The office is connected to the Regional Council, which is elected contextually: one fifth of the assembly seats are generally reserved to his supporters, which are wholesale elected concurrently with the president.

The Council and the president are linked by an alleged relationship of confidence: if the president resigns or he is dismissed by the Council, a snap election is called for both the legislative and the executive offices, because in no case the two bodies can be chosen separately.

The president is one of the eighty members of the Regional Council and, in this capacity, he can propose new laws.

The president appoints and dismiss the Regional Government (called Giunta Regionale in Italian).

The Regional Government prepares the budget, appoints the boards of public regional agencies and companies, manages assets, develops projects of governance, and resorts to the Constitutional Court of Italy if it thinks that a national law may violate regional powers.