The bill amends Section 45-49-140.08 of the Code of Alabama 1975, which governs the management of firefighting and emergency medical services districts in Mobile County. It establishes a board of trustees consisting of five members elected by the district's qualified electors, with specific provisions for unopposed candidates and the election schedule. The bill also outlines the terms of office for the trustees and the election process, including the use of paper ballots or other authorized methods.

Significantly, the bill introduces new language regarding the procedure for filling vacancies on the board of trustees. It replaces the term "replacement" with "successor" and stipulates that if a vacancy occurs due to the death or resignation of a trustee, or if no candidates qualify for an expiring term, the remaining trustees will appoint a successor. If the vacancy is not filled within 60 days, the Mobile County Commission is tasked with making the appointment. Should the Commission fail to act within 90 days, the judge of probate is required to call a special election to fill the vacancy. The act is set to take effect on June 1, 2024.