusive relationship at the state level. While local FMs and CSAs may increase physical well-being at the state level, we did not find this in our study. This finding adds to the body of literature where the majority of the studies in this area are case studies, ethnographies, and smaller studies using some regional data and small samples for local data. We believe that this conceptual work will allow for future empirical studies to build upon this study to conduct further empirical work examining regional state and local datasets for more conclusive findings.