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The long anticipated growth in the older adult population will reach an unprecedented peak over the next two decades. It's clear that the nation's current housing, transportation and healthcare infrastructure will not adequately support the growth in the older adult population. Remarkably, the majority of the innovations in policy, urban design, service delivery and construction have been only locally initiated and rarely replicated at a national scale. The Congress of New Urbanism is uniquely positioned to play a role in moving the country from pilot programs to national role out of community-based aging programs. Long-term care is increasingly understood as an urban issue as well as a service system issue. Well structured neighborhoods keep residents healthier, more engaged, and less dependent on institutional care. This is especially true when health and wellness services are filtered in through the neighborhood setting. This session will look at the national policy changes necessary to move innovation in neighborhood based care to scale in the areas of Flexible Long Term Care, Housing Finance to Support Housing Choice, and Accessible Environments. M. Scott Ball, Senior Project Manager, Duany Plater-Zyberk & Company Robert Jenkens, Vice President, Community Solutions Group, LLC Kathryn Lawler, External Affairs Manager, Atlanta Regional Commission