Tennessee Coordinated School Health (CHS) connects physical, emotional and social health with education through eight inter-related components. This coordinated approach improves students' health and their capacity to learn through the support of families, communities, and schools working together. Physical education and physical activity create one of those components. The Tennessee Department of Education's (department) office of Coordinated School Health is responsible for monitoring the implementation of the physical activity requirements of T.C.A. § 49-6-1021. This annual report provides data on: (1) Tennessee 2022-23 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.