Kentucky Governor Steve Beshear recently signed an executive order to create an insurance exchange for Kentucky. Under the Affordable Care Act, states must create marketplaces in which residents can purchase insurance, or else the federal government will do so for them.
Illinois Governor Pat Quinn may use an executive order to establish a health insurance exchange in his state. Quinn adviser Michael Gelder looming federal deadlines leave Quinn two choices: calling a special session or issuing an executive order. Illinois Republicans say an executive order would be inappropriate, especially before the U.S. Supreme Court rules on the constitutionality of the Affordable Care Act. Only New York and Rhode Island have previously established exchanges by executive order.