The Tennessee Department of Education's office of coordinated school health (CSH) works with every school district in the state to address all aspects of student health, with a special emphasis on reducing Tennessee's childhood obesity rates. Encouraging adequate physical activity and providing physical education for all students are the central tenets of the CSH model. CSH oversees state physical education standards as set forth in Tennessee curriculum standards and the Tennessee Physical Activity Policy. This annual report provides data on: (1) Tennessee 2019-20 Physical Activity/Physical Education Data; and (2) Physical Activity and Physical Education in Tennessee -- Priority Health Behaviors. Recommendations for developing and implementing physical activity policies and practices for students are included. [For the 2018-19 report, see ED628415.]