On April 17 – 18, 2019, The Vision 20/20 Project convened thirty participants representing stakeholder groups such as the fire service, academia, government, non-profit, and private sector organizations, for a two-day Smoke Alarm Summit at the Johns Hopkins Bloomberg School of Public Health. This summit was organized as a follow-up to the original 2015 Smoke Alarm Summit conducted by The Vision 20/20 Project and the Johns Hopkins Center for Injury Research and Policy. The goal of the 2019 Summit was to revisit the original summit recommendations, note the progress made since that time, and to provide recommendations for actions steps that would continue to lead the United States toward having more working smoke alarms in homes.