States that have seen clear declines in new cases tend *either* to have had either a LOT of cases early on (e.g. NY, LA) or very FEW cases (e.g. MT, HI). The states in the middle (e.g. MD/VA) aren't seeing much, if any, decline, conversely.
1) People are scared so social distancing is stricter and people abide by it more.
2) Some nontrivial fraction of your population is likely immune, at least for some period, which helps at the margin.