Regional elections in Piedmont were ruled by the Tatarella law, which was approved in 1995 and provided for a mixed electoral system.

Sergio Chiamparino, the outgoing president of Piedmont for the Democratic Party, initially stated in June 2018 to not run for a second term.

[10][11] After the 2019 Basilicata regional election held on 24 March, the centre-right agreed to the candidacy of Cirio.

[13] In June 2018, along with 50 regional councillors, he was committed to stand trial on charges of misappropriating €20,000 of public funds, during 2008 and 2010, under the presidency of Mercedes Bresso.

With 1,540 votes, Giorgio Bertola, outgoing regional councillor for Piedmont, won the primary election.