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Water systems in the United States are among the safest in the world and yet, the fragmented way in which most cities have managed water historically is not viable for handling the serious water challenges confronting urban areas across the nation today and into the future. With climate change driving dramatic changes in the water cycle and rendering traditional approaches to water resources planning obsolete, the time has come for cities to adopt more holistic and resilient water management strategies. Based on the outcomes of an October, 2015 meeting of mayors, municipal leaders and urban water managers, this report encourages the pursuit of integrated water management as a pathway to addressing urban water challenges within and beyond city limits. The report explains the concept of integrated water management; illustrates the potential benefits of pursuing its implementation; and provides practical guidance about steps elected officials, water utility managers, and other municipal leaders can take to get started.