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Medi-Cal

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California will become the first state to allow unauthorized immigrant adults to receive full Medicaid coverage when it expands eligibility to people ages 19 to 25 in January. But health officials and immigrant rights advocates wonder whether fear of federal immigration policy combined with a youthful sense of not needing health insurance will keep those young adults from joining.

Throughout her young life, Sylvia Colt-Lacayo has been told her disability didn’t need to hold her back. She graduated near the top of her high school class. She was co-captain of the mock trial team. In April, she learned she had been admitted to Stanford University with a full scholarship. Now, the struggle to fund the caregivers she needs to leave home is proving her toughest battle yet.