This government document is issued by Office of the Patient Advocate for use in California
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https://www.google.com/url?client=internal-element-cse&cx=010281774999059052996:ah8nxmtg1lk&q=https://www.opa.ca.gov/AboutOPA/Documents/PolicyBrief-LEP_HMO_Enrollees-Feb%25202013.pdf&sa=U&ved=2ahUKEwiGrYvggIryAhVypIsKHUnGCqc4PBAWMAZ6BAgDEAE&usg=AOvVaw1-Ll34pyMggk4XTbVn01bt