Since joining the MIAA, he has assumed major responsibilities and leadership in the areas of student eligibility, health and safety of the student athlete through his  leadership role with the MIAA Sports Medical Committee, the Mass. Medical Society and the Department of Public Health. In the area of Chemical Health of the student athlete, Mr. Gaine has demonstrated national leadership organizing; conducting and promoting local, regional and national workshops on the subject; as well as innumerable keynote presentations on the role of administrator, coach and parent in promoting chemical health.

Under Mr. Gaine's leadership, the MIAA has received from the Governor's Alliance Against Drugs, a commendation for its outstanding program. Similar recognition was given by the Drug Enforcement Administration, and at a National Federation Annual Meeting, the MIAA was presented the "Helen Durbin Award" for the most outstanding High School State Association's Chemical Health Program.