By November 16th, 10 days after the election, states have to commit to either developing their own health care exchange or leave it up to the federal government to run.
When it comes to health care reform, Governor Robert Bentley makes it clear.
"I will make that decision number one after the election. Number two, after we look at it very closely, to see if we have some push back with the federal government on this issue," said Bentley.
He's pushing back on the issue over states creating a health care exchange, which is basically an online marketplace where small businesses and individuals can go to shop for competing health plans.
If the state doesn't commit to creating one by November 16, the federal government will do it for them.
Most Republican governors, like Bentley, are waiting on the election. Mitt Romney has pledged to repeal the law if elected.
"I don't know why we're waiting unless it's a party issue of some type, but health care is not a party issue," said concerned voter Carolyn Gibson.
Some voters just want to see one thing happen.
"If they could make it more competitive with insurance agencies," said voter Jimmy Rowell.
According to The Kaiser Family Foundation, to date, only 15 states have actually committed to running their own health care exchange, most led by democratic governors.
Others, like Alabama, haven't been sold on health care reform in the first place.
"The more you look at this law, the worse it gets. As a physician and as a governor, I can tell you there are very few states that believe this is a good law for the people of their state," added Bentley.
The online health exchange for all states will have to be in place by January 2014, when the health care law goes into effect.
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