Marc has been an innovator in New York, establishing a holistic approach to dealing with residents' health. By combining the former Department of Health and Department of Mental Hygiene and creating the Department of Behavioral and Community Health (DBCH), Marc focused on the community's health as a whole-- taking into account every individual's physical and mental health. This inclusive approach to providing the appropriate health care to Dutchess County has proven effective and continues to improve the lives of community members every day. ​ In the same spirit of inclusive care, Marc established "ThinkDIFFERENTLY" in 2015. This program is a call to action, a challenge for Dutchess County residents to look at the potential in their neighbors with special needs instead of dwelling on their differences. "ThinkDIFFERENTLY" asks individuals, businesses, communities and municipalities to break down barriers for residents with special needs. In 2016, Marc appointed Dutchess County's Deputy Commissioner for Special Needs, the first such position in New York State. The Deputy Commissioner for Special Needs serves as an advocate for individuals and families with special needs and abilities, providing personalized support to everyone who needs it . Marc has also brought his "ThinkDIFFERENTLY" message statewide, holding forums across New York State to encourage other communities to embrace the initiative; more than 100 communities across New York State and even across the nation have since adopted "ThinkDIFFERENTLY" resolutions, showing their support for residents of all abilities.

Marc also works hard to protect our physical surroundings. He has been a leader on Open Space Protection and Farmland Preservation, an advocate to preserve the Hudson River Valley Greenway and a supporter of the Greenway Compact. In 2013, the New York State Senate appointed him to the Greenway Heritage Conservancy for the Hudson River Valley. In 2014, Marc was honored by the Pace University Land Use Law Center as the recipient of its Groundbreaker's Award given to a graduate of the Center's Land Use Leadership Alliance (LULA) Training Program.

Another of Marc's defining accomplishments is the development of Dutchess County's revamped comprehensive criminal justice system. The innovative system is based on prevention, intervention, diversion and transition - a structure which can be a model for America. Dutchess County's Mobile Crisis Intervention Team, crisis intervention training, evidence-based alternatives to incarceration, and an array of transitional programs have been successful and can be replicated by counties throughout the nation.

Marc has been active in numerous community and civic organizations. In 2010, he was honored with the VV Anderson Award for Community Service by the Anderson Center for Autism. In 2011, Astor Services for Children and Families presented him with the Louise Marillac Public Service Award in recognition of the work he has done on behalf of children and families in the community. In 2014, Marc received the Champion for Elder Rights and Safety Award from the Coalition on Elder Abuse in Dutchess County. In 2015, he was honored for outstanding leadership by the Mid-Hudson Chapter of the American Red Cross, and was named the Distinguished Citizen of the Year by the Boy Scouts of America, Hudson Valley Council. The New York State Rehabilitation Association honored Marc as the 2016 Public Official of the Year, and Taconic Resources for Independence recognized him for his successful "ThinkDIFFERENTLY" efforts at the organization's 30th anniversary celebration. He was also honored with the 2017 Catherine Seeberger Citizenship Award by The Arc of Dutchess.

Molinaro is a graduate of Dutchess Community College, where he earned a Dutchess United Educators award, and the PACE Land Use Law Center Community Leadership Alliance. He has been recognized by the Greater Southern Dutchess Chamber of Commerce and "Capitol" news publication as one of their first "Forty under Forty" leaders. The Albany Times Union cited him as one of Albany's "True Reformers" the Hudson Register Star recognized him as a "strong advocate" and the Poughkeepsie Journal called Molinaro a "voice of reason." Hudson Valley Magazine readers have voted Molinaro "Best Politician" in the Hudson Valley region seven times.

Elected to Congress in 2022, Marc lives with his wife Corinne and children Abigail, Jack, Eli, and Theo.