GUIDELINES
OPENING UP
AMERICA AGAIN
Downward trajectory of documented cases
within a 14-day period
Downward trajectory of positive tests as a
percent of total tests within a 14-day period
(flat or increasing volume of tests)
OPENING UP AMERICA AGAIN
(Satisfy Before Proceeding to Phased Opening)
*State and local officials may need to tailor the application of these criteria to local circumstances (e.g., metropolitan areas that have
suffered severe COVID outbreaks, rural and suburban areas where outbreaks have not occurred or have been mild). Additionally, where
appropriate, Governors should work on a regional basis to satisfy these criteria and to progress through the phases outlined below.
Downward trajectory of influenza-like
illnesses (ILI) reported within a 14-day period
Downward trajectory of covid-like syndromic
cases reported within a 14-day period
SYMPTOMS
CASES
Treat all patients without crisis care
Robust testing program in place for
at-risk healthcare workers, including
emerging antibody testing
HOSPITALS
Proposed State or Regional Gating Criteria
OR
AND
AND
Core State Preparedness Responsibilities
Ability to quickly set up safe and efficient
screening and testing sites for symptomatic
individuals and trace contacts of COVID+
results
Ability to test Syndromic/ILI-indicated persons
for COVID and trace contacts of COVID+ results
Ensure sentinel surveillance sites are
screening for asymptomatic cases and
contacts for COVID+ results are traced (sites
operate at locations that serve older
individuals, lower-income Americans, racial
minorities, and Native Americans)
HEALTHCARE SYSTEM CAPACITY
Ability to quickly and independently supply sufficient Personal Protective
Equipment and critical medical equipment to handle dramatic surge in need
Ability to surge ICU capacity
PLANS
Protect the health and safety of workers in critical industries
Protect the health and safety of those living and working in high-risk facilities (e.g.,
senior care facilities)
Protect employees and