This report card provides a transparent, timely, and geographically detailed assessment of Chesapeake Bay. For the first time the report card includes an assessment of the Chesapeake Watershed as well. In 2019, the report card includes seven Bay health indicators and five Watershed health indicators. In 2019, the overall score for Chesapeake Bay is a 44%, a C-. This means the Bay is in moderate health. Despite the decrease in score from 2018, overall bay health is slightly improving over time. Long term trends of each reporting region health are also presented. For its first ever score, the Chesapeake Watershed scored 60%, a B-. This means the Watershed is in good health.