Republican presidential candidate Mitt Romney had vowed to begin dismantling the program, but Obama's re-election guaranteed the survival of his signature law.
Now GOP governors who had opposed the law are scrambling to see if they can find an accommodation with the Obama administration.
In the letter, Herbert said he remains firmly convinced that meaningful health care reform is most effective when developed and implemented at the state level. Utah already operates its own version of a health insurance exchange, and he said he will continue to pursue state-based reforms.
Ultimately, decisions about the federal health care law depend on answers to critical questions that affect Utah's budgets and markets, he said, and require consultation with state lawmakers who don't convene until January.