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Road traffic fatalities pose a significant global public health challenge, resulting in over 1.25 million deaths annually and substantial economic costs. This study examines the adoption of Vision Zero principles, an innovative road safety framework aimed at eliminating traffic fatalities, across municipalities in the North Central Texas Council of Governments region. Using qualitative content analysis of grant applications from the United States Department of Transportation’s Safe Streets and Roads for All program, the research evaluates the integration of political support, planning frameworks, data driven decision making, infrastructure improvements, and equity considerations. Key findings highlight a strong focus on vulnerable road user safety and infrastructure enhancements, yet reveal gaps in speed management, public engagement, and advanced data utilization. The study underscores the necessity of comprehensive, inclusive, and technology driven approaches to traffic safety and offers actionable policy recommendations to enhance Vision Zero implementation. By identifying best practices and barriers, this research contributes to the broader discourse on achieving sustainable and equitable road safety outcomes.