This report presents best practices in State DOT pedestrian countermeasure policies from Florida, New York, and Oregon.  Examples of effective and successful policies regarding medians, pedestrian refuge islands, walkways, and shoulders are reviewed.  Excerpts from the policy documents are included to help demonstrate the purpose and scope of the policies.  The report also discusses some ways that the DOTs overcame resistance to the policies and challenges that they faced in adoption and implementation, including finding funding sources to carry out the policies.  Finally, the report provides an overview of the effectiveness of the pedestrian countermeasures that are included in these policies.