Mathematics teacher education programs often need to respond to changing expectations and standards for K-12 curriculum and accreditation. New standards for high school mathematics in the United States include a strong emphasis in statistics. This article reports results from a mixed methods cross-institutional study examining the preparedness of preservice secondary mathematics teachers to teach statistics and identifying factors and experiences that influence their preparedness. Our results suggest that the cohort of teachers entering secondary mathematics classrooms in 2015-2016 were not well prepared to teach statistics. Specific suggestions are given for how teacher education programs must rise to the challenge of preparing their graduates to teach statistics.