House Concurrent Resolution No. 122 called upon the Department of Health (DHH) to develop a Section 1115 Research & Demonstration waiver to submit to the Center for Medicare and Medicaid Services (CMS) that would allow the use of costs not otherwise matchable (CNOM) authority to receive federal matching funds for designated state and local health programs and to reinvest unencumbered state funds into the Medicaid program. As a response to this resolution, the Department consulted with experienced consultants, other states, and Louisiana provider organizations to determine what the best process would be to fulfill its intent.