The Santa Clara County Health Element earned the 2017 Award of Merit for Planning and Health from the Northern California Chapter of the American Planning Association. The Health Element, a first for Santa Clara County, provides comprehensive and consolidated strategies and policies for improving public health. On a team with Raimi + Associates, Nelson\Nygaard led the transportation and mobility components of the element. We found stark health differences between the rural and urban areas and recommended transit investment, changed civic priorities, and revised design of the built environment to promote walking, biking, and riding transit.