Montgomery County, Maryland faces a growing problem that confronts local governments across the country: the cumulative impacts that population growth and the resulting land-use changes are having on local streams and their accompanying ecosystems. County officials found they needed an affordable tool to serve as a report card for stream health, and began a biomonitoring program in 1994. By 1997 county officials had monitored all 23 watersheds within the county's boundaries, and in 1998 the county published its first Countywide Stream Protection Strategy (CSPS). The County uses the CSPS to prioritize its watershed restoration efforts to those areas most in need of immediate remediation. Six primary programs now support or require the use of information from Montgomery County's biomonitoring program. And, the lessons learned from Montgomery County can help other county and local governments develop similar programs of their own.