BOARD OF DIRECTORS
Officers

CHUCK 
President

DR. 
Vice President

KAREN R. BURNIIAM
Secretary

BARBARA A. 
Treasurer

JAVIER M. 
Parliamentarian

Members
ANGEL ARREOI.A

KIRSTIN CADY
DR. NANCY CARROLL
RAUL RAMOS

ROBERTO S. IUAREZ
Chief Executive Officer

CORPORATE OFFICE
a 1040 Road

Camarillo. CA 93012

CLINICAS
del Camino Real. Incorporated fax (805)-359-9959


January 31, 2019

Ms. Teri Rindahl

Enforcement Division

State of California

Fair Political Practices Commission
1102 Street, Suite 3000
Sacramento, CA 95811

RE: COM11262018-02910
Dear Ms. Rindahl,

I am currently the Chair of the Ventura County Medi?Cal Managed Care
Commission dba Gold Coast Health Plan (GCHP). I am also
the Chief Business Development Officer for Clinicas del Camino Real, Inc.
and the Acting CEO of AmericasHealth Plan, Inc. AmericasHealth Plan is
a wholly owned subsidiary of Clinicas del Camino Real, Inc.

At the October 29, 2018 Commission meeting, agenda item #15 was a joint
presentation by AmericasHealth Plan (AHP) and Gold Coast Health Plan
(GCHP). There was no quorum and no action being proposed for this
agenda item. At this meeting, I recused myself from the Chair and
Commission position and on advice from my legal counsel I sat in the
audience to hear the presentation. I have recused myself from every
meeting prior to this and have left the room completely when presentations
are made to the Commission on the progress of the implementation of the
PIan?to-Plan contract between GCHP and AHP. Since there was no
quorum and no action being taken, I sat in the audience to hear the
presentation.

To provide you some history and background information, the Commission
voted unanimously to allow GCHP to contract with AHP for a plan-to-plan

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contract under a pilot project during the June 26, 2017 meeting. I was not the Acting CEO
for AHP during this time, however, I was conflicted clue to my employment at Clinicas. I
left the room completely during this June 2017 meeting since the Commission was going
to vote for the contract between GCHP and AHP. Subsequently, if there was an agenda
item related to AHP recused myself every time and left the room except for the October
29, 2018 meeting for the reasons I stated above.

In the complaint, it states that ?was trying to push through a contract for AHP with
The Commission had already decided unanimously to approve such a contract
18 months prior. Again, the contract between GCHP and AHP was approved by the
Commission on June 26, 2017.

The other allegation that I ?clearly make decisions or steer the Commission to make
decisions that are self-serving for his company, Clinicas and is false. I don?t have
that power or authority. The full Commission votes on issues. The composition of the
Board is two (2) seats for Clinicas, six (6) for the County of Ventura, one (1) for patient
advocate, one (1) for the Hospital Association and one (1) representing independent
providers. As you can see, every Commissioner has a conflict of interest since every
agency represented on the Commission are contracted with GCHP except the Patient
Advocate seat.

Please call me at you earliest convenience at (805) 659-1740 should you need additional
information.

Sincerely,

Antonio Alatorre A,
Chief Business Development Officer

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