New York

New York has one of the largest and most active gambling markets in the country. Online sports betting launched in January 2022 and has since become the largest mobile sports betting market in the United States with multiple major operators competing statewide. The state lottery is the largest in the country, and tribal casinos, commercial casinos, racinos, and off-track betting complete a landscape that is dense, heavily advertised, and deeply embedded in daily life. Three new downstate commercial casino licenses, Bally’s Bronx, Hard Rock Metropolitan Park near Citi Field, and Resorts World NYC, have been approved and are expected to open by the end of the decade.

New York does fund gambling treatment through state resources. The New York Council on Problem Gambling (NYCPG), funded by OASAS, works to raise awareness and connect New Yorkers to treatment services statewide. The OASAS HOPEline (1-877-846-7369) provides 24/7 support by call or text. That said, funding is inconsistent and while commercial casinos and mobile sports betting contribute to treatment funds, the state lottery, which accounts for nearly 60% of gross gambling revenue, contributes nothing toward problem gambling treatment.

For some New Yorkers who need specialized, structured outpatient care focused specifically on gambling disorder, state resources may provide a good starting point. Clear Odds offers a dedicated clinical program for those ready to go further, and welcomes clients traveling from New York for care.