# Missouri SB975: Modifies provisions relating to ambulance districts Missouri SB975, Modifies provisions relating to ambulance districts, is a 2026 Regular Session Senate bill sponsored by Rusty Black (Republican); status signed, last action 2026-07-09 (Delivered to Secretary of State (G)); PRIA reads it as touching household money (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/MO-SB975-2026 - As of: 2026-11-04 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Missouri SB975 - State: Missouri - Session: 2026 Regular Session - Title: Modifies provisions relating to ambulance districts - Status: signed - Chamber: Senate - Introduced: 2026-03-05 - Last action: 2026-07-09, Delivered to Secretary of State (G) - Sponsor: Rusty Black (Republican) - Cosponsors: 0 - Touches household money: yes - Roll calls: 3 (33 yes, 1 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Deadlines Help Fill Ambulance Board Vacancies: benefit, low. Remaining ambulance board members fill one or two seats vacated by death, resignation, or disqualification through a majority vote. County commissioners step in when the board cannot agree within 60 days or more than two seats are vacant. A majority of remaining board members or the ambulance servi… - Joining Ambulance Districts Brings Local Taxes: cost, medium. Residents can seek annexation with signatures from 10% of eligible voters in the proposed area or 50 voters, whichever is fewer. They file with the county clerk, and a hearing must follow within 30 days. Voters in both the existing ambulance district and the proposed area vote on joining and taxing… - Ambulance Mergers Tie Taxes To Votes: mixed, medium. A consolidation ballot must name the new ambulance district and state its proposed tax limits. It must list property tax in cents per $100 of assessed value, a sales tax percentage, or both. Voter approval allows an initial levy up to the highest existing levy among the merging districts, as stated… - Ambulance Boards Can Change Local Representation: mixed, low. Ambulance boards can create election areas with a two-thirds vote. The areas must be connected, compact, and close to equal in population; the county commission sets their boundaries. The commission must redraw them within 60 days after each decennial census population report reaches the governor.… - New Rules For Electing Ambulance Directors: mixed, low. County commissions must provide for six ambulance directors, elected districtwide or from six areas with populations as equal as possible. Elections take place on the next regular election date. For area-based elections, initial terms are one year for areas 1 and 4, two for 2 and 5, and three for 3… - Residents Gain Rules For Ambulance Mergers: mixed, low. Ambulance district mergers start through board resolutions or petitions signed by at least 10% of a district’s gubernatorial voters. All district filings must reach their county clerks in the same calendar year. The plan must list the new name, boundaries, taxes, property, assets, debts, current le… ## Sponsors and cosponsors - Sponsor: Rusty Black (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-13 | House | Reported Do Pass | pass | 7 | 1 | | | 2026-04-09 | House | Reported Do Pass | pass | 10 | 0 | | | 2026-04-02 | House | HCS Reported Do Pass | pass | 16 | 0 | | ## Actions (35) - 2026-07-09: Delivered to Secretary of State (G) - 2026-07-09: Approved by Governor (G) - 2026-05-28: Delivered to Governor - 2026-05-28: Signed by House Speaker (House) - 2026-05-14: House Message (House) - 2026-05-14: Truly Agreed To and Finally Passed - 2026-05-14: House Adopts Conference Committee Report (House) - 2026-05-14: House Submits Conference Committee Report (House) - 2026-05-13: Reported Do Pass - AYES: 7 NOES: 1 PRESENT: 0 (House) - 2026-05-13: Voted Do Pass (House) - 2026-05-13: Executive Session Completed (House) - 2026-05-12: Referred: Fiscal Review (House) - 2026-05-12: House Distributes Conference Committee Report (House) - 2026-05-04: House Message (House) - 2026-05-04: House Conference Committee Appointed - REPRESENTATIVES FARNAN, HINMAN, BILLINGTON, WALSH MOORE, SMITH(74) (House) - 2026-05-04: House Message (House) - 2026-05-04: House Refuses to Recede, Grants Conference (House) - 2026-05-04: Taken Up - 2026-04-30: Taken Up - 2026-04-23: Reported to the Senate with... - HCS, as amended (House) - 2026-04-23: Third Read and Passed with Amendments - with HA 1 (House) - 2026-04-23: HCS Adopted (House) - 2026-04-23: Title of Bill - Agreed To - 2026-04-23: Taken Up for Third Reading (House) - 2026-04-09: Reported Do Pass - AYES: 10 NOES: 0 PRESENT: 0 (House) - 2026-04-09: Voted Do Pass (House) - 2026-04-09: Executive Session Completed (House) - 2026-04-07: Referred: Rules - Administrative (House) - 2026-04-02: HCS Reported Do Pass - AYES: 16 NOES: 0 PRESENT: 0 (House) - 2026-04-01: HCS Voted Do Pass (House) - 2026-04-01: Executive Session Completed (House) - 2026-03-25: Public Hearing Completed (House) - 2026-03-12: Referred: Local Government (House) - 2026-03-09: Read Second Time (House) - 2026-03-05: Reported to the House and First Read (House) ## Bill text - Committee Substitute: [PDF](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/5215H.07C.pdf) ## Related bills - SB973: Creates and modifies provisions relating to real estate transactions (signed) - SB890: Repeals expired, terminated, sunset, and obsolete sections of law (signed) - SB878: Modifies provisions relating to pharmaceutical drugs and devices (signed) - SB835: Modifies provisions relating to court procedures (signed) - HB3231: Establishes the "Missouri Innovation, Public Safety, and Accountability Act" (signed) - HB3080: Modifies the historic preservation tax credit (signed) ## Sources - [Committee Substitute (PDF)](https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/5215H.07C.pdf) ## Related - [SB973: Creates and modifies provisions relating to real estate transactions](https://policyrisk.com/state-bill/MO-SB973-2026) - [SB890: Repeals expired, terminated, sunset, and obsolete sections of law](https://policyrisk.com/state-bill/MO-SB890-2026) - [SB878: Modifies provisions relating to pharmaceutical drugs and devices](https://policyrisk.com/state-bill/MO-SB878-2026) - [SB835: Modifies provisions relating to court procedures](https://policyrisk.com/state-bill/MO-SB835-2026) - [HB3231: Establishes the "Missouri Innovation, Public Safety, and Accountability Act"](https://policyrisk.com/state-bill/MO-HB3231-2026) - [HB3080: Modifies the historic preservation tax credit](https://policyrisk.com/state-bill/MO-HB3080-2026) - [Missouri bills](https://policyrisk.com/states/missouri/bills) - [Missouri state hub](https://policyrisk.com/states/missouri) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MO-SB975-2026 (as of 2026-11-04).