The California Department of Health Care Services (DHCS) released a draft application to the federal government for exemptions to Medicaid rules to pilot new and innovative strategies for providing healthcare. The application for exemptions is particularly monumental because the opportunity only arises once every 5 years. SPUR supports long-term funding for healthy food incentive programs and with more than 95 additional organizations urges DHCS to include food and nutrition services into the state’s application.