Read 1st time January 26, 2000, and 1000 copies ordered printed.

ANNE C. WALKER, Chief Clerk



To amend chapter 321, RSMo, relating to fire protection districts by adding thereto one new section relating to the same subject.

Be it enacted by the General Assembly of the state of Missouri, as follows:

Section A. Chapter 321, RSMo, is amended by adding thereto one new section, to be known as section 321.227, to read as follows:

321.227. 1. Any fire protection district that provides emergency ambulance service pursuant to section 321.225 may, in addition to its other powers and duties, provide nonemergency ambulance service within its district if a majority of the voters voting thereon approve a proposition to provide nonemergency ambulance service and to use a fee, deemed reasonable and customary by the Health Care Financing Administration, as approved by the voters of the district for the nonemergency ambulance service. Such fee, after initial approval of a specific fee by the voters, may from time to time be adjusted to an amount deemed reasonable and customary by the Health Care Financing Administration. The district shall exercise the same powers and duties in operating a nonemergency ambulance service as it does in operating its fire protection service, except that the district shall not use any existing funds from the fire district for the provision of the nonemergency ambulance service, and the district shall exclusively fund the operation of the nonemergency ambulance service with the fee structure for such service.

2. The proposition to provide nonemergency ambulance service may be submitted by the board of directors at any municipal general, primary or general election, or at any election of the members of the board.

3. The question shall be submitted in substantially the following form:

"Shall the board of directors of (name of district) be authorized to provide nonemergency ambulance service within the district, using a fee of (insert fee) for such nonemergency ambulance service?


4. If a majority of the qualified voters voting on the question described in subsection 3 of this section are in favor of such question, such district shall commence such service at the beginning of the district fiscal year immediately following the passage of such question.

5. For purposes of this section, "nonemergency ambulance service" shall mean the regular activity by a qualified ambulance service for the purpose of providing response and prehospital nonemergency services including, but not limited to, patient assessment, patient treatment, patient preparation for transport and patient transport to appropriate health care facilities.

Missouri House of Representatives