The 2012 Institute of Medicine (IOM) [now National Academies of Sciences, Engineering, and Medicine Health and Medicine Division (HMD)] report, For the Public's Health: Investing in a Healthier Future, considered the complex problem of adequate public health financing in an era of health care reform, economic austerity, questions about the proper role of government in the nation’s health and public health system, and an evolving definition of what constitutes public health. The IOM report proposed 10 recommendations, encompassing the balance of clinical and population care provision, as well as how to organize and finance the public health system. The report below, Characterizing the Impact of the 2012 Institute of Medicine Report on Public Health Finance: A Final Report, summarizes activities toward the 10 recommendations since the 2012 report and conclusions provide insight on the future of public health financing.