The U.S. National Water Safety Action Plan (USNWSAP) will be a strategic, evidence-informed plan, created by experts in drowning prevention and informed by water safety stakeholders and practitioners from across the country, aimed at preventing drowning in the USA. Considering that most prevention needs to happen at the subnational level, the USNWSAP will be a model- based plan, focusing on providing guidance on what a model water safety community, county, and state should look like, as well as identifying national level activities that guide and support subnational efforts. The Life Jacket Working Group has identified 23 recommendations to be included in the USNWSAP.