In 2007, Cafaro was appointed to the 32nd District of the
Ohio Senate to replace
Marc Dann after Dann won the
Ohio attorney general's race on November 7, 2006. One year after becoming a member of the Ohio General Assembly, Cafaro secured a leadership position as the assistant minority whip for the Senate Democrats. In 2008, Cafaro was elected to her first full term after running unopposed in the general election. Soon after, she was elected by her colleagues as
minority leader of the 128th General Assembly. She again served as minority leader in the 129th General Assembly. Cafaro served as leader for three years until she stepped down and was replaced in 2012 as Ohio Senate minority leader by Senator
Eric Kearney. She won a second full term to her Senate seat in the 2012 general election, defeating Republican Nancy McArthur 67% to 33%. Cafaro played a prominent role in the
Medicaid expansion efforts in
Ohio, and has sought to codify the expansion permanently in Ohio law. She has offered legislation numerous times to do so. Cafaro did not seek reelection to the Ohio State Senate in 2016 due to term limits. ==Election history==