reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.025 - Petitions — consolidation, when — amended, how.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 15 Jun 1971, see footnote
190.025. Petitions — consolidation, when — amended, how. —
If two or more petitions covering in part the same territory are filed prior to the public hearing upon the petition which is first filed, the petitions shall be consolidated for public hearing, and hearing thereon may be continued to permit the giving of notice of any subsequent petitions. At the public hearing upon the petitions, the petitioners in the petition first filed may move to amend the petition to include any part of the territory described in the subsequent petitions, either as originally filed or as amended. Any such motion shall be allowed by the commissioners of the county commission. The public hearing shall proceed upon the first petition as originally filed or as so amended, and further proceedings upon any other petitions subsequently filed shall be stayed and held in abeyance until the termination of all proceedings upon the first petition, or any petition may be dismissed or withdrawn upon motion of the petitioners therein by their representatives.
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(L. 1971 S.B. 108 § 4)
Effective 6-15-71
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.030 - Sufficiency of petition, county commission to determine.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1986
190.030. Sufficiency of petition, county commission to determine. —
If the territory, petition and proceedings meet the requirements of sections 190.005 to 190.085, the county commissioners shall make a finding determining the sufficiency of the petition and that the territory meets the requirements of sections 190.005 to 190.085 and order the submission of the question.
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(L. 1971 S.B. 108 § 5, A.L. 1978 H.B. 971, A.L. 1986 H.B. 898, et al.)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.035 - Notice of election, contents.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2011
190.035. Notice of election, contents. —
Each notice shall state briefly the purpose of the election, setting forth the proposition to be voted upon and a description of the territory. The notice shall further state that any district upon its establishment shall have the powers, objects and purposes provided by sections 190.005
*
to 190.085, and shall have the power to levy a property tax not to exceed thirty cents on the one hundred dollars valuation, or, in lieu of a property tax, to impose a sales tax in an amount not to exceed one-half of one percent on all retail sales made in such ambulance district which are subject to taxation pursuant to the provisions of sections 144.010 to 144.525.
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(L. 1971 S.B. 108 § 6, A.L. 1978 H.B. 971, A.L. 1984 H.B. 924, A.L. 2011 S.B. 226)
*Section 190.005 was repealed by S.B. 743, 1998.
(1977) Held, failure to include description of area to be included in district and failure to hold hearing within statutory time did not invalidate formation of district. See also dissents. State at Information of Fleming v. Zimmerschied (Mo.), 559 S.W.2d 178.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.041 - Tax levy for central dispatching service, when, amount — funds kept separate.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1986
190.041. Tax levy for central dispatching service, when, amount — funds kept separate. —
1. Notwithstanding any other provision of law, an additional tax of not to exceed three cents per one hundred dollars of assessed valuation may be levied and collected by any ambulance district upon approval by the voters of the district, but all the funds derived from such tax shall be used solely for the purpose of providing a central dispatching service for such ambulance district.
2. The funds from the tax shall be kept separate and apart from all other funds of the ambulance district and shall be paid out only on order of the governing body of the ambulance district.
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(L. 1986 H.B. 898, et al. § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.043 - Increase in tax rate without voter approval, when, amount.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.043. Increase in tax rate without voter approval, when, amount. —
Subject to the provisions of chapter 137, in addition to the tax rate increase allowed pursuant to subdivision (3) of subsection 5 of section 137.073, if an ambulance district voluntarily decreases its tax rate duly authorized pursuant to section 190.040 or 190.041 in any tax year, such ambulance district may in any subsequent tax year increase such tax rate, without voter approval, to the rate previously authorized pursuant to section 190.040 or 190.041.
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(L. 1994 H.B. 1490, A.L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.045 - Returns of election, where filed — effect of.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1978
190.045. Returns of election, where filed — effect of. —
The results of the submission of the question shall be entered upon the records of the commission and a certified copy thereof shall be filed with the county clerk of each other county in which the proposed district lies, who shall cause the same to be spread upon the records of the county commission. If the order shows that the question to organize the district received a majority of the votes cast, the order shall declare the district organized.
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(L. 1971 S.B. 108 § 8, A.L. 1978 H.B. 971)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.051 - Change in number of board members, when — ballot language.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.051. Change in number of board members, when — ballot language. —
1. Notwithstanding the provisions of sections 190.050 and 190.052 to the contrary, upon a motion by the board of directors in districts where there are six-member boards, and upon approval by the voters in the district, the number of directors may be increased to seven with one board member running district wide, or decreased to five or three board members. The ballot to be used for the approval of the voters to increase or decrease the number of members on the board of directors of the ambulance district shall be substantially in the following form:
Shall the number of members of the board of directors of the ______ (Insert name of district) Ambulance District be (increased to seven members/decreased to five members/decreased to three members)?
☐ YES
☐ NO
2. If a majority of the voters voting on a proposition to increase the number of board members to seven vote in favor of the proposition, then at the next election of board members after the voters vote to increase the number of directors, the voters shall select one person to serve in addition to the existing six directors as the member who shall run district wide.
3. If a majority of the voters voting on a proposition to decrease the number of board members vote in favor of the proposition, then the county clerk shall redraw the district into the resulting number of subdistricts with equal population bases and hold elections by subdistricts pursuant to section 190.050. Thereafter, members of the board shall be elected to serve terms of three years and until their successors are duly elected and qualified.
4. Members of the board of directors in office on the date of an election pursuant to this section to increase or decrease the number of members of the board of directors shall serve the term to which they were elected or appointed and until their successors are elected and qualified.
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(L. 2002 S.B. 1107)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.052 - Board member must live in his district — vacancies, how filled.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2007
190.052. Board member must live in his district — vacancies, how filled. —
Any member of the board of directors who moves residency from the district from which the member was elected shall be disqualified as a member of the board. If one or two vacancies occur in the membership of the board as a result of death, resignation, or disqualification, the remaining members shall appoint one or two qualified persons, as provided in section 190.050, to fill the vacancies until the end of the unexpired term. Such appointment shall be made with the consent of a majority of the remaining members of the board. If the board is unable to agree in filling a vacancy within sixty days or if there are more than two vacancies at any one time, the county commission, upon notice from the board of failure to agree in filling the vacancies, shall within ten days fill them by appointment of qualified persons, as provided in section 190.050, and shall notify the persons in writing of their appointment. The persons appointed shall serve for the unexpired term.
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(L. 1977 H.B. 278, A.L. 1986 H.B. 898, et al., A.L. 2007 S.B. 22)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.053 - Educational training required for board of directors — failure to attend.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2022, 2 histories
190.053. Educational training required for board of directors — failure to attend. —
1. All members of the board of directors of an ambulance district first elected on or after January 1, 2008, shall attend and complete an educational seminar or conference or other suitable training on the role and duties of a board member of an ambulance district. The training required under this section shall be offered by a statewide association organized for the benefit of ambulance districts or be approved by the state advisory council on emergency medical services. Such training shall include, at a minimum:
(1) Information relating to the roles and duties of an ambulance district director;
(2) A review of all state statutes and regulations relevant to ambulance districts;
(3) State ethics laws;
(4) State sunshine laws, chapter 610;
(5) Financial and fiduciary responsibility;
(6) State laws relating to the setting of tax rates; and
(7) State laws relating to revenue limitations.
2. If any ambulance district board member fails to attend a training session within twelve months after taking office, the board member shall not be compensated for attendance at meetings thereafter until the board member has completed such training session. If any ambulance district board member fails to attend a training session within twelve months of taking office regardless of whether the board member received an attendance fee for a training session, the board member shall be ineligible to run for reelection for another term of office until the board member satisfies the training requirement of this section; however, this requirement shall only apply to board members elected after August 28, 2022.
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(L. 2007 S.B. 22, A.L. 2022 S.B. 725)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.065 - Bonds, issuance of — election, form of ballot.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1990
190.065. Bonds, issuance of — election, form of ballot. —
1. For the purpose of purchasing any property or equipment necessary or incidental to the operation of an ambulance service, the board of directors may borrow money and issue bonds for the payment thereof in the manner provided herein. The question of the loan shall be decided by the submission of the question ordered by the board of directors of the district.
2. The question shall be submitted in substantially the following form:
Shall the ______ ambulance district borrow money in the amount of ______ dollars for the purpose of ______ and issue bonds for the payment thereof?
3. If the constitutionally required percentage of the votes cast are for the loan, the board shall, subject to the restrictions of subsection 4, be vested with the power to borrow money in the name of the district, to the amount and for the purposes specified on the ballot, and issue the bonds of the district for the payment thereof.
4. The loans authorized by this section shall not be contracted for a period longer than twenty years, and the entire amount of the loan shall at no time exceed, including the existing indebtedness of the district, in the aggregate, ten percent of the value of taxable tangible property therein, as shown by the last completed assessment for state and county purposes, the rate of interest to be agreed upon by the parties, but in no case to exceed the highest legal rate allowed by contract; when effected, it shall be the duty of the directors to provide for the collection of an annual tax sufficient to pay the interest on the indebtedness as it falls due, and also to constitute a sinking fund for the payment of the principal thereof within the time the principal becomes due.
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(L. 1971 S.B. 108 § 12, A.L. 1978 H.B. 971, A.L. 1990 H.B. 1621)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.070 - Annexation, petition for — hearing — election, form of ballot.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1978
190.070. Annexation, petition for — hearing — election, form of ballot. —
1. A petition for annexation of land to an ambulance district shall be signed by not less than ten percent or fifty voters, whichever is fewer, residing within the territory therein described proposed for annexation and shall be filed with the county clerk of the county in which the district or the greater portion thereof is situated, and shall be addressed to the commissioners of the county commission. A hearing shall be held thereon as nearly as possible as in the case of a formation petition. If upon the hearing the commissioners of the county commission find that the petition is in compliance with the provisions of sections 190.005 to 190.085, they shall order the question to be submitted to the voters within the territory and within the district.
2. The question shall be submitted in substantially the following form:
Shall ______ (description of territory) be annexed to the ______ ambulance district?
3. If a majority of the votes cast on the question in the district and in the territory described in the petition, respectively, are in favor of the annexation, the commissioners of the county commission shall by order declare the territory annexed and shall describe the altered boundaries of the district.
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(L. 1971 S.B. 108 § 13, A.L. 1978 H.B. 971)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.074 - Collection of taxes — levy — procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.074. Collection of taxes — levy — procedure. —
To levy and collect taxes as herein provided, the board shall fix a rate of levy, not to exceed ten cents on the one hundred dollars valuation of the taxable tangible property within the district as shown by the last completed assessment, the revenues from which shall be deposited in a special fund and used only for the pension program of the district, by submitting the following question to the voters at the municipal general, or a state primary or general election in such district or at any election at which a member of the board of directors is to be elected:
Shall the board of directors of ______ Ambulance District be authorized to levy an annual tax rate of ______ cents per one hundred dollars valuation, the revenues from which shall be deposited in a special fund and used only for the pension program of the district?
­­If a majority of the qualified voters casting votes thereon be in favor of the question, the board of directors shall accordingly levy a tax in accordance with the provisions of this section, but if a majority of the voters casting votes thereon do not vote in favor of the levy authorized by this subsection, any levy previously authorized shall remain in effect.
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(L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.075 - Records, what and how kept.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1986
190.075. Records, what and how kept. —
The board shall provide for the proper and safe keeping of its permanent records and for the recording of the corporate action of the district. Such books and records shall be made available for inspection by any member of the board upon request by the board member. It shall keep a true and accurate account of its receipts and an annual audit shall be made of its books, records and accounts. All officers and employees authorized to receive or retain the custody of money or to sign vouchers, checks, warrants or evidences of indebtedness binding upon the district shall furnish surety bond for the faithful performance of their duties and the faithful accounting for all moneys that may come into their hands in an amount to be fixed and in a form to be approved by the board.
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(L. 1971 S.B. 108 § 14, A.L. 1986 H.B. 898, et al.)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.080 - Donated property — title, how taken.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 15 Jun 1971, see footnote
190.080. Donated property — title, how taken. —
Any person desiring to donate property for the benefit of an ambulance district established pursuant to the provisions of sections 190.005 to 190.085 may vest title to the property so donated in the board of directors created pursuant to the provisions of sections 190.005 to 190.085, and the board of directors shall hold and control the property so received and accepted according to the terms of the deed, gift, devise or bequest of the property, and shall be a trustee of the property, and shall take title to all property it may acquire in the name of the district and shall control the property for the purposes provided in sections 190.005 to 190.085.
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(L. 1971 S.B. 108 § 15)
Effective 6-15-71
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.085 - Failure to approve bonds, effect of — dissolution — funds, how rebated.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 15 Jun 1971, see footnote
190.085. Failure to approve bonds, effect of — dissolution — funds, how rebated. —
In any ambulance district created under the provisions of sections 190.005 to 190.085, which is not operating an ambulance service and in which the voters of said district have on three separate occasions refused to approve a bond issue to secure the necessary property and equipment to operate the service, the board of the district shall submit to the voters the proposition of the dissolution of the district. If a majority of the voters approve the dissolution, the district shall be dissolved and any tax money in the treasury shall be rebated to the original taxpayer on a pro rata basis.
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(L. 1971 S.B. 108 § 17)
Effective 6-15-71
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.087 - Ambulance district serving city in more than one county may be expanded — procedure (Franklin County).

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 19 May 1993, see footnote
190.087. Ambulance district serving city in more than one county may be expanded — procedure (Franklin County). —
The boundaries of any ambulance district established pursuant to chapter 190, which is located in a noncharter county of the first classification with a population of less than one hundred thousand which adjoins any county of the first classification with a charter form of government with a population of nine hundred thousand or more inhabitants, if such ambulance district serves any portion of a city which is located in both such counties, may be expanded so as to include the entire city within the ambulance district, but the boundaries of the district shall not be expanded beyond the city limits of such city. Such change in the boundaries of the district shall be accomplished only if seventy-five percent of the owners of any territory or tract of land within that part of the city which is not within the ambulance district file with the board a petition in writing praying that such real property be included within the district. The petition shall describe the property to be included in the district and shall describe the property owned by the petitioners and shall be deemed to give assent of the petitioners to the inclusion in the district of the property described in the petition; and such petition shall be in substantially the form set forth in section 321.495 dealing with referendums and verified in like manner.
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(L. 1993 S.B. 256 § 1)
Effective 5-19-93
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.092 - Defibrillators, requirements — good faith immunity from civil liability, when — all basic life support ambulances and stretcher vans to be equipped with.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2020, 5 histories
190.092. Defibrillators, requirements — good faith immunity from civil liability, when — all basic life support ambulances and stretcher vans to be equipped with. —
1. This section shall be known and may be cited as the "Public Access to Automated External Defibrillator Act".
2. A person or entity that acquires an automated external defibrillator shall:
(1) Comply with all regulations governing the placement of an automated external defibrillator;
(2) Ensure that the automated external defibrillator is maintained and tested according to the operation and maintenance guidelines set forth by the manufacturer;
(3) Ensure that the automated external defibrillator is tested at least every two years and after each use; and
(4) Ensure that an inspection is made of all automated external defibrillators on the premises at least every ninety days for potential issues related to the operation of the device, including a blinking light or other obvious defect that may suggest tampering or that another problem has arisen with the functionality of the automated external defibrillator.
3. Any person who gratuitously and in good faith renders emergency care by use of or provision of an automated external defibrillator shall not be held liable for any civil damages or subject to any criminal penalty as a result of such care or treatment, unless the person acts in a willful and wanton or reckless manner in providing the care, advice, or assistance. The person who or entity that provides training to the person using an automated external defibrillator, the person or entity responsible for the site where the automated external defibrillator is located, and the person or entity that owns the automated external defibrillator shall likewise not be held liable for civil damages or subject to any criminal penalty resulting from the use of an automated external defibrillator.
4. All basic life support ambulances and stretcher vans operated in the state of Missouri shall be equipped with an automated external defibrillator and be staffed by at least one individual trained in the use of an automated external defibrillator.
5. The provisions of this section shall apply in all counties within the state and any city not within a county.
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(L. 1998 H.B. 1668 § 190.375, A.L. 2002 S.B. 1107, A.L. 2004 H.B. 1195, A.L. 2009 H.B. 103, A.L. 2010 H.B. 1977, A.L. 2020 H.B. 1682)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.094 - Minimum ambulance staffing — volunteer defined.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2020, 4 histories
190.094. Minimum ambulance staffing — volunteer defined. —
1. Any ambulance licensed in this state, when used as an ambulance and staffed with volunteer staff, shall be staffed with a minimum of one emergency medical technician and one other crew member who may be a licensed emergency medical technician, registered nurse, physician, physician assistant, or someone who has an emergency medical responder certification.
2. When transporting a patient, at least one licensed emergency medical technician, registered nurse, physician assistant, or physician shall be in attendance with the patient in the patient compartment at all times.
3. For purposes of this section,
"volunteer"
shall mean an individual who performs hours of service without promise, expectation or receipt of compensation for services rendered. Compensation such as a nominal stipend per call to compensate for fuel, uniforms, and training shall not nullify the volunteer status.
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(L. 1998 H.B. 1601, et al. § 28, A.L. 2002 S.B. 1107, A.L. 2008 S.B. 1039 merged with S.B. 1044, A.L. 2018 H.B. 1355 merged with S.B. 870, A.L. 2020 H.B. 1682 merged with H.B. 2046)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.098 - Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2013
190.098. Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority. —
1. In order for a person to be eligible for certification by the department as a community paramedic, an individual shall:
(1) Be currently certified as a paramedic;
(2) Successfully complete or have successfully completed a community paramedic certification program from a college, university, or educational institution that has been approved by the department or accredited by a national accreditation organization approved by the department; and
(3) Complete an application form approved by the department.
2. A community paramedic shall practice in accordance with protocols and supervisory standards established by the medical director. A community paramedic shall provide services of a health care plan if the plan has been developed by the patient's physician or by an advanced practice registered nurse through a collaborative practice arrangement with a physician or a physician assistant through a collaborative practice arrangement with a physician and there is no duplication of services to the patient from another provider.
3. Any ambulance service shall enter into a written contract to provide community paramedic services in another ambulance service area, as that term is defined in section 190.100. The contract that is agreed upon may be for an indefinite period of time, as long as it includes at least a sixty-day cancellation notice by either ambulance service.
4. A community paramedic is subject to the provisions of sections 190.001 to 190.245 and rules promulgated under sections 190.001 to 190.245.
5. No person shall hold himself or herself out as a community paramedic or provide the services of a community paramedic unless such person is certified by the department.
6. The medical director shall approve the implementation of the community paramedic program.
7. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2013, shall be invalid and void.
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(L. 2013 H.B. 307 merged with H.B. 336)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.102 - Regional EMS advisory committees.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2016, 2 histories
190.102. Regional EMS advisory committees. —
1. The department shall designate through regulation EMS regions and committees. The purpose of the regional EMS advisory committees is to advise and make recommendations to the region and the department on:
(1) Coordination of emergency resources in the region;
(2) Improvement of public and professional education;
(3) Cooperative research endeavors;
(4) Development of standards, protocols and policies;
(5) Voluntary multiagency quality improvement committee and process; and
(6) Development and review of and recommendations for community and regional time critical diagnosis plans.
2. The members of the committees shall serve without compensation except that the department of health and senior services shall budget for reasonable travel expenses and meeting expenses related to the functions of the committees.
3. The director will appoint personnel to no less than six regional EMS committees from recommendations provided by recognized professional organizations. Appointments will be for four years with individuals serving until reappointed or replaced. The regional EMS medical director shall serve as a member of the regional EMS committee.
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(L. 1998 S.B. 743, A.L. 2016 S.B. 732)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.104 - Pediatric emergency medical services system.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.104. Pediatric emergency medical services system. —
1. The department is authorized to establish a program to improve the quality of emergency care for pediatric patients throughout the state and to implement a comprehensive pediatric emergency medical services system in accordance with standards prescribed by sections 190.001 to 190.245 and rules adopted by the department pursuant to sections 190.001 to 190.245.
2. The department is authorized to receive contributions, grants, donations or funds from any private entity to be expended for the program authorized pursuant to this section.
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(L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.107 - Contracts for mutual aid services.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.107. Contracts for mutual aid services. —
1. Any municipally operated ambulance service, ambulance district, fire protection district that provides ambulance service or any other ambulance service may enter into contracts providing for mutual aid services provided by such ambulance service. The contracts that are agreed upon may provide for compensation from the parties and other terms that are agreeable to the parties and may be for an indefinite period as long as they include a minimum of a sixty-day cancellation notice by either party.
2. Any municipally operated ambulance service, ambulance district, fire protection district that provides ambulance service or any other ambulance service may provide assistance to any other ambulance service in the state that requests it, at the time of an emergency, major catastrophe or any other unforeseen event or series of events which jeopardizes the ability of the local ambulance service to promptly respond to emergencies.
3. When responding on mutual aid or emergency aid requests, the ambulance service shall be subject to all provisions of law as if it were providing service within its own jurisdiction.
4. Mutual-aid contracts may be agreed to between ambulance services in the states neighboring Missouri and ambulance services in the state of Missouri in the exact same manner as contracts between ambulance services within the state of Missouri.
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(L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.108 - Air ambulance licenses — sale or transfer of ownership, notice required.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.108. Air ambulance licenses — sale or transfer of ownership, notice required. —
1. The department shall, within a reasonable time after receipt of an application, cause such investigation as the department deems necessary to be made of the applicant for an air ambulance license.
2. The department shall have the authority and responsibility to license an air ambulance service in accordance with sections 190.001 to 190.245, and in accordance with rules adopted by the department pursuant to sections 190.001 to 190.245. The department may promulgate rules relating to the requirements for an air ambulance license including, but not limited to:
(1) Medical control plans;
(2) Medical director qualifications;
(3) Air medical staff qualifications;
(4) Response and operations standards to assure that the health and safety needs of the public are met;
(5) Standards for air medical communications;
(6) Criteria for compliance with licensure requirements;
(7) Records and forms;
(8) Equipment requirements;
(9) Five-year license renewal;
(10) Quality improvement committees; and
(11) Response time, patient care and transportation standards.
3. Application for an air ambulance service license shall be made upon such forms as prescribed by the department in rules adopted pursuant to sections 190.001 to 190.245. The application form shall contain such information as the department deems necessary to make a determination as to whether the air ambulance service meets all the requirements of sections 190.001 to 190.245 and rules promulgated pursuant to sections 190.001 to 190.245.
4. Upon the sale or transfer of any air ambulance service ownership, the owner of such service shall notify the department of the change in ownership within thirty days of such sale or transfer. After receipt of such notice, the department shall conduct an inspection of the ambulance service to verify compliance with the licensure standards of sections 190.001 to 190.245.
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(L. 1998 S.B. 743, A.L. 2002 S.B. 1107)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.111 - Inspection limitation — effect of sale or transfer on a license.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2007
190.111. Inspection limitation — effect of sale or transfer on a license. —
The inspection conducted under subsection 14 of section 190.105 shall be limited to the verification of compliance with standards for renewal of an existing license, and shall not include the criteria set forth in subsection 3 of section 190.109 or any other existing criteria required for the issuance of a license to a nonlicense holder or for a licensee seeking to expand its ambulance service area. Any licenses acquired upon a sale or transfer of any ground ambulance service ownership shall remain in full force and effect after the sale or transfer unless suspended or revoked for cause as provided in section 190.165.
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(L. 2007 S.B. 47 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.131 - Certification of training entities.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2018, 2 histories
190.131. Certification of training entities. —
1. The department shall accredit or certify training entities for emergency medical responders, emergency medical dispatchers, and emergency medical technicians, for a period of five years, if the applicant meets the requirements established pursuant to sections 190.001 to 190.245.
2. Such rules promulgated by the department shall set forth the minimum requirements for entrance criteria, training program curricula, instructors, facilities, equipment, medical oversight, record keeping, and reporting.
3. Application for training entity accreditation or certification shall be made upon such forms as prescribed by the department in rules adopted pursuant to sections 190.001 to 190.245. The application form shall contain such information as the department deems reasonably necessary to make a determination as to whether the training entity meets all requirements of sections 190.001 to 190.245 and rules promulgated pursuant to sections 190.001 to 190.245.
4. Upon receipt of such application for training entity accreditation or certification, the department shall determine whether the training entity, its instructors, facilities, equipment, curricula and medical oversight meet the requirements of sections 190.001 to 190.245 and rules promulgated pursuant to sections 190.001 to 190.245.
5. Upon finding these requirements satisfied, the department shall issue a training entity accreditation or certification in accordance with rules promulgated by the department pursuant to sections 190.001 to 190.245.
6. Subsequent to the issuance of a training entity accreditation or certification, the department shall cause a periodic review of the training entity to assure continued compliance with the requirements of sections 190.001 to 190.245 and all rules promulgated pursuant to sections 190.001 to 190.245.
7. No person or entity shall hold itself out or provide training required by this section without accreditation or certification by the department.
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(L. 1998 S.B. 743, A.L. 2002 S.B. 1107, A.L. 2018 H.B. 1355 merged with S.B. 870)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.133 - Emergency medical response agency license.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2010, 3 histories
190.133. Emergency medical response agency license. —
1. The department shall, within a reasonable time after receipt of an application, cause such investigation as the department deems necessary to be made of the applicant for an emergency medical response agency license.
2. The department shall issue a license to any emergency medical response agency which provides advanced life support if the applicant meets the requirements established pursuant to sections 190.001 to 190.245, and the rules adopted by the department pursuant to sections 190.001 to 190.245. The department may promulgate rules relating to the requirements for an emergency medical response agency including, but not limited to:
(1) A licensure period of five years;
(2) Medical direction;
(3) Records and forms; and
(4) Memorandum of understanding with local ambulance services.
3. Application for an emergency medical response agency license shall be made upon such forms as prescribed by the department in rules adopted pursuant to sections 190.001 to 190.245. The application form shall contain such information as the department deems necessary to make a determination as to whether the emergency medical response agency meets all the requirements of sections 190.001 to 190.245 and rules promulgated pursuant to sections 190.001 to 190.245.
4. No person or entity shall hold itself out as an emergency medical response agency that provides advanced life support or provide the services of an emergency medical response agency that provides advanced life support unless such person or entity is licensed by the department.
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(L. 1998 S.B. 743, A.L. 2002 S.B. 1107, A.L. 2004 H.B. 1195, A.L. 2010 H.B. 1977)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.143 - Temporary emergency medical technician license granted, when — limitations — expiration.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2020, 5 histories
190.143. Temporary emergency medical technician license granted, when — limitations — expiration. —
1. Notwithstanding any other provisions of law, the department may grant a ninety-day temporary emergency medical technician license to all levels of emergency medical technicians who meet the following:
(1) Can demonstrate that they have, or will have, employment requiring an emergency medical technician license;
(2) Are not currently licensed as an emergency medical technician in Missouri or have been licensed as an emergency medical technician in Missouri and fingerprints need to be submitted to the Federal Bureau of Investigation to verify the existence or absence of a criminal history, or they are currently licensed and the license will expire before a verification can be completed of the existence or absence of a criminal history;
(3) Have submitted a complete application upon such forms as prescribed by the department in rules adopted pursuant to sections 190.001 to 190.245;
(4) Have not been disciplined pursuant to sections 190.001 to 190.245 and rules promulgated pursuant to sections 190.001 to 190.245;
(5) Meet all the requirements of rules promulgated pursuant to sections 190.001 to 190.245.
2. A temporary emergency medical technician license shall only authorize the license to practice while under the immediate supervision of a licensed emergency medical technician, registered nurse, physician assistant, or physician who is currently licensed, without restrictions, to practice in Missouri.
3. A temporary emergency medical technician license shall automatically expire either ninety days from the date of issuance or upon the issuance of a five-year emergency medical technician license.
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(L. 2001 S.B. 619, A.L. 2002 S.B. 1107, A.L. 2010 H.B. 1977, A.L. 2018 H.B. 1355 merged with S.B. 870, A.L. 2020 H.B. 1682 merged with H.B. 2046)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.144 - Immunity from liability, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2017, 2 histories
190.144. Immunity from liability, when. —
1. No emergency medical technician licensed under section 190.142 or 190.143, if acting in good faith and without gross negligence, shall be liable for:
(1) Transporting a person for whom an application for detention for evaluation and treatment has been filed under section 631.115 or 632.305;
(2) Physically or chemically restraining an at-risk behavioral health patient as that term is defined under section 190.240 if such restraint is to ensure the safety of the patient or technician; or
(3) The administration of a patient's personal medication when deemed necessary.
2. Nothing in this section shall be construed as creating an exception to sovereign immunity, official immunity, or the Missouri public duty doctrine defenses.
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(L. 2016 S.B. 732, A.L. 2017 S.B. 503)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.146 - Lapse of license, request to return to active status, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.146. Lapse of license, request to return to active status, procedure. —
Any licensee allowing a license to lapse may within two years of the lapse request that their license be returned to active status by notifying the department in advance of such intention, and submit a complete application upon such forms as prescribed by the department in rules adopted pursuant to sections 190.001 to 190.245. If the licensee meets all the requirements for relicensure, the department shall issue a new emergency medical technician license to the licensee.
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(L. 2002 S.B. 1107 § 190.145)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.160 - Renewals of licenses, requirements.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.160. Renewals of licenses, requirements. —
The renewal of any license shall require conformance with sections 190.001 to 190.245 and sections 190.525 to 190.537, and rules adopted by the department pursuant to sections 190.001 to 190.245 and sections 190.525 to 190.537.
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(L. 1973 S.B. 57 § 13, A.L. 1998 S.B. 743, A.L. 2002 S.B. 1107)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.171 - Aggrieved party may seek review by administrative hearing commission.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.171. Aggrieved party may seek review by administrative hearing commission. —
Any person aggrieved by an official action of the department of health and senior services affecting the licensed status of a person pursuant to the provisions of sections 190.001 to 190.245 and sections 190.525 to 190.537, including the refusal to grant, the grant, the revocation, the suspension, or the failure to renew a license, may seek a determination thereon by the administrative hearing commission pursuant to the provisions of section 621.045, and it shall not be a condition to such determination that the person aggrieved seek a reconsideration, a rehearing, or exhaust any other procedure within the department of health and senior services or the department of social services.
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(L. 1978 S.B. 661, A.L. 1998 S.B. 743, A.L. 2002 S.B. 1107)
(1993) Competing ambulance service lacks standing to contest action of department before administrative hearing commission, because for purposes of statute, "aggrieved person" does not include competing ambulance service that is economically affected by an action of department of health granting an ambulance license to another ambulance service. Gold Cross Ambulance, Inc. v. Missouri Dept. of Health, 866 S.W.2d 473 (Mo. App. W.D.).
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.172 - Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.172. Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission. —
Notwithstanding the provisions of subdivision (3) of subsection 3 of section 621.045 to the contrary, if no contested case has been filed against the licensee, the agency shall submit a copy of the settlement agreement signed by all of the parties within fifteen days after signature to the administrative hearing commission for determination that the facts agreed to by the parties to the settlement constitute grounds for denying or disciplining the license of the licensee. Any person who is directly harmed by the specific conduct for which the discipline is sought may submit a written impact statement to the administrative hearing commission for consideration in connection with the commission's review of the settlement agreement.
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(L. 2002 S.B. 1107)