Illinois Governor Pat Quinn may use an executive order to establish a key piece of President Barack Obama's health care law.
The order would set up a health insurance exchange, set of standardized health care plans from which people may choose.
Republicans have responded saying the governor should not issue the order before the U.S. Supreme Court decides whether or not the law is constitutional.
Quinn said he doubts the court's decision would come before the end of the current legislative session.
"I hope they decide in favor of the Affordable Care Act, and there are provisions in that where there are enhanced federal monies for our state and every state for ensuring more people," Quinn said.
Michael Gelder, the governor's senior health care policy advisor, said the Legislature is too busy with Medicaid and pension reform to address the issue during the spring session, which ends May 31st.
An executive order is one way to meet looming federal deadlines to establish an Illinois-based health insurance exchange; another way is calling the Legislature back for a special session.
Only two other states—New York and Rhode Island—have established exchanges by executive order.