Gusciora authored the "Paramount Safety" Law that changed the legal standard in child custody cases to protect the health and well being of the child when abuse has occurred. He is the author of a law that streamlines services for people with developmental disabilities through the Department of Health and Human Services and the Department of Education. He is also the original prime sponsor of legislation that would allow patients to sue HMOs for malpractice and the "Senior Gold Prescription Discount Act," which expanded the state’s prescription drug program for seniors.