The ballot measure would create the position of lieutenant governor in Arizona. Legislators would pass bills to prescribe the lieutenant governor's duties. As of 2022, Arizona is one of five states without a lieutenant governor.

The state's lieutenant governor would be elected on a joint ticket with the governor. The ballot measure would require gubernatorial candidates to select running mates at least 60 days before the general election, although the legislature could prescribe a different date. The first election for a joint governor and lieutenant governor ticket would be November 3, 2026.

If the incumbent governor dies, resigns, or is removed from office, the lieutenant governor would succeed to the governor's office. Currently, the secretary of state succeeds to the governor's office in these situations.

If the lieutenant governor's office becomes vacant, the governor would appoint a person to serve as lieutenant governor, subject to legislative approval.