State departments of transportation began using recycled concrete aggregate (RCA) as aggregate in portland cement concrete pavement in the United States in the late 1970s. Although RCA is rarely used in current U.S. rigid pavement slabs, the impetus for its continued use remains the same: a lack of landfill space, a shortage of nearby quality natural aggregates, or both. However, as American pavement engineers and researchers place a greater emphasis on sustainable, reusable roadways, the status quo for RCA in American roadways should be reconsidered along with these new priorities. This study proposes to revisit the use of recycled concrete as aggregate in rigid pavement slabs by using overlooked research to address the concerns that prevented the wide-scale adoption of recycled concrete as an aggregate in pavement slabs by state departments of transportation. Experiences encountered in countries (mostly restricted to Europe) where the use of RCA in rigid pavement is more common are also described. New opportunities for the use of RCA as a structural component in pavement concretes are detailed.