This bill adds a new grant program to the Public Health Service Act to help states, Indian Tribes, and Tribal organizations set up or expand services for people at risk of or experiencing clinical gambling addiction. The grants are competitive and are run by the Assistant Secretary. Allowed uses include training health workers, prevention and public outreach, outpatient or telehealth treatment, peer support groups (including Gamblers Anonymous), help lines or real-time intervention services, and other innovative services. Grants must offer culturally and linguistically appropriate care. The Assistant Secretary will give priority to programs that serve groups disproportionately affected (including men, youth, Native Americans, members of the Armed Forces, and veterans), operate in primary care settings, partner with community organizations, or serve health professional shortage or rural areas. Applicants must explain how they will increase access and the share of people served. The Assistant Secretary will provide technical assistance and must report to certain congressional committees by December 29, 2027, and annually after that. The bill authorizes funding for fiscal year 2027 equal to 33 percent of the amounts received by the Treasury under Internal Revenue Code section 4401(a) for calendar year 2025, with annual inflation adjustments for 2028–2032.
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