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Gambling Disorder Diagnoses Rise in States with Legal Sports Betting

Researchers analyzed millions of electronic health records. They found a notable increase in gambling disorder diagnoses in states where sports betting became legal compared to those where it did not.

07/21/2026 · South Dakota edition

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Why it matters locally: South Dakota legalized sports betting in Deadwood in 2020, and online in-person on tribal lands, which could lead to a similar rise in gambling disorder diagnoses within the state, mirroring national trends.

Electronic health records from millions of individuals show a rise in gambling disorder diagnoses in U.S. states that legalized sports betting. This increase did not occur in states where sports wagering remained illegal, according to a recent study. The research compared health data from states with legal sports gambling to those without. Analysts specifically focused on diagnosis rates related to gambling disorders. The findings suggest a correlation between the availability of legal sports betting and a greater incidence of these diagnoses. Researchers drew their conclusions from an analysis of extensive electronic health records. These records provided a large dataset for comparing health trends across different regulatory environments regarding sports betting.

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