Despite progress toward building a state-run health insurance exchange in Kentucky, Governor Steve Beshear will likely have to re-issue an executive order to keep it alive. Beshear issued an order creating the exchange earlier this year, after the Supreme Court ruled the Affordable Care Act was constitutional. And it’s a goal of state health officials to get the exchange protected under a law, rather than an executive order. Republican State Senator Tom Buford says his colleagues aren’t likely to support an exchange law.