Benthic macroinvertebrates are frequently used as bioindicators of stream health. We compared macroinvertebrate communities from 22 urban stream sites with a range of development and impervious surface cover to those from 24 highly forested stream sites to determine how urban land cover impacts in-stream communities. We also assessed the temporal change in species compositions in the urban streams from 2001–2021 to test whether increasing development in watersheds that are already highly urbanized leads to further community degradation. Urban streams and forested streams represented alternate community states, with dispersed, non-overlapping clustering in a nonmetric multidimensional scaling analysis. Urban streams were degraded by all community-level metrics examined (richness, diversity, pollution tolerance) relative to the forested streams. In the urban streams, species compositions differed significantly over 20 years, with pollution tolerant species continually replacing other tolerant species. However, these changes were not related to land cover, and most community-level metrics remained stable. A decline in gamma diversity suggests urban macroinvertebrate communities may gradually become more homogenized. Overall, we found that landcover changes associated with urbanization, particularly increases in impervious surface cover, result in persistently degraded, dynamic macroinvertebrate communities containing a few highly tolerant species.