HB 2600 Missouri House · 2026 Regular Session

Modifies provisions relating to ambulance districts

HB 2600 updates election rules for ambulance district governing boards in specific counties. It requires counties with over 105,000 residents adjacent to large charter-county areas to divide ambulance districts into six election districts with staggered terms (1-3 years), while other counties must hold at-large elections for six directors. The bill allows districts to create smaller election subdistricts (with board approval) and lets voters approve changing board size (to 7, 5, or 3 members) via ballot measure. These changes directly affect ambulance district governance structures in targeted counties, streamlining elections and board composition.
Bill status passed 3 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Apr 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Dec 29, 2025 Last action May 7, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Committee Substitute Perfected · 3 edits
MINOR
The bill was amended to clarify that counties can now choose between two methods for electing ambulance district directors: dividing the district into specific election districts or electing all directors at-large. Additionally, the bill now includes a new section (190.089) that was previously missing, expanding the total number of enacted sections from five to six.
Scope change
The bill's scope expanded to provide counties with a choice in election methods and to formally include a new section regarding at-large elections.
REQUIREMENT

Changed the election process to allow counties to either divide the district into six specific election districts or elect six directors at-large from the entire district.

TIMELINE

Updated the deadline for holding elections to the next regularly scheduled election date instead of a fixed ninety-day window after the order is issued.

SCOPE

Added a new section (190.089) to the bill, increasing the total number of new sections enacted from five to six.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
26
Key actions
10
Committee
10
Apr 16, 2026
Upper · Passed
Reported Do Pass (S)
upper
Apr 13, 2026
Upper · Passed
Voted Do Pass (S)
upper
Apr 2, 2026
Upper · Passed
Public Hearing Scheduled (S) - Tuesday, April 7, 2026, 1:30 p.m., Senate Committee Room 2 - 1st Floor
upper
Mar 23, 2026
Committee
Second read and referred: Local Government, Elections and Pensions(S)
upper
Mar 9, 2026
Lower · Passed
Third Read and Passed with Amendments (H) - HPA 1 - AYES: 148 NOES: 0 PRESENT: 0
lower
Mar 4, 2026
Lower · Passed
Perfected with Amendments (H) - HA 1, adopted
lower
Mar 4, 2026
Lower · Passed
HCS Adopted (H)
lower
Feb 26, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 6 NOES: 0 PRESENT: 0
lower
Feb 26, 2026
Lower · Passed
Voted Do Pass (H)
lower
Feb 23, 2026
Committee
Referred: Rules - Administrative(H)
lower
Feb 12, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 17 NOES: 0 PRESENT: 0
lower
Feb 11, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 15, 2026
Committee
Referred: Local Government(H)
lower
Dec 29, 2025
Introduced
Prefiled (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jeff Farnan
Jeff Farnan
RRepublican
MO
1