The paucity of accessible supermarkets is a continuing concern in inner-city communities. Based on a survey of planners in 32 communities, this article examines initiatives to encourage grocery retail investment, reasons for the existence or absence of initiatives, and factors in successful developments. This research shows that systematic, citywide grocery initiatives are rare, with such efforts limited to particular sites or developments. Reliance on private initiatives, absence of grassroots requests for action, and assignment of lower priority to grocery stores in commercial revitalization programs explain planner inaction. Successful initiatives are characterized by political leadership, competent public agency participation, and, often, partnerships with nonprofit agencies. This article also presents recommendations for community and economic development planners to increase grocery investment in underserved areas.