The core problem is that in 10 non-expansion states (Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, and Wyoming) young adults with chronic health conditions face a health insurance coverage gap from ages 19-26. At 19, they lose pediatric Medicaid coverage, yet many work entry-level jobs without benefits, earn too much for traditional Medicaid but too little for private insurance. Even the ACA provision allowing young adults to stay on parents' insurance until 26 only helps those whose parents have employer coverage.