Modifies provisions relating to ambulance districts

References to sections 190.098, 190.165, and 590.192 were removed from the list of repealed statutes and the list of newly enacted sections.

The document header and act description were updated to reflect the removal of the repealed sections, changing the count from eight new sections to five.

Bracketed text indicating optional or deleted language was removed, resulting in a cleaner final version of the election and term rules.

Added the repeal of sections 190.098, 190.165, and 590.192 to the list of statutes being removed.

Removed conflicting bracketed text and formatting errors to clarify that the county commission must divide districts into six election districts and number them by lot.

Clarified the election process by removing contradictory language regarding at-large elections versus district-based elections.

The bill now explicitly outlines two separate procedures for electing directors: one for districts divided into specific election districts and another for districts where directors are elected at-large, replacing the previous single narrative description.

The total number of new sections enacted was increased from five to six, and the section numbering was updated to include 190.089.

Formatting and explanatory notes were updated to reflect the House Committee Substitute status, including changes to the bill header and explanation of bracketed text.