  We show that the ratio of molecular to atomic gas in galaxies is determined
by hydrostatic pressure and that the relation between the two is nearly linear.
The pressure relation is shown to be good over three orders of magnitude for 14
galaxies including dwarfs, HI-rich, and H_2-rich galaxies as well as the Milky
Way. The sample spans a factor of five in mean metallicity. The rms scatter of
individual points of the relation is only about a factor of two for all the
galaxies, though some show much more scatter than others. Using these results,
we propose a modified star formation prescription based on pressure determining
the degree to which the ISM is molecular. The formulation is different in high
and low pressure regimes defined by whether the gas is primarily atomic or
primarily molecular. This formulation can be implemented in simulations and
provides a more appropriate treatment of the outer regions of spiral galaxies
and molecule-poor systems such as dwarf irregulars and damped Lyman-alpha
systems.
