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HB 3060

Allows the board of trustees of a hospital that operates a licensed ambulance service to establish an ambulance district by petition

2026 Regular Session Introduced by Tara Peters

The bill lets hospital boards that run licensed ambulance services create an ambulance district by petition to govern and fund the service locally.

Referred: Emerging Issues(H)
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Bill Summary · HB 3060

Overview

HB 3060 (2026) from Missouri would allow the board of trustees of a hospital that operates a licensed ambulance service to establish an ambulance district by petition. The bill is sponsored with a co-sponsor, Tara Peters, and has progressed through introduction and committee referrals in 2026.

Primary purpose and intent

  • To empower a hospital board that runs an ambulance service to create an ambulance district via petition.
  • The intended effect is to facilitate formal organizational and fiscal arrangements for ambulance operations under a dedicated district, potentially enabling broader tax authority, governance, or service delivery structures appropriate for emergency medical services.

Key provisions and changes

  • Authority to create: The bill authorizes the board of trustees of a hospital that operates a licensed ambulance service to establish an ambulance district.
  • Mechanism: Creation of the district would be by petition. The text indicates a procedural pathway wherein affected parties or stakeholders would petition to form the district rather than relying solely on alternative statutory processes.
  • Scope of governance: While specific governance structures are not detailed in the summary, the bill’s placement in statute suggests formal district-level governance for the ambulance service, potentially including district trustees, oversight, and delineation of responsibilities from the hospital system.
  • Relationship to hospital ambulance service: The ambulance district formed under this bill would be tied to the hospital-affiliated ambulance service, potentially aligning ambulance operations with hospital-based care coordination and financing.

Who would be affected

  • Primary: Hospitals in Missouri that operate licensed ambulance services and their boards of trustees.
  • Secondary: Residents and patients served by the hospital’s ambulance service, since district formation can influence governance, funding mechanisms, and service delivery.
  • Other governmental or regulatory actors: Local government entities and voters may be involved in the petition process and, if applicable, district elections or approval requirements.

Procedural and timeline aspects

  • Introduction: January 21, 2026 – bill introduced and read first time.
  • Second reading: January 22, 2026.
  • Referral: May 15, 2026 – referred to Emerging Issues (H) committee.
  • Ongoing steps: As with similar bills, it would proceed through committee hearings, potential amendments, and floor action. The petition-based mechanism implies a defined process for petition initiation, potential public notice, and possibly voter or local government involvement depending on downstream statutory requirements.

Potential implications

  • Administrative: Establishing an ambulance district could create a distinct local governmental entity with its own budgetary authority, tax base, or funding mechanisms (subject to Missouri law and any fiscal provisions attached to districts).
  • Financial: Depending on subsequent provisions, the district could affect funding for operations, capital investments, and service expansion, possibly including property or sales tax tools if authorized by statute.
  • Service delivery: May enable more localized governance of ambulance services, potentially improving response planning, staffing, and integration with hospital-based care.
  • Legal and regulatory: The creation of a new district would trigger compliance with district formation procedures, elections (if applicable), and ongoing statutory requirements for district governance and reporting.

Note: The summary reflects the bill’s stated mechanism and scope as described. Full understanding of financial tools, voting requirements, oversight, and post-formation duties would require the bill’s complete text and any related Missouri statutes governing ambulance districts and hospital-operated services.

Compiled from official sources — confirm details with the bill’s official record.

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