,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #higj  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ba1 #bjbf,mr4  
,goldman of ,new ,york 7for himself and 
,mr4 ,moore of ,utah7 introduced the    
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to direct the ,secretary of 
,health and ,human ,services to conduct 
research to advance the understanding of
 gambling disorder1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,gambling ,disorder 
,health ,study ,act4  #b4 ,findings     
,congress finds that--  7#a7 gambling   
disorder was categorized as a behavioral
 addiction in #bjac in the ,diagnostic  
and ,statistical ,manual of ,mental     
,disorders 7#eth ed41 text rev4 #bjbb7  
published by the ,american ,psychiatric 
,association2  7#b7 although gambling   
disorder is categorized along with      
substance-related and addictive         
disorders that include alcohol1 tobacco1
 and drug-related addictions1 no        

,federal agency has been designated to  
fund and guide research1 programs1 or   
policies addressing gambling disorder in
 the ,united ,states on a national      
level2  7#c7 this absence of ,federal   
funding and guidance has resulted in a  
lack of research and resources available
 to address gambling disorder and       
gambling harm2  7#d7 in ,murphy v4      
,national ,collegiate ,athletic         
,association1 #ehd ,u4,s4 #dec 7#bjah71 
the ,supreme ,court overturned the      
,professional and ,amateur ,sports      
,protection ,act 7,public ,law          
#ajb-dbg71 allowing ,states to legalize 
and regulate sports betting2 and  7#e7  
following the ,supreme ,court's ruling  
in that case1 #ch ,states1 the ,district
 of ,columbia1 and ,puerto ,rico        
legalized some form of sports betting1  
consequently making sports betting and  
other forms of gambling more accessible 
and popular and garnering billions of   
dollars of revenue for the gambling     
industries4  #c4 ,research on gambling  

disorder  7a7 ,in general ,the          
,secretary of ,health and ,human        
,services 7in this section referred to  
as the ,secretary7 shall carry out a    
program 7in this section referred to as 
the program7 under which the ,secretary 
shall conduct research1 either directly 
or through agreements with other public 
or nonprofit private entities1 to       
advance the understanding of gambling   
disorder1 including its origins1        
manifestations1 and long-term effects4  
7b7 ,research objectives ,the research  
to be conducted under subsection 7a7    
shall include--  7#a7 efforts to        
identify the initial emergence or       
earliest documented cases of gambling   
disorder and the developments leading to
 its categorization as a behavioral     
addiction in the ,diagnostic and        
,statistical ,manual of ,mental         
,disorders 7#eth ed41 text rev4 #bjbb72 
7#b7 investigation of the long-term     
psychological1 social1 economic1 and    
behavioral impacts of gambling disorder 

on affected individuals1 communities1   
and public discourse2  7#c7 analysis of 
the effects of mobile1 online1 and      
app-based gambling technologies on the  
prevalence1 development1 and progression
 of gambling disorder2  7#d7 examination
 of the implications of related         
technology mediated behavioral          
activities1 including video games1      
social media1 in-app purchases1 and     
virtual reality platforms1 on the       
prevalence1 development1 and progression
 of gambling disorder2  7#e7 analysis of
 the contributing factors to1 and the   
policy implications of1 the development 
and spread of gambling disorder1        
including sports betting legalization1  
media exposure1 political polarization1 
and social dynamics2  7#f7 exploration  
of potential interventions1 treatments1 
coping mechanisms1 and strategies to    
mitigate the adverse effects of gambling
 disorder1 as applicable2  7#g7 analysis
 of the demographics of those           
individuals who are susceptible to      

gambling harm or already diagnosed with 
gambling disorder1 as well as the       
demographics of individuals who partake 
in individual gambling types2 and  7#h7 
comparative analysis of the regulatory  
and public health frameworks of other   
economically developed countries with   
respect to gambling1 including the      
effectiveness of any prevention policy  
approaches and risk reduction measures  
for individuals exhibiting signs of     
gambling disorder1 and the circumstances
 under which such countries have        
modified or reversed policies that had  
liberalized gambling and the outcomes of
 those actions4  7c7 ,participation of  
,federal agencies and other entities    
,the ,secretary shall carry out         
subsection 7a7--  7#a7 in consultation  
with the ,national ,institutes of       
,health1 the ,assistant ,secretary for  
,planning and ,evaluation1 the          
,comptroller ,general of the ,united    
,states1 and the ,national ,academies of
 ,science1 ,engineering1 and ,medicine2 

and  7#b7 in collaboration with the     
heads of other ,federal and ,state      
agencies1 academic institutions1 and    
relevant organizations4  7d7 ,annual    
report to ,congress ,not later than #b  
years after the date of enactment of    
this ,act1 and annually thereafter      
during the term of the program1 the     
,secretary shall submit to the          
,committee on ,energy and ,commerce of  
the ,house of ,representatives and the  
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate a  
report on the progress of research      
conducted under this section1           
including--  7#a7 findings relating to  
the initial emergence1 demographic      
analyses1 public health impact1 and     
long-term effects of gambling disorder  
and engagement with gambling types2 and 
7#b7 recommendations for further        
research1 public health actions1        
treatments1 preventative measures1 and  
public policies relating to gambling    
disorder and mitigating gambling harm4  

7e7 ,definitions ,in this section3  7#a7
  ,gambling disorder  ,the term gambling
 disorder has the meaning given such    
term in the ,diagnostic and ,statistical
 ,manual of ,mental ,disorders 7#eth    
ed41 text rev4 #bjbb7 7or a successor   
edition7 and includes--  7,a7           
pathological gambling2  7,b7 gambling   
addiction2 and  7,c7 compulsive         
gambling4  7#b7 ,gambling type ,the term
 gambling type includes--  7,a7         
lotteries and scratch-offs2  7,b7 sports
 betting2  7,c7 prediction markets2     
7,d7 casino games2  7,e7 horse racing2  
7,f7 online gambling2  7,g7 social      
gaming with virtual currency2  7,h7     
betting on esports2 and  7,i7 other     
activities that involve risking money or
 other stakes in a game or bet1 as      
determined by the ,secretary4  7f7      
,authorization of appropriations ,there 
is authorized to be appropriated to     
carry out this section for each of      
fiscal years #bjbg through #bjbi the    
amount that is #aj percent of the amount

 estimated by the ,secretary of the     
,treasury as being equal to the amount  
of taxes received under section         
#ddja7;a77#a7 of the ,internal ,revenue 
,code of #aihf during the preceding     
fiscal year4 ,such sums shall remain    
available until expended4