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This report provides a brief but comprehensive overview of metropolitan planning organization reform. This report unpacks the concept of metropolitan planning organizations in a useful and efficient way and describes how these organizations may have both positive and negative effects on metropolitan infrastructure, democratic representation, and commerce. It examines these negative impacts and responses to these issues, including calls for metropolitan planning organization reform. This report evaluates options for reform and closes by evaluating a number of exemplary metropolitan planning organization reforms in states and municipalities.