‘‘(2) a process by which an individual may add 
or remove himself or herself from the national self- 
exclusion list. 
‘‘(b) DEFINITIONS.—In this section, the terms 
‘sports wager’, ‘sports wagering operator’ and ‘sports wa-
gering opt-in State’ have the meanings given to such terms 
in section 2 of the Supporting Affordability and Fairness 
with Every Bet Act of 2024.’’. 
SEC. 203. SURGEON GENERAL’S REPORT ON PUBLIC 
HEALTH 
CHALLENGES 
ASSOCIATED 
WITH 
SPORTS BETTING. 
Not later than 1 year after the date of enactment 
of this Act, the Surgeon General shall submit a report to 
Congress on the public health challenges associated with 
widespread sports betting. 
SEC. 204. SURVEILLANCE OF GAMBLING DISORDER. 
Title III of the Public Health Service Act is amended 
by inserting after section 317V (42 U.S.C. 247b–24) the 
following: 
‘‘SEC. 317W. SURVEILLANCE OF GAMBLING ADDICTION. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention and in coordination with other appropriate agen-
cies, shall, as appropriate— 
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‘‘(1) enhance and expand infrastructure and ac-
tivities to track the epidemiology of gambling addic-
tion; and 
‘‘(2) incorporate information obtained through 
such infrastructure and activities into an integrated 
surveillance system, which may consist of or include 
a registry, to be known as the ‘National Gambling 
Addiction Surveillance System’. 
‘‘(b) RESEARCH.—The Secretary shall ensure that 
the National Gambling Addiction Surveillance System, if 
established, is designed in a manner that facilitates fur-
ther research on gambling addiction. 
‘‘(c) PUBLIC ACCESS.—Subject to subsection (d), the 
Secretary shall ensure that information and analysis in the 
National Gambling Addiction Surveillance System, if es-
tablished, are available, as appropriate, to the public, in-
cluding researchers. 
‘‘(d) PRIVACY.—The Secretary shall ensure that in-
formation and analysis in the National Gambling Addic-
tion Surveillance System, if established, are made avail-
able only to the extent permitted by applicable Federal 
and State law, and in a manner that protects personal 
privacy, to the extent required by applicable Federal and 
State privacy law, at a minimum.’’. 
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TITLE III—GENERAL 
PROVISIONS 
SEC. 301. STATE AND TRIBAL AUTHORITY. 
(a) RELATION
TO INDIAN GAMING REGULATORY 
ACT.— 
(1) IN GENERAL.—For purposes of the Indian 
Gaming Regulatory Act (25 U.S.C. 2701 et seq.), a 
sports wager made through an interactive sports wa-
gering platform shall be deemed to be made at the 
physical location of the server or other equipment 
used to accept the sports wager. 
(2) SERVER ON INDIAN LANDS.—With respect 
to a sports wager described in paragraph (1) accept-
ed through a server or other equipment located on 
Indian lands, the sports wager shall be considered to 
be exclusively occurring on Indian lands if— 
(A) the sports wager and the server are in 
the same State; and 
(B) the applicable State and Indian Tribe 
have entered into a Tribal-State compact au-
thorizing the placing of sports wagers through 
interactive sports wagering platforms. 
(b) NO PREEMPTION.—Nothing in this Act preempts 
or limits the authority of a State or an Indian Tribe to 
enact, adopt, promulgate, or enforce any law, rule, regula-
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tion, or other measure with respect to sports wagering 
that is in addition to, or more stringent than, the require-
ments of this Act. 
(c) TAXATION OF SPORTS WAGERING.—Nothing in 
this Act limits or otherwise affects the taxation of sports 
wagering by a State, an Indian Tribe, or a locality. 
SEC. 302. SEVERABILITY. 
If a provision of this Act, an amendment made by 
this Act, a regulation promulgated under this Act or under 
an amendment made by this Act, or the application of any 
such provision, amendment, or regulation to any person 
or circumstance, is held to be invalid, the remaining provi-
sions of this Act, amendments made by this Act, regula-
tions promulgated under this Act or under an amendment 
made by this Act, or the application of such provisions, 
amendments, and regulations to any person or cir-
cumstance— 
(1) shall not be affected by the invalidity; and 
(2) shall continue to be enforced to the max-
imum extent practicable. 
Æ 
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