The district is named after Mount Livingstone and the town of Fort Macleod.

The Blood Reserve was transferred to the electoral district of Cardston-Taber-Warner while land south of the town of High River that was in Highwood as well as a portion of land in that constituency in the north west and the portion of land that was part of the abolished Foothills-Rocky View electoral district south of Tsuu T'ina Nation was transferred into the electoral district.

The election held that year saw Pincher Creek-Macleod Progressive Conservative incumbent David Coutts win more than half the popular vote over Liberal candidate Ernie Patterson to pick up the seat for his party.

Coutts won his fourth term in the 2004 election taking just over half of the popular vote in the riding.

The vote was designed to educate students and simulate the electoral process for persons who have not yet reached the legal majority.