This Agenda offers a strategic roadmap to guide national coordination, policy reform, and field-building efforts in street medicine in the United States. Grounded in the collective thinking, experience, and vision of more than 75 national leaders who gathered in Washington in May 2025 at the U.S. Street Medicine Summit, it marks the beginning of a shared national effort. The document offers a snapshot of where the field stands today and where it aims to go, recognizing that the landscape continues to evolve.
Through a process of collaborative brainstorming, thematic synthesis, and structured voting, participants identified shared priorities that span regions, practice models, and policy contexts. The Agenda brings together a mix of research questions, policy proposals, and practical interventions—many of which are deeply interconnected—and further work will be required to refine, implement, and assess them. To support prioritization and sequencing, Summit participants voted on the proposed agenda items based on perceived impact, feasibility, and urgency. Items that received the strongest consensus were designated as Tier 1 priorities, while those identified as critical but requiring further development or longer timelines were placed in Tier 2.