Is the Affordable Care Act (ACA) still law?

Yes, the ACA is still law. On October 12, 2017 an executive order was signed by President Trump to end the cost-saving subsidies that some low income families and individuals receive to reduce out-of-pocket costs for health care. However, less than a week after this executive order was signed, a tentative plan was proposed to allow the subsidies to remain active for two more years. Although policy discussions are still taking place, ACA open enrollment on Missouri's Health Insurance Marketplace will still take place. The ACA is still the law of the land and those who qualify will receive cost-saving subsidies.
When does
coverage begin?

Coverage begins
January 1, 2018.
When does 2018 ACA
Open Enrollment Begin?

Enrollment on the 2018 Health Insurance Marketplace starts November 1, 2017 and runs through December 15, 2017.
What do I need to enroll?

1. Information for those you are enrolling (name, age, and birth date). 
2. Insurance information if you or others in your household are insured.
3. List of current doctors and medicines.
How Do I Enroll?

Starting November 1, there are four ways you can apply: online, by phone, with in-person help or with a paper application.
For more information on the Health Insurance Marketplace or eligibility,
 Opioids are a class of drugs used to reduce pain.
Types of Opioid Drugs

  • Prescription Opioids can be used to treat moderate-to-severe pain and are often prescribed following surgery or injury, or for health conditions such as cancer. In recent years, there has been a dramatic increase in the acceptance and use of prescription opioids for the treatment of chronic, non-cancer pain, such as back pain or osteoarthritis, despite serious risks and the lack of evidence about their long-term effectiveness.
  • Fentanyl is a synthetic opioid pain reliever, approved for treating severe pain, typically advanced cancer pain. It is 50 to 100 times more potent than morphine. It is prescribed in the form of transdermal patches or lozenges and can be diverted for misuse and abuse in the United States.
  • Heroin, also known as diamorphine among other names, is an opioid most commonly used as a recreational drug for its euphoric effects. Medically it is used in several countries to relieve pain or in opioid replacement therapy.
Recognizing an Opioid Overdose

Recognizing an opioid overdose can be difficult. If you aren’t sure, it is best to treat the situation like an overdose—you could save a life. It is important that you don’t leave the person alone and make sure you call 911 or seek medical care for the individual. Signs may include any of the following:

  • Small, constricted “pinpoint pupils”
  • Falling asleep or loss of consciousness
  • Slow, shallow breathing
  • Choking or gurgling sounds
  • Limp body
  • Pale, blue, or cold skin
Signs and Symptoms of Addiction

People who use drugs tend to show signs of drug abuse in every aspect of their lives. The symptoms of drug abuse vary depending on the person and the substance. Common symptoms include:

  • Using drugs to get rid of withdrawal symptoms.
  • Tolerance to the substance.
  • Continued use of drugs even though you know it's hurting you.
  • Neglecting family obligations and financial issues.
  • Decline in physical appearance and health.

To learn the signs of addiction for specific substances, visit Signs and Symptoms of Drug Abuse.
Ways Patients Can Prevent Prescription Drug Misuse

Patients can take steps to ensure that they use prescription medications appropriately by:

  • Following the directions as explained on the label or by the pharmacist.
  • Being aware of potential interactions with other drugs as well as alcohol.
  • Never stopping or changing a dosing regimen without first discussing it with the doctor.
  • Never using another person’s prescription, and never giving their prescription medications to others.
  • Storing prescription stimulants, sedatives, and opioids safely.
November Health Observances

  • National Alzheimer’s Disease
Awareness Month
  • American Diabetes Month
  • Bladder Health Month
  • Chronic Obstructive Pulmonary Disease (COPD) Awareness Month
  • Diabetic Eye Disease Month
  • National Epilepsy Awareness Month
  • National Family Caregivers Month
  • National Healthy Skin Month
  • National Hospice Palliative Care Month
  • Lung Cancer Awareness Month
  • Pancreatic Cancer Awareness Month
  • Prostate Cancer Awareness Month
  • National Stomach Cancer
Awareness Month
  • Prematurity Awareness Month

  • November 14-20 - Global Antibiotic Awareness Week
  • Thanksgiving Week - Gastroesophageal Reflux Disease (GERD) Awareness Week


  • November 16 - Great American Smokeout
  • November 17 - World Prematurity Day
  • November 19 - International Survivors of Suicide Day
  • November 24 - National Family Health History Day