Senate Bill 1165 mandates that each county election commission in Tennessee include a specific question on the November 2026 election ballot regarding the legalization of medical marijuana. The question posed to voters will be: "Should the State of Tennessee legalize the sale, possession, and use of medical marijuana? YES or NO."

Additionally, the bill requires the secretary of state to compile the results of this public policy opinion poll and forward them to each member of the general assembly. It is important to note that the outcome of this poll will not be binding on the general assembly, meaning that the legislature is not obligated to act on the results. The bill is set to take effect upon becoming law, emphasizing the public welfare.