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, defining key terms related to city governance and detailing the powers and responsibilities of the city council, which will consist of 11 members (8 ward councilors and 3 councilors-at-large) serving two-year terms. The charter sets forth rules for council meetings, the appointment of city officials, and the process for passing ordinances, including emergency measures, while ensuring that governance reflects the community's values.

Additionally, the bill includes provisions for filling vacancies in the city council and mayoral positions, mandates a review of city ordinances every five years, and establishes qualifications and compensation for the mayor and school committee members. It specifies that the mayor must be a full-time position with no other public office or business engagements, and outlines the election procedures for city officials, including the timing of elections and requirements for candidate nominations. The bill also enhances civic engagement by providing structured avenues for public participation, such as citizen initiative measures and recall elections, while ensuring that all proceedings of city bodies are documented and accessible to the public. The new charter will take effect upon voter approval in a referendum scheduled for November 4, 2025.