In a presentation at the Clean Air Alliance China’s first China Clean Air Management Training, Christopher James discussed the role of regional air quality organizations in achieving air quality improvements in the United States. Drawing on the lessons learned over the past 40 years by NESCAUM, a regional air quality organization that coordinates air policy among eight states, he offered recommendations for adapting this model in China. Regional air quality organizations can facilitate information exchange, coordinate policy, assure consistent requirements and sustained implementation, and give provinces one voice to influence national policy.