During the meeting, a letter from the Office of Emergency Medical Services was read, highlighting that the current ambulance service licenses—one for basic life support (BLS) and another for part-time advanced life support (ALS)—cannot be surrendered before their expiration. The council learned that they could choose not to renew one or both licenses, allowing the service to either continue at the BLS level or cease operations entirely by January 2027. This information prompted a discussion about whether legislative changes or previous misunderstandings had led to different expectations in 2021.

The council also noted the involvement of nearby areas, such as the City of Rineer and Cooching County, which have designated representatives to collaborate on this matter. St. Louis County has shown interest in establishing a district to ensure full-time service availability, emphasizing regional cooperation for the ambulance service. Furthermore, upcoming discussions with the Reineer City Council and a Cooching County Board meeting were announced, highlighting ongoing efforts to engage multiple stakeholders.

Clarification on previous communications with the Office of EMS and potential legislative changes was sought by the Council, reflecting concerns over past and present information discrepancies.