The bill establishes a new charter for the city of Medford, repealing Chapter 605 of the acts of 1986, and outlines a governance structure that includes an executive branch led by a mayor and a legislative branch consisting of a city council. It emphasizes accountability, transparency, and civic engagement, aiming to create a responsive government that serves the needs of its residents. Key provisions include the composition and election process for an 11-member city council, rules for council meetings, and the confirmation of mayoral appointments. The charter also details the roles and responsibilities of city officials, the legislative process, and procedures for filling vacancies within the city council.

Additionally, the bill introduces provisions for citizen initiative measures and recall elections, allowing residents to propose new measures or repeal existing ones through petitions. It establishes a framework for these processes, including signature requirements and timelines for action by the city council or school committee. The bill also emphasizes merit-based appointments for city officers, outlines election regulations, and mandates joint meetings between the city council and school committee to review the city's financial condition. Transitional provisions ensure the continuity of existing laws until the new charter is implemented, which will take effect following a majority vote in the November 4, 2025 election.