Current law requires county commissions to divide newly formed ambulance districts into six election districts for the election of members of the board of directors. This act makes the election for all such directors at-large, and allows ambulance districts the option of dividing into six election districts. (Section 190.050) Current law authorizes six-member ambulance districts to adopt a resolution increasing the board to seven members. This act requires that any such resolution shall state the names of the existing directors as well as any vacancies to be filled in a subsequent election. If a six-member ambulance district votes to decrease the number of directors to five or three, all existing board members shall complete their terms. (Section 190.051) Current law requires the county commission to fill vacancies on an ambulance board if the board is unable to fill such vacancies on its own within sixty days or if there are more than two vacancies at a time, with such appointment made by the county commission within ten days. This act modifies such provision by requiring a written request from the ambulance board or the ambulance service administrator prior to the county commission filling a vacancy, and by increasing the deadline to fill such vacancy from ten days to thirty calendar days. (Section 190.052)