This is a list of elite, under-23 American medals, but don't list the amateur events. Since the 2012 UCI Road World Championships there is the men's and women's team time trial event for trade teams and these medals are included under the UCI registration country of the team.
From 2012 to 2018, there was the men's and women's team time trial event for trade teams and these medals are included under the UCI registration country of the team. Here are listed of the medalists who won a medal with a non-American-based team. Since 2019, these events were replaced with a single mixed team relay time trial event for national teams.
