I have the info.plist set for when using the app. That doesn't seem to be a problem. But for some reason I'm missing something and I can't get the current location to show on the map. It shows a blue dot where my current location is, but it doesn't move to the blue dot. I've tried with with and without the CLLocation, and I get the same result. Blue dot at my currently location, but it doesn't move to it.

struct Home:View {

    @State var region = MKCoordinateRegion(center: CLLocationCoordinate2D(latitude: 13.086, longitude: 80.2769), latitudinalMeters: 10000, longitudinalMeters: 10000)
    @State var trackingMode: MapUserTrackingMode = .follow
    @State var manager = CLLocationManager()
    @StateObject var managerDelegate = LocationDelegate()

    var body:some View {
        VStack {
            Map(coordinateRegion: $region, interactionModes: .all, showsUserLocation: true, userTrackingMode: $trackingMode)
        }
        .onAppear {
            manager.delegate = managerDelegate
        }
    }
}
class LocationDelegate: NSObject, ObservableObject, CLLocationManagerDelegate {

    func locationManagerDidChangeAuthorization(_ manager: CLLocationManager) {
        if manager.authorizationStatus == .authorizedWhenInUse {
            print("Authorized...")
            manager.startUpdatingLocation()
        } else {
            print("Not Authorized...")
            manager.requestWhenInUseAuthorization()
        }
    }

    func locationManager(_ manager: CLLocationManager, didUpdateLocations locations: [CLLocation]) {
        print("Updated Location")
    }
}

This appears to be the answer. Moved the region to the LocationDelegate and used the didUpdateLocation to update the lat / long for the region. If someone has a better way to do it, let me know. I'll mark it as solved in a week for others if not.

struct Home:View {

    @State var trackingMode: MapUserTrackingMode = .follow
    @State var manager = CLLocationManager()
    @StateObject var managerDelegate = LocationDelegate()

    var body:some View {
        VStack {
            Map(coordinateRegion: $managerDelegate.region, interactionModes: .all, showsUserLocation: true, userTrackingMode: $trackingMode)
        }
        .onAppear {
            manager.delegate = managerDelegate
        }
    }
}

class LocationDelegate: NSObject, ObservableObject, CLLocationManagerDelegate {

    @Published var  region = MKCoordinateRegion(center: CLLocationCoordinate2D(latitude: 13.086, longitude: 80.2769), latitudinalMeters: 10000, longitudinalMeters: 10000)

    func locationManagerDidChangeAuthorization(_ manager: CLLocationManager) {
        if manager.authorizationStatus == .authorizedWhenInUse {
            print("Authorized...")
            manager.desiredAccuracy = kCLLocationAccuracyNearestTenMeters
            manager.startUpdatingLocation()
        } else {
            print("Not Authorized...")
            manager.requestWhenInUseAuthorization()
        }
    }

    func locationManager(_ manager: CLLocationManager, didUpdateLocations locations: [CLLocation]) {
        print("Updated Location")
        region.center.latitude = (manager.location?.coordinate.latitude)!
        region.center.longitude = (manager.location?.coordinate.longitude)!
    }
}