The coronavirus continues to remain a threat until a vaccine becomes broadly available. Various U.S. states will hit peak infection rates at different times over the coming weeks and months. It is possible that even after infection rates slow, outbreaks will continue to emerge in local communities across the nation. Healthcare provider responses will largely be based on the level of infection rates in their local areas. 


To ensure healthcare providers have a constant pulse on the state of COVID-19 in their respective communities, Luma Health data scientists scour datasets daily to study the COVID-19 infection curve, disease control directives in specific regions across the United States, as well as the outbreak’s impact on healthcare providers. 

Check the map below to determine which COVID-19 Stage your state is currently experiencing. Then, compare that stage against our Five-Stage Framework for Healthcare Managing the COVID-19 Pandemic.

Stage 1: Readying for Disruption

Stage 4: De-escalation of Crisis Conditions

Stage 2: Operational Disruption 

Stage 3: Peak Infection & Crisis Management

Stage 5: The New Normal

This information is updated regularly.

Updated July 29,  2020



No states are currently in Stage 1.

  • The followings states currently remain in stage 4 as they continue to have stable case numbers and have moved forward with their initial reopening initiatives: SD, NE, NH, PA, DC, IL, MA, MD, ME, NY, RI, VT.




No states are currently in Stage 5.



To determine the Stage for a state we continuously track daily infection rates and projected peak infection dates per state, which we cross reference with any statewide public health actions being taken.We check daily news headlines as well to include any highlights for states seeing any key developments in these areas. Primarily we link the data on extent of infection, health care capacity, and effect on patient demand through these sources to determine the stage a state might be in.

If public health response is being led by counties more so than states, we aggregate the data up to the state to reflect the overall impact on the factors we mentioned above.

The determination of a state’s Stage is made every day with consideration to any new updates happening before 9am PST on the day of posting. Any updates after 9am PST will be reflected in the next update the following day. 


  • The following states have moved back to stage 2 as they are currently seeing their highest number of cases since March, but are continuing on with their initial reopening  initiatives:  AK, KS, MO, MT, OK, WV, IA, KY, WI, WY, ND, MN, VA, GA, HI, OH, TN, UT.
  • KS, OH, KY, MT, PA, OH, have not paused or reversed any reopening measures but have mandated the use of masks in public places. 

  • The following states have moved back to stage 3 as they have currently paused or reverted many of the initial reopening initiatives in response to the number of rising cases: AL, AR, ID, IN, MS, NC, OR, WA, WY, DE, MI, AZ, CA, CO, CT, FL, LA, NM, NV, TX, NJ.
  • Of the businesses being ordered to pause or revert on reopening, the most common are bars, gyms, indoor dining services, casinos, and movie theaters

By June 2020, all states had moved to stage 4 as they all began to open in some capacity. Since then, about half of the nation’s states have seen their highest number of cases since March. Some of these states have decided to pause or revert their reopening measures, but many have continued to move forward with their initial reopening initiatives. Taking these shifts into consideration, we have moved many states back to stages 2 and 3

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