State law requires middle school HE curriculum.
Tennessee Administrative Rules and Regulations 0520-01-03-.05 State Academic Standard
(a) The State Board of Education shall adopt academic Standard for each subject area, grades kindergarten through twelve (12). The Standard shall specify learning expectations and include performance indicators. The approved Standard shall be the basis for planning instructional programs in each local school system.
Tennessee Health Education and Lifetime Wellness Standard, Middle School Standard
Outline of health education requirement