This bill modifies the governance structure of a hospital district in Swift County, Minnesota, by reducing the number of voting board members from 9-12 to 6 and adjusting how they are elected. Specifically:

• Board Composition: The hospital board will now have six voting members instead of the current 9-12. The city council will elect two members (down from three), and the county board will elect four members (down from six). Additional voting and nonvoting members can still be established in the bylaws.
• Election Terms & Vacancy Filling: Board members will continue to serve staggered three-year terms, and vacancies will be filled by the governing body that originally elected the director.
• Compensation & Duties: Clarifies that board members may receive compensation and reimbursement as specified in hospital district bylaws. Officers' duties remain largely unchanged.
• Approvals for Major Transactions: Reinforces that the sale or lease of hospital facilities requires majority approval from both the county board and the city council.
• Lease Provisions: Ensures that hospital facilities leased to nonprofit or public corporations must remain open to all residents, with leases not exceeding 30 years. Lessees must pay at least enough to cover bond payments on the facilities.

The bill primarily aims to streamline governance and clarify operational procedures for the hospital district.