It was contested for the first time in the 2019 Alberta election and is presently represented by Premier Danielle Smith.

It is named for its two largest communities, Medicine Hat and Brooks, and also contains CFB Suffield.

The district was created in 2017 when the Electoral Boundaries Commission endeavoured to reduce the number of ridings in southern Alberta, owing to slow population growth in the region.

Independent candidate Todd Beasley was previously removed from the UCP constituency nomination contest by the party after making comments on social media describing Islam as an "evil cult".

[3][4] On October 7, 2022, Frey resigned her seat in the Legislative Assembly to allow the newly elected leader of the United Conservative Party and premier, Danielle Smith, to seek a seat in legislature.