Mo. Rev. Stat. § 190.112
1. Each ambulance service licensed under this chapter shall identify to the department the individual serving as the ambulance service administrator who is responsible for the operations and staffing of the ambulance service. The ambulance service administrator shall be required to have achieved basic training of at least forty hours regarding the operations of an ambulance service and two hours of annual continuing education. The training required under this section shall be offered by a statewide association organized for the benefit of ambulance districts or be approved by the state advisory council on emergency medical services and shall include the following:
(L. 2025 H.B. 225 merged with S.B. 271)