In 2020, COHSII convened a series of meetings with the three NOHI projects to facilitate the development of an environmental scan tool to gain knowledge about factors that could impact the integration of oral health care into primary care at the state/jurisdiction level with the purpose of informing the work of the NOHI projects. The scan included questions focused on scope of practice of medical and dental providers, Medicaid payment, and policies and regulations that impact the target population’s oral health. In 2021, COHSII facilitated the NOHI projects’ review and revision of the environmental scan tool, and the NOHI projects conducted a second (project years 23) environmental scan. The American Academy of Pediatrics, Section on Oral Health staff conducted the environmental scan for the RoMoNOH states, while state/jurisdiction coordinators and/or project partners conducted the scan for MNOHI and TOHF states/jurisdiction. This chartbook presents the results of the second environmental scan. COHSII analyzed the environmental scan data and prepared the chartbook with content reviewed by NOHI projects and state dental directors.