Schools present highly desirable marketing environments for food and beverage companies, but most marketed items are nutritionally poor. Terry-McElrath and colleagues examined national trends in student exposure to selected school-based commercialism measures from 2007 through 2012. Most US elementary, middle, and high school students attended schools where they were exposed to commercial efforts aimed at obtaining food or beverage sales or developing brand recognition and loyalty for future sales. Vending contracts remain prevalent but contribute minimal financial support: approximately $2 to $4 per student annually. In their editorial, Harris and Fox discuss the implications for policy makers, school boards, and parents to ensure healthy nutritional environments for children.