Related to New York’s aggressive work toward helping seniors stay in their own homes, Iowa house governor, Tom Vilsick, has been working toward the same end, with Iowa’s “senior living trust,” which encourages people to have the freedom and ability to live in their own homes with greater dignity and to avoid a nursing home before they were otherwise required to go. As with New York’s efforts, this would represent a significant savings of resource in the healthcare system and, more importantly, creates a much more dignified and healthy living environment for seniors.