HB640--EMERGENCYMEDICALSERVICES SPONSOR: Perkins Thisbillmodifiestrainingrequirementsformembersofan ambulancedistrictboardofdirectors. Boardmembersarerequiredtocompletethreehoursofcontinuing educationforeachtermofoffice.Failuretodosowillresultin immediatedisqualification withtheofficeremainingvacantuntil filled. Eachambulancedistrictmustarrangeforanauditofthedistrict's recordsandaccountseverythreeyearsbyacertifiedpublic accountant. Theauditwillbemadeavailabletothepubliconthe district'swebsiteorotherwisefreelyavailablebyother electronicmeans. TheDepartmentofHealthandSeniorServices,asapartof regulatinggroundambulanceservicelicenses,willpromulgaterules regardingparticipationwithregionalemergencymedicalservices advisorycommitteesandambulanceserviceadministrator qualifications. ThisbillrequiresambulanceservicestoreporttotheDepartment individualsservingasambulanceserviceadministrators. Each administratorisrequiredtocompleteatleast40hoursoftraining regardingtheoperationsandstaffingoftheambulanceserviceand twohoursofcontinuingeducationannually,asspecifiedinthe bill. TheDepartmentmayrefusetoissue,denyrenewalof,orsuspenda licenserequiredforgroundambulanceservicesortakeother correctiveactionsifthelicenseholderisdeterminedtobe financiallyinsolvent,hasinadequatepersonnelfortheservice provided,requiresaninordinateamountofmutualaidfrom neighboringservices,hasbeendeterminedtobecriminallyliable foractionsrelatedtothelicenseorserviceprovided,hasbeen determinedtobeineligibleforparticipationinMedicareorMO HealthNet,theambulancedistrictadministratorhasfailedtomeet therequiredqualifications ortraining,orifthreeormoreboard membershavefailedtocompleterequiredtraining. IftheDepartmentmakesadeterminationofinsolvencyor insufficiencyofservices,thentheDepartmentmayrequirethe licenseholdertosubmitandcompleteacorrectiveplan,as specifiedinthebill. TheDepartmentisrequiredtoprovidenoticeofanydetermination ofinsolvencyorinsufficiencyofservicestootherlicenseholders operatinginthelicenseholder'svicinity,membersoftheGeneral Assemblywhorepresentthatarea,othergoverningofficials,the appropriateregionalemergencymedicalservicesadvisorycommittee, andtheStateAdvisoryCouncilonEmergencyMedicalServices. TheDepartmentmustimmediatelyengagewithotherlicenseholders intheareatodeterminehowgroundambulanceservicesmaybe providedtotheaffectedareaduringtheservicedisruption. Assistinglicenseholdersmaybecompensatedfortheassistanceas specifiedinthebill. ThisbillisthesameasSB7(2025)andsimilartoSB1340(2024).