The awareness and use of Healthy People have grown over time. However, states are 32% more likely than local organizations and more than 200% more likely than tribal organizations to use Healthy People, demonstrating a continued need for targeted outreach directed toward local, tribal, and smaller health organizations. Different stakeholders appreciate different aspects of Healthy People. Barriers to increased use of Healthy People are primarily attributed to organizations, rather than the Healthy People initiative itself. Implementation planning for Healthy People 2020 is well aligned with users' recommendations.