The Nashoba Associated Boards of Health was created in 1931 as a result of a provision in the Massachusetts General Laws, Chapter 111, section 27A which permits towns to formally join together to provide health services. Under this provision of the law Nashoba functions as the agent for the elected boards of health in its member communities. The fourteen member towns elect an Executive Committee under mutually agreed to by-laws. Meetings of both the Executive Committee and full Association are held quarterly.
Local boards retain full authority.
Nashoba is a public non-profit agency. Its support comes from funds from its member towns called assessments, and fees charged to users of the agency's services. The assessments and fees are decided by a vote of the members of the association. In the past decade there has been a concerted effort to reduce the assessment and rely on users fees to support specific services. Local boards can and do charge their own fees for certain local board services.