The suspension of elective surgeries is created to protect hospital space in the Dallas, Houston, Austin and San Antonio areas.
All businesses that receive more than 51% of their gross receipts from the sale of alcohol are required to close, but they may stay open for delivery and takeout, the governor ordered.
"As I said from the start, if the positivity rate rose above 10%, the state of Texas would take further action to mitigate the spread of COVID-19", Abbott said.
The latest ban on elective procedures only applies to Bexar, Dallas, Harris and Travis counties, four areas where the number of patients hospitalized with virus is quickly progressing.
On Tuesday, Abbott said in an interview, "We want to make sure that everyone reinforces the best safe practices of wearing a mask, hand sanitization, maintaining safe distance, but importantly, because the spread is so rampant right now, there's never a reason for you to have to leave your home..."
As of Thursday, there have been 131,917 confirmed COVID-19 cases in the state, 5,996 more cases than that of Wednesday.
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"As we experience an increase in both positive COVID-19 cases and hospitalizations, we are focused on strategies that slow the spread of this virus while also allowing Texans to continue earning a paycheck to support their families", said Abbott.
The prospect of reimposing lockdown restrictions in some of the largest states has damped investor optimism that the world's biggest economy will bounce back quickly.
The attempts by Texas, Florida, South Carolina and other states at a more complete economic reopening have boomeranged in a resurgence of cases that is changing the nature of the pandemic and likely to test the strength of any broader economic rebound in the United States.
Businesses permitted to open under the previous phase can continue to operate at the designated occupancy levels and under minimum standard health protocols provided by the Texas Department of State Health Services, according to the statement.
Abbott said he may add or subtract counties from the list as needs arise.