HANNIBAL, Mo. - A Missouri federal judge on Dec. 31 granted plaintiffs a temporary restraining order and preliminary injunction to halt the implementation of a mandate contained in the Patient Protection and Affordable Care Act (PPACA) related to the provision of birth control (Sharpe Holdings Inc., et al. v. United States Department of Health and Human Services, et al., No. 12-92, E.D. Mo.; 2012 U.S. Dist. LEXIS 182942).