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SB975 • 2026

Modifies provisions relating to ambulance districts

Modifies provisions relating to ambulance districts

Elections
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Black, Rusty; House handler: Farnan, Jeff
Last action
2026-04-21
Official status
H Calendar Senate Bills for Third Reading (HCS)
Effective date
2026-08-28

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

SA 1 SS

2/24/2026 - SA 1 to SS S offered & adopted (May) • May

Adopted

Plain English: Adopted 2/24/2026 - SA 1 to SS S offered & adopted (May) by May

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SA 2 SS

2/24/2026 - SA 2 to SS S offered & adopted (Hough) • Hough

Adopted

Plain English: Adopted 2/24/2026 - SA 2 to SS S offered & adopted (Hough) by Hough

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
SS

2/24/2026 - SS S offered (Black) • Black

Adopted, as amended

Plain English: Adopted, as amended 2/24/2026 - SS S offered (Black) by Black

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.

Bill History

  1. 2026-04-21 Missouri House of Representatives and Missouri Senate

    H Calendar Senate Bills for Third Reading (HCS)

  2. 2026-04-09 H1744

    HCS Reported Do Pass H Rules - Administrative

  3. 2026-04-09 Missouri House of Representatives and Missouri Senate

    HCS Voted Do Pass H Rules - Administrative

  4. 2026-04-07 H1605

    Referred H Rules - Administrative

  5. 2026-04-02 H1573-1574

    HCS Reported Do Pass H Local Government

  6. 2026-04-01 Missouri House of Representatives and Missouri Senate

    HCS Voted Do Pass H Local Government

  7. 2026-03-25 Missouri House of Representatives and Missouri Senate

    Hearing Conducted H Local Government

  8. 2026-03-12 H1272

    Referred H Local Government

  9. 2026-03-09 H1148

    H Second Read

  10. 2026-03-05 H1126

    H First Read

  11. 2026-03-05 S532

    S Third Read and Passed

  12. 2026-02-25 S459

    Reported Truly Perfected S Rules, Joint Rules, Resolutions and Ethics Committee

  13. 2026-02-24 S445

    Perfected

  14. 2026-02-24 S445

    SS, as amended, S adopted

  15. 2026-02-24 S445

    SA 2 to SS S offered & adopted (Hough)--(5215S04.01F)

  16. 2026-02-24 S439-445

    SA 1 to SS S offered & adopted (May)--(5215S04.06S)

  17. 2026-02-24 S439

    SS S offered (Black)--(5215S.04F)

  18. 2026-02-12 S379

    Reported from S Local Government, Elections and Pensions Committee

  19. 2026-02-09 Missouri House of Representatives and Missouri Senate

    Voted Do Pass S Local Government, Elections and Pensions Committee

  20. 2026-01-29 Missouri House of Representatives and Missouri Senate

    Hearing Conducted S Local Government, Elections and Pensions Committee

  21. 2026-01-26 Missouri House of Representatives and Missouri Senate

    Hearing Cancelled S Local Government, Elections and Pensions Committee

  22. 2026-01-08 S129

    Second Read and Referred S Local Government, Elections and Pensions Committee

  23. 2026-01-07 S48

    S First Read

  24. 2025-12-01 Missouri House of Representatives and Missouri Senate

    Prefiled

Official Summary Text

The following summaries of this bill are available:

Print All Summaries

House Committee Substitute

Print

HCS/SS/SB 975 - This act modifies provisions relating to ambulance districts.

Under current law, when an ambulance district is created, the county commission divides the district into six election districts with equal populations, each election district then elects one member of the board of directors. This act authorizes the county commission to choose six election districts or have an at large election of the six directors.

The act allows an ambulance district to abolish the boundaries of its existing subdistricts if the board is unable to find qualified candidate to fill each subdistrict position. Such action requires a public hearing, and an affirmative vote of two thirds of the board of directors.

Under this act an ambulance district may, after a public hearing, adopt an ordinance by affirmative vote of two thirds to establish election subdistrict. The boundaries of such subdistricts shall be created by the county commission. Each subdistrict shall consist of contiguous territory and be as compact and equal in population as possible.

Current law provides that six-member ambulance district boards can adopt a resolution changing the size of the board to seven, with one board member running district wide, or decreased to five, or three members. This act requires such a resolution to name any vacancy to be filled at a subsequent election, if the size of the board is increasing. If the size is decreasing, all existing board members will complete their terms.

This act requires the county commission to fill vacant seats on the board of directors within thirty days, if a majority of the remaining directors makes a written request that the county commission fill such vacancies.

Under current law, voters can file a petition for the district to annex land, when such a petition is filed, the county commission shall have a hearing as soon as possible. Under this act, the county commission is required to have such hearing within thirty days of the petition being filed.

This act requires that where the voters approve the consolidation of an ambulance district, any activities necessary to facilitate such consolidation shall be prioritized and expedited.

Current law provides a form for a petition or resolution to consolidate ambulance districts. This act adds language to that form that requires the consolidated district to be named at the time the form is submitted.

Under the provisions of this act, when a petition or resolution is filed, it must be filed with a consolidation plan that will outline the proposed consolidation process. The consolidation plan must include the names of the districts to be consolidated, the tax to be levied, the name of the district responsible for maintaining ambulance service during the consolidation, the proposed number of board members, and a time line for consolidation.

This act requires that each of the ambulance districts that seeks to consolidate must publish notice of the intent to consolidate in a newspaper of general circulation in every county that will be served by the consolidated district. This notice shall be posted once a week for two consecutive weeks. Within thirty days of the second publication, the ambulance districts seeking to consolidate must hold a public hearing on the matter.

Under current law, an ambulance district can only consolidate if it is approved by voters. Under this act, a vote on consolidation occurs only if an objection to the consolidation is filed. Objections must be signed by no less than five percent of the votes cast for governor in the most recent gubernatorial election in the district. If no objection is filed within thirty days of the public hearing on consolidation, within forty-five days of the public hearing, the county commission shall order the districts consolidated.

Upon consolidation, the district may impose a tax levy up to the highest tax levy of the consolidating districts, if such tax levy was specified in the ballot language submitted to and approved by the voters of the consolidating districts. If there is no vote taken on consolidation, the district can not impose a property or sales tax rate that is greater than the lowest of any existing rate within any of the districts to be consolidated.

Upon consolidation, all assets and obligation of the existing ambulance districts shall become the assets and obligations of the consolidated district.

This bill is similar to HB 2600 (2026).
TRISTAN BENSON, JR.

Perfected

Print

SS/SB 975 - AMBULANCE DISTRICT BOARD MEMBERSHIP
Current law requires county commissions to divide newly formed ambulance districts into six election districts for the election of members of the board of directors. This act makes the election for all such directors at-large, and allows ambulance districts the option of dividing into six election districts. (Section 190.050)

Current law authorizes six-member ambulance districts to adopt a resolution increasing the board to seven members. This act requires that any such resolution shall state the names of the existing directors as well as any vacancies to be filled in a subsequent election. If a six-member ambulance district votes to decrease the number of directors to five or three, all existing board members shall complete their terms. (Section 190.051)

Current law requires the county commission to fill vacancies on an ambulance board if the board is unable to fill such vacancies on its own within sixty days or if there are more than two vacancies at a time, with such appointment made by the county commission within ten days. This act modifies such provision by requiring a written request from the ambulance board or the ambulance service administrator prior to the county commission filling a vacancy, and by increasing the deadline to fill such vacancy from ten days to thirty calendar days. (Section 190.052)

DISTRICT ANNEXATION OF LAND
Current law requires a petition for the annexation of land into an ambulance district to be filed with the county clerk, with the county commission ordering an election if such petition complies with state law. This act moves such responsibilities to the ambulance district board of directors. (Section 190.070)

AMBULANCE DISTRICT CONSOLIDATION
This act requires every petition or resolution for the consolidation of two or more ambulance districts to be accompanied by a consolidation plan, which shall include information described in the act. Petitions and resolutions for consolidation shall be received from all consolidating ambulance districts within the same calendar year or shall be considered null and void.

Notice of intent is required to be published in a newspaper of general circulation in every county in which the proposed consolidated district will be located, and a joint public hearing shall be held no more than ten days after the date of the second publication of the notice of intent. If no objections are filed within thirty days after the public hearing, the county commission shall order the districts consolidated. If a qualified objection is made, the county commission shall order the submission of the question of consolidation to the voters.

A consolidated ambulance district may impose a tax levy not to exceed the highest tax levy imposed among the consolidating districts, provided that such rate is approved by the voters. No tax rate greater than the lowest rate imposed by the consolidating districts shall be imposed without a vote of the district voters.

Any ambulance district that has contracted for ambulance service with another ambulance district for more than five consecutive years may consolidate into such district without providing notice or a public hearing. (Section 190.090)
TRISTAN BENSON JR

Senate Substitute

Print

SS/SB 975 - This act modifies provisions relating to ambulance districts.

AMBULANCE DISTRICT BOARD MEMBERSHIP
Current law requires county commissions to divide newly formed ambulance districts into six election districts for the election of members of the board of directors. This act makes the election for all such directors at-large, and allows ambulance districts the option of dividing into six election districts. (Section 190.050)

Current law authorizes six-member ambulance districts to adopt a resolution increasing the board to seven members. This act requires that any such resolution shall state the names of the existing directors as well as any vacancies to be filled in a subsequent election. If a six-member ambulance district votes to decrease the number of directors to five or three, all existing board members shall complete their terms. (Section 190.051)

Current law requires the county commission to fill vacancies on an ambulance board if the board is unable to fill such vacancies on its own within sixty days or if there are more than two vacancies at a time, with such appointment made by the county commission within ten days. This act modifies such provision by requiring a written request from the ambulance board or the ambulance service administrator prior to the county commission filling a vacancy, and by increasing the deadline to fill such vacancy from ten days to thirty calendar days. (Section 190.052)

DISTRICT ANNEXATION OF LAND
Current law requires a petition for the annexation of land into an ambulance district to be filed with the county clerk, with the county commission ordering an election if such petition complies with state law. This act moves such responsibilities to the ambulance district board of directors. (Section 190.070)

AMBULANCE DISTRICT CONSOLIDATION
This act requires every petition or resolution for the consolidation of two or more ambulance districts to be accompanied by a consolidation plan, which shall include information described in the act. Petitions and resolutions for consolidation shall be received from all consolidating ambulance districts within the same calendar year or shall be considered null and void.

Notice of intent is required to be published in a newspaper of general circulation in every county in which the proposed consolidated district will be located, and a joint public hearing shall be held no more than ten days after the date of the second publication of the notice of intent. If no objections are filed within thirty days after the public hearing, the county commission shall order the districts consolidated. If a qualified objection is made, the county commission shall order the submission of the question of consolidation to the voters.

A consolidated ambulance district may impose a tax levy not to exceed the highest tax levy imposed among the consolidating districts, provided that such rate is approved by the voters. No tax rate greater than the lowest rate imposed by the consolidating districts shall be imposed without a vote of the district voters.

Any ambulance district that has contracted for ambulance service with another ambulance district for more than five consecutive years may consolidate into such district without providing notice or a public hearing. (Section 190.090)
TRISTAN BENSON, JR.

Introduced

Print

SB 975 - This act modifies provisions relating to ambulance districts.

AMBULANCE DISTRICT BOARD MEMBERSHIP
Current law requires county commissions to divide newly formed ambulance districts into six election districts for the election of members of the board of directors. This act makes the election for all such directors at-large, and allows ambulance districts the option of dividing into six election districts. (Section 190.050)

Current law authorizes six-member ambulance districts to adopt a resolution increasing the board to seven members. This act requires that any such resolution shall state the names of the existing directors as well as any vacancies to be filled in a subsequent election. If a six-member ambulance district votes to decrease the number of directors to five or three, all existing board members shall complete their terms. (Section 190.051)

Current law requires the county commission to fill vacancies on an ambulance board if the board is unable to fill such vacancies on its own within sixty days or if there are more than two vacancies at a time, with such appointment made by the county commission within ten days. This act modifies such provision by requiring a written request from the ambulance board or the ambulance service administrator prior to the county commission filling a vacancy, and by increasing the deadline to fill such vacancy from ten days to thirty calendar days. (Section 190.052)

DISTRICT ANNEXATION OF LAND
Current law requires a petition for the annexation of land into an ambulance district to be filed with the county clerk, with the county commission ordering an election if such petition complies with state law. This act moves such responsibilities to the ambulance district board of directors. (Section 190.070)

AMBULANCE DISTRICT CONSOLIDATION
This act requires every petition or resolution for the consolidation of two or more ambulance districts to be accompanied by a consolidation plan, which shall include information described in the act. Petitions and resolutions for consolidation shall be received from all consolidating ambulance districts within the same calendar year or shall be considered null and void.

Notice of intent is required to be published in a newspaper of general circulation in every county in which the proposed consolidated district will be located, and a joint public hearing shall be held no more than ten days after the date of the second publication of the notice of intent. If no objections are filed within thirty days after the public hearing, the county commission shall order the districts consolidated. If a qualified objection is made, the county commission shall order the submission of the question of consolidation to the voters.

A consolidated ambulance district may impose a tax levy not to exceed the highest tax levy imposed among the consolidating districts, provided that such rate is approved by the voters. No tax rate greater than the lowest rate imposed by the consolidating districts shall be imposed without a vote of the district voters.

Any ambulance district that has contracted for ambulance service with another ambulance district for more than five consecutive years may consolidate into such district without providing notice or a public hearing. (Section 190.090)
TRISTAN BENSON, JR.