Missouri Code § 321.226

Emergency ambulance service outside district — fee for services for all districts — emergency defined.
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1. Any fire protection district which is authorized to provide emergency ambulance service within its district may provide such emergency ambulance service outside its district. When providing emergency ambulance service for a person who does or does not reside within the district, a fire protection district may assess and collect from such person a usual and customary fee for such service.
2. As used in this section "emergency" means a situation resulting from a sudden or unforeseen situation or occurrence that requires immediate action to save life or prevent suffering or disability.

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