Alongside Senate President Pro Tempore Martin Looney, Fasano co-created and co-chaired Connecticut's Bipartisan Round Table on Hospitals and Health Care, established in 2014.
[12] Fasano also worked to make Connecticut the second state in the nation to implement a statewide screening program to test all newborns for adrenoleukodystrophy (ALD), a genetic brain disorder.
[14] Fasano has proposed policies focused on urban development and job growth in Connecticut cities.
[16] In 2017 the state Senate passed a bill proposed by Fasano to expedite the brownfield redevelopment process to redevelop old urban industrial properties and encourage urban developers to work with high schools and community technical colleges on curriculum to train future job seekers.
[17] Fasano has advocated for budgets that protect funding for social services for individuals with intellectual and developmental disabilities.
He renewed calls for reform following a Federal Audit conducted by the U.S. Department of Health and Human Services' Administration for Children and Families which found that the agency practice is inconsistent in assessing safety and risk in the child's living environment and in preventing children's removal from their homes.
[28] In 2017, a bill backed by Fasano to increase oversight of the Department of Children and Families garnered bipartisan support and passed the state Senate.
[29] The Connecticut chapter of Mothers Against Drunk Driving (MADD) named Fasano a "Legislator of the Year" multiple times including in 2016 [30] and 2013 [31] recognizing his efforts in support of tougher laws to help prevent drunk driving and educate young drivers about road safety.
In October 2017, Fasano was criticized by Dita Bhargava for what she called a "pattern of misdirected criticism towards women holding high-ranking positions in our state's public institutions.” As evidence she cited his conduct towards Susan Herbst (UCONN president), Dora Schriro (Department of Emergency Services and Public Protection), and Joette Katz (Department of Children and Families).
Leaders of both parties from both the House and Senate opposed the raises and encouraged Herbst and the University to rescind them.
He is a founder of the East Haven Land Trust, and a Trustee of Hamden Hall Country Day School.