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Transition from At-Large to District-Based Elections

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How Is the Marin Healthcare District Changing Its Manner of Elections?

Marin Healthcare District (“MHD”) currently has an at-large election system where the entire jurisdiction it serves votes for each member of the Board of Directors rather than a district-based election system where the jurisdiction is divided into districts that vote for their own representatives.

Consistent with the California Voting Rights Act, and in connection with the release of 2020 U.S. Census data, MHD is transitioning from at-large to district-based elections for its next regular election in November 2022. MHD’s transition will involve the drawing of a map with a district for each of its five Board seats, with all districts being substantially equal in population and otherwise meeting requirements of applicable laws. The Board of Directors is responsible for drawing these districts and approving the final map by April 17, 2022, and in doing so seeks to maximize community engagement and input regarding boundary recommendations.

Why Does the Transition from At-Large to District-Based Elections Matter to Me?

Districting determines which neighborhoods and communities are grouped together into a district for purposes of electing a Board member to represent them at MHD. You have an opportunity to share with the Board of Directors how you think district boundaries should be drawn to best represent your community.

How Will the Public Be Notified About Redistricting?

MHD will reach out to local media to publicize the redistricting process, make a good faith effort to notify various community groups about the redistricting process, and provide public hearings and/or workshops in applicable languages if residents submit a request in advance. All redistricting hearings and/or workshops will be noticed to the public in advance, and proposed maps will be posted online for public review and comment before adoption.

Interested in Getting Involved?

Community involvement is essential to the redistricting process. All residents of the Marin Healthcare District are encouraged to participate.

  • Attend Public Hearings: MHD will be holding meetings, public hearings, and workshops to solicit public input on proposed district boundaries. For more information regarding meeting dates and times, click here.
  • Submit Public Comment: Members of the public may submit comments by email to
  • Draft a Map for Consideration: Members of the public may suggest draft maps for consideration by the Board, click here for more information.