Purpose Youth are frequently impacted by food insecurity, yet few studies have examined youth attitudes toward food insecurity screening/interventions. Our study describes youth perspectives on food insecurity screening and produce prescriptions. Methods We conducted a qualitative study using the MyVoice text-messaging cohort, a national sample of youth ages 14–24 years. Participants were sent five open-ended questions on healthy eating, food insecurity, and produce prescriptions. Qualitative responses were analyzed using content analysis. Results A total of 573 of 780 eligible youth (73%) responded, with a mean (standard deviation) age of 20.2 (2.7) years. Nearly half (40.8%) had experienced difficulty affording healthy foods and most (81.0%) believed that doctors should know about trouble accessing healthy foods. Most youth (71.6%) were interested in receiving a produce prescription. Discussion Our findings indicate most youth are agreeable to food insecurity screening and produce prescriptions. Future work should identify effective youth-focused food insecurity screening tools/interventions.