The report provides the public, policymakers and a broad and diverse set of groups involved in public health with an objective, nonpartisan, independent analysis of the status of public health funding policies; encourages greater transparency and accountability of the system; and recommends ways to assure the public health system meets today’s needs and works across boundaries to accomplish its goals. In summary, reports finds that federal funding for public health has remained at a relatively flat level for years and that at the state and local levels, public health budgets have been cut drastically. Disease rates and health risk factors vary widely from state to state and county to county, underscoring the need for sustained and sufficient levels of investment in prevention to support public health departments, their disease prevention efforts and improve population health.