This bill modifies the composition of the North Koochiching sanitary sewer board by amending several sections of Laws 1981, chapter 291. Key changes include the reduction of board members from International Falls from four to three, the addition of two members from the East Koochiching county sewer district, and the introduction of one at-large member appointed by the board. The bill also clarifies that the East Koochiching county sewer district will appoint its members, and it repeals a previous provision regarding the composition of the board.

Additionally, the bill repeals a specific subdivision related to the board's structure and establishes that the act will take effect following compliance with certain statutory requirements by the governing body of the North Koochiching sanitary sewer board. The affected local governmental units are specified as Koochiching county and the city of International Falls, with the previous mention of South International Falls being removed from the legal language.