President Trump spoke with governors on a conference call Thursday and released a plan to re-open the economy after a month of shutdowns. Titled “Opening Up America Again” (PDF link here), the document guides state and local officials on the loosening of restrictions on businesses and citizens with a phased approach.

Before a state or county begins to open, the White House recommends meeting the following criteria:

• Downward trajectory of influenza-like illnesses reported within a 14-day period and a downward trajectory of COVID-like syndromic cases reported within a 14-day period.
• Downward trajectory of documented cases within a 14-day period, or a downward trajectory of positive tests as a percent of total tests within a 14-day period (flat or increasing volume of tests).
• Ability of hospitals to treat all patients without crisis care, and have a robust testing program in place for
  at-risk healthcare workers, including emerging antibody testing.

It’s up to local leaders to tailor the measures to the facts on the ground (i.e., crowded city vs. rural county). It is the state’s responsibility to ensure testing, monitor hospital capacity, and provide specific plans to protect health and safety.