Republican governors are scrambling to figure out what to do about health reform, now that President Obama has won reelection and there’s no stopping the Affordable Care Act.

At least a half-dozen Republican governors vowed not to implement the health-care law until after the November election. “I will make that decision number one after the election,” Alabama Gov. Robert Bentley told a local television station in September.

New Jersey Gov. Chris Christie said in late October, “I’ll make decisions when I have to.”

States face a Nov. 16 deadline to inform Health and Human Services whether they will create a health insurance exchange, the new marketplace that each state will have in 2014.

“The folks who need to re-strategize at this point are going to be the Republican governors, for the most part,” said Cheryl Smith, a director at Leavitt Partners, the health consulting firm founded by former Health and Human Services secretary Michael Leavitt. ”They can’t just say no anymore. They have to accept that the Supreme Court ruling was what it was and that the status quo is not sustainable.”