In the 1960s and earlier, few people recognized that citizens might be entitled to be protected from adverse sound level exposure. Most concerted actions consisted of citizens groups organized to oppose a specific highway or airport, and occasionally a nuisance lawsuit would arise. Things in the United States changed rapidly with passage of the National Environmental Policy Act (NEPA) in 1969 and the Noise Pollution and Abatement Act, more commonly called the Noise Control Act (NCA), in 1972. Passage of the NCA was remarkable considering the lack of historic organized citizen concern. However, the United States Environmental Protection Agency (EPA) had testified before Congress that 30 million Americans are exposed to non-occupational noise high enough to cause hearing loss and 44 million Americans live in homes impacted by aircraft or highway noise.