I am in favor of "conferences" based on geographical location vs. size of school. School from multiple divisions could play in the same conference (4A and 5A for instance) and the state could implement a system in which every school must be accepted into a conference unless they choose otherwise. That would give smaller school "conference" games instead of "region" games.
Many other states have multipliers, but I think that a lot of these schools (especially the ones that artificially cap their enrollment to be at a lower level) would file a lawsuit.
Is the SCISA a bad idea, Cardinal Newman thrives there? Traditional schools would have their state titles and All-State lists and non-traditional schools would have theirs. This is also common in other states.