With a decision deadline just days away, Republican governors are under increasing pressure from national conservatives to reject as much as they can of President Obama’s healthcare law.

Resistance at the state level is the best tool that remains for Republican critics of the healthcare law since Obama’s reelection essentially guarantees that it will not be repealed.

States face two critical decisions: whether to participate in the law’s Medicaid expansion, and whether to set up their own insurance exchanges or leave the task to the federal government. In the wake of Obama’s win Tuesday night, conservatives are stepping up the pressure on governors to say no to both programs.