1) The document discusses optimizing levee height and setback tradeoffs to minimize costs from flooding over time as conditions change from urban growth and climate change. 2) Modeling results show that considering combined effects of climate change and urbanization may require raising levees and increasing setbacks more than from either factor alone. 3) Adapting levees and widening floodways on the American River could help address increasing Central Valley flooding risks from continued development and trends toward wetter climates with larger floods.