So far, the outreach nurses have immunized 170 people in the homeless and hard to house population. Part of the reason the efforts are so successful is because the outreach nurses focus on harm reduction and prevention, rather than judgment. It also seeks matching funding for demonstration grants, allowing facilities and agencies to improve training, implement opportunities for advancement and make to workplace culture. Third measure would create a study of wage, benefit and reimbursement in nursing facilities, assisted living centers and the home care industry and determine the feasibility of extending Medicaid or other health care insurance coverage to all workers engaged in providing direct care..