“Opening prematurely — or opening without the tools in place to rapidly identify and stop the spread of the virus — could send states back into crisis mode, push health systems past capacity and force states back into strict social distancing measures,” reads the report from the NGA and the Association of State and Territorial Health Officials.

The report comes amid broader debate over whether states like Georgia and Tennessee, which are lifting prohibitions, are moving too quickly, while protests cheered on by conservative groups and Trump himself are playing out in capitals across the country. Trump this morning congratulated the mostly Republican-led states moving to reopen their economies, even as coronavirus hot spots remain within their borders.

The states' plan largely tracks with the phased approach for reopening Trump outlined last week, but said states should proceed carefully without broader testing. Despite Trump’s insistence that states have the testing they need to reopen, the states' report said “testing capacity remains inadequate.” Several governors are still complaining of shortages of swabs and reagents needed to conduct widescale testing.

The plan, which tacitly criticizes the Trump administration for poorly distributing supplies, estimates that the nation will need to be able to test anywhere from 750,000 to tens of millions per week, though states are still rationing testing and struggling with supply shortages.

Trump in recent weeks has pushed responsibility for testing onto the states, but the new road map said the federal government should “rapidly build” up testing capacity and coordinate distribution of supplies. A new coronavirus package moving through Congress this week includes $25 billion for testing, while calling for testing strategies from the Trump administration and the states.

Maryland’s Republican governor, Larry Hogan, who chairs the NGA, has criticized the administration for not doing enough to help states increase testing. Hogan's administration over the weekend secured thousands of test kits from South Korea, prompting criticism from Trump for turning to a foreign government for help.

The plan recommends a “a significant increase” in workers who help identify those infected with the coronavirus and try to convince their contacts to self-quarantine to guard against an explosion in cases. The country currently only has a fraction of the workers needed to trace the virus. Louisiana, for example, hopes to expand its workforce for contact tracing from 70 to 700, said state health Secretary Courtney Phillips. Many of the new volunteers states are bringing on will receive just a few hours of training for work that has little margin for error.

The governors' report also says states should have plans for quarantining the contacts of people who have become infected at places like hotels, dorms or military barracks. They should also have a robust public health infrastructure in place as they reopen, including a strong surveillance system for detecting Covid-19, develop metrics to assess the hospital’s capacity to treat both coronavirus and non-infected patients and protect at-risk populations. Those are similar to measures Trump's reopening plan but includes more detail.

“These steps require the full participation of the federal government, state health agencies, other state agencies, local governments, the private sector, and the public,” the report said.

