Bill > HB2600

This bill modifies provisions related to ambulance districts in Missouri, primarily concerning the election and governance of their directors, annexation of territory, and consolidation of districts. Key changes include allowing ambulance districts to elect directors at-large rather than by specific election districts, especially in certain populous counties, and permitting districts to adjust the number of directors on their boards through a voter-approved resolution. The bill also streamlines the process for annexing land into an ambulance district by having the board of directors, rather than county commissioners, handle the initial hearing and decision on the annexation question, though voter approval is still required. Furthermore, it updates the procedures for consolidating ambulance districts, requiring a detailed consolidation plan that outlines financial arrangements, governance, and timelines, and allows for consolidation without a public vote in specific cases where one district has contracted with another for an extended period. The bill also clarifies residency requirements for directors and the process for filling board vacancies.

Government Affairs

https://house.mo.gov/Bill.aspx?bill=HB2600&year=2026&code=R