Foys came to the Diocese of Covington as it was in the midst of a class action lawsuit concerning the sexual abuse of minors by over 80 diocesan employees including priests. The lawsuit was filed one day before Foys was appointed by the pope to the See of Covington. The claim was originally for $50 million, but eventually grew to be much more over the years of litigation. Foys vowed to meet with every victim of abuse who was willing to meet saying, "Those harmed by these shameful, despicable deeds now need the institutional Church and, more importantly, the pastoral Church to provide as much comfort and peace as possible. Our hearts must remain open, like Christ's". He eventually met with over 70 victims of abuse personally and agree to create a system of payment where victims who were abused between 1948 and 1998 could receive compensation while not having to undergo the process of a trial. The settlement eventually cost the diocese $120 million; $80 million of which came from insurance while $40 million came from the mortgage of diocesan properties. No parish properties were affected by the settlement. Each victim received between $5,000 and $450,000 depending on the severity of their case. Foys said "While no amount of money can compensate for the atrocities that were committed here, I pray that this settlement will bring victims some measure of peace and healing to victims and their loved ones".
Vocations
The number of priestly vocations in the Diocese dramatically increased under his tenure. This can possibly be attributed to the fact that the Bishop was a vocation director in Diocese of Steubenville and devotes significant diocesan resources to vocation promotion, including the hiring of a full-time Vocation Promoter for the Diocese. As of 2013, the diocese had 28 seminarians studying for the priesthood.
''Pater Noster'' controversy
In anticipation of the release of the Third Edition of the Roman Missal and General Instruction of the Roman Missal, Foys issued a decree that discourages the laity from holding hands during the Pater Noster at the celebration of Mass. The decree states, "Special note should also be made concerning the gesture for the Our Father. Only the priest is given the instruction to "extend" his hands. Neither the deacon nor the lay faithful are instructed to do this. No gesture is prescribed for the lay faithful in the Roman Missal; nor the General Instruction of the Roman Missal, therefore the extending or holding of hands by the faithful should not be performed." The decree caused controversy in the diocese.