In November 2023, the White House released the Memorandum on Modernizing United States Spectrum Policy and Establishing a National Spectrum Strategy to modernize spectrum policy and drive technological innovation to boost U.S. competitiveness and quality of life. Additionally, in February 2024, Canada and the U.S. were among many countries that endorsed a Statement of Principles for 6G. The Next G Alliance (NGA) Spectrum Working Group is working toward influencing spectrum access, management, and policy recommendations at this pivotal moment in time. The Working Group’s 6G Spectrum Considerations and Spectrum Needs for 6G publications aim to establish global consensus on 6G spectrum needs from the North American perspective. The NGA has identified key priorities of relevance to spectrum including identifying spectrum suitable for 6G services and estimating the required amount of spectrum per application based on a data rate-based methodology. This paper covers the evolving spectrum management and access types to maximize 6G opportunities for the bands and applications identified in the previous white papers.