Ginal defeated Representative Jennifer Arndt, William Wright, and Michael Thomas in the vote conducted by the vacancy committee on December 16, 2018.

[14] Cathy Kipp, a member of the board of directors for the Poudre School district, was selected to replace Ginal in the state house.

[20] Ginal served on the Local Government, Agriculture and Natural Resources, and Health and Human Services committees in the state senate.

[21][22] In 2015, Ginal and Representative Lois Court introduced legislation to allow for terminally ill people with less than six months left to live to undergo euthanasia.

She stated that she created the legislation because of Brittany Maynard, a brain cancer patient, who moved from California to Oregon to end her life.

[23][24] Their legislation failed in the state house, but Colorado Proposition 106, which allowed for assisted suicide, was passed with 64.9% of the popular vote in 2016.