Rules for Missouri : ambulance districts

Abstract

"The purpose of ambulance districts (ADs) in Missouri is to "establish and maintain an ambulance service ... and to acquire for, develop, expand, extend and improve such service." (190.060.1[1]). An AD does not have to be entirely joined or contiguous; however, for any territory that is noncontiguous, at least a portion of that territory must lie within five miles of the AD. An AD may include all or part of a county or counties, and it can include incorporated cities within its boundaries. But two ADs cannot overlap territories. Except for ADs whose formation was petitioned for by contiguous St. Louis County fire protection districts (190.015.2), new ADs cannot exist in St. Louis or Jackson counties because those counties' populations each exceed 400,000. Existing ADs may continue to operate, however, even if the population of the county grows to exceed 400,000 inhabitants (190.010.1). There is a special exception to allow formation of an AD when formed as a pairing with a fire protection district (190.010.2)."--Page 1.