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Des Peres approves changes to ambulance billing policy and establishes EMS transport user fees

Board of Aldermen, City of Des Peres, Missouri · January 12, 2026
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Summary

The Board of Aldermen voted unanimously Dec. 8 to amend the city's ambulance billing policy and to establish user fees for emergency medical transport, passing ordinances 3068 and 3069. The measures were adopted after motions to waive the rules and recorded roll call votes.

The Des Peres Board of Aldermen on Dec. 8 approved two ordinances that change how the city bills for ambulance services and set user fees for emergency medical transport.

Alderman Concagh introduced B25-3083 to amend Section 2-216 of the Des Peres Municipal Code governing billing and collection of user fees for emergency ambulance transportation. After the board voted to waive the rules and read the bill a second time, the measure was approved by roll call and recorded as passed; the minutes list it as Ordinance 3068.

A related measure, B25-3084, introduced by Alderman Kleinschmidt, establishes the schedule of user fees to be charged for emergency medical transportation and repeals conflicting ordinances. The board waived the rules, voted to approve the bill and the minutes record its adoption as Ordinance 3069.

Both measures were approved by unanimous roll call tallies recorded in the minutes (5-0). The minutes also show Alderman Fitzpatrick was absent earlier in the meeting; the official roll-call tallies recorded for the ordinance votes show five aye votes without naming dissenting votes. The board did not record further debate in the minutes.

What the ordinances change in day-to-day practice (fee amounts, billing procedures, or collection processes) is not specified in the minutes. The board packet or the city clerk's office can be consulted for the full text of B25-3083 and B25-3084 and the adopted fee schedule.