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Illinois operates one of the nation’s most expansive gaming markets with 17 casinos, over 36,000 video gaming terminals, and comprehensive sports betting legalized June 28, 2019. The Illinois Gaming Board (IGB) administers regulation for all formats.
Illinois faces significant challenges: 3.8% of adults (383,000 people) have gambling problems; an additional 7.7% (761,000 people) are at risk—over 1 million Illinoisans total. The state budgeted $10 million for gambling disorder services in SFY23, funding 26 treatment programs and training 245+ clinicians.
Illinois’s Self-Exclusion Program (implemented 2002, expanded to sports betting 2020) requires a minimum five-year exclusion—among the longest in the U.S. September 2024 advertising regulations banned “risk-free” language across all gaming. April 2025 credit card prohibition for sports betting makes Illinois the 7th state with such ban.
Requirement Category | Key Obligations |
Player Protection | Mandatory 5-year minimum self-exclusion (longest in U.S.) covering casinos, sports betting, video gaming; in-person enrollment at IGB offices at all casinos; removal requests after 5 years may be approved or denied; operators may deny privileges even after list removal. |
Problem Gambling Scale | 3.8% (383,000) have gambling problem; 7.7% (761,000) at risk; 68% gambled past year; lottery most popular (54.2%), followed by gambling with friends (33%), sports betting (15.3%); first statewide needs assessment 2022. |
Treatment & Funding | $10M budgeted SFY23; $4M public awareness FY26; $2M outreach FY24; 26 programs funded through SFY22; 13,037 assessments in SFY21 (440% increase); 245+ clinicians trained; services funded by gambling tax revenues. |
Helpline Resources | Are You Really Winning / WeKnowTheFeeling.org (24/7); 1-800-GAMBLER; text "ILGamb" to 833234; free, confidential, any language; specialists connect with treatment/recovery. |
Advertising (Sept 2024) | Banned "risk-free"/"free bet"/"cost-free"; no ads where majority under 21; prohibited on college campuses/media; no college students depicted; gambling logos banned on underage products; marketing must include opt-out. |
Credit & Payments | Credit card ban for sports betting (April 2025, 7th state); casinos may extend credit if commercially reasonable; cashless wagering required (tokens/cards/chips); cryptocurrency not accepted. |
Age & Access | 21+ for all gaming; no free alcohol (Illinois Liquor Control Commission prohibition); signs at entrances/exits regarding problem gambling assistance; Smoke Free Illinois Act restrictions apply. |
Illinois’s Self-Exclusion Program (SEP), implemented 2002 and expanded to sports betting 2019, requires a minimum five-year exclusion—among longest mandatory minimums nationally.
Enrollment: In-person at IGB offices at all casinos (no online/mail/phone enrollment). No fees charged. Contact: (312) 814-8832 or 1-(877) 968-7848.
Coverage: Persons excluded from entering casino areas, engaging in gambling, and participating in sports wagering (retail and online).
Consequences: Names flagged in all mailing/marketing lists. No marketing materials sent. Cannot gamble or collect winnings. Violations subject to enforcement.
Removal: After 5 years, may request removal based on elimination of underlying mental health/medical condition. IGB Administrator reviews and may approve or deny. Operators may continue denying privileges even after official removal. Denials reviewable by IGB Board; closed proceedings protect confidentiality.
Rules: Sections 745-790 of Illinois Gaming Board’s Adopted Rules (86 Ill. Admin. Code, Tit. 86, pt. 3000).
IDHS/SUPR Leadership: Illinois Department of Human Services’ Division of Substance Use Prevention and Recovery licenses, funds, and oversees all gambling disorder services.
2022 Needs Assessment: First comprehensive statewide assessment found 3.8% (383,000) with problems, 7.7% (761,000) at risk. Report includes 10 strategic recommendations for prevention, treatment, awareness, and addressing disparate impacts on marginalized populations.
Treatment Network: 26 programs funded through SFY22 (21 provide outpatient treatment/outreach). In SFY21, 13,037 assessments conducted (440% increase), followed by 185% increase in treatment admissions.
Clinician Training: 245+ clinicians trained over two years. Monthly webinars, two-day Summit on Problem Gambling, 30-hour Gambling Counselor Training offered.
Screening: Mandatory use of NODS, BBGS, or GA 20 screen prior to ASAM assessment. If positive, ASAM assessment must incorporate gambling disorder guidelines.
Funding: Gambling disorder treatment not Medicaid-covered; services billed to SUPR funding using DARTS software with “L” tag. All funding from gambling tax revenues.
Are You Really Winning / We Know The Feeling:
Specialists trained in evidence-based approaches connect callers with treatment and recovery support. Website includes self-assessment tools, stories of hope, provider resources.
Illinois Council on Problem Gambling: Privately funded by grants/donations. Annual state appropriation required for compulsive gambling program. Provides training, education, advocacy.
IGB adopted comprehensive advertising rules extending sports betting restrictions to casinos and video gaming, creating uniform standards.
Prohibited Language: Cannot imply gambling as “risk-free” or describe as “free”/”cost-free”/”free of risk” if patrons must risk own money.
Youth Protection:
Marketing Requirements: All communications must include easily accessible opt-out option. No gambling messages on problem gambling assistance websites.
Liability: Master licensees liable for actions by marketing affiliates on their behalf.
IGB adopted prohibition on credit cards funding sports betting accounts (pending JCAR approval). Illinois becomes 7th state with such ban, joining Iowa, Massachusetts, Tennessee, others.
Rationale: “Growing body of recent research showing restrictions on credit usage encourages responsible gambling and mitigates harms of compulsive gambling. Problem gamblers particularly at risk with often-problematic willingness to use credit cards.” — IGB Administrator Marcus D. Fruchter
Integration with Cashless: Credit ban coexists with cashless wagering modernization. Digital wallets/casino accounts subject to credit ban, self-exclusion controls, age restrictions, AML safeguards.
Existing Restrictions: Casino and video gaming credit card prohibitions long existed; sports betting ban extends protection uniformly.
Casino Gaming (Graduated):
Sports Betting: 20% (increased from 10% in 2024 budget)
Admissions: $2/person (Casino Rock Island), $3/person (other casinos/racinos)
Problem Gambling Allocation: Remaining casino gambling funds after designated allocations are distributed to problem gambling programs.
Illinois demonstrates comprehensive but challenged system addressing substantial problem gambling prevalence through treatment investment, long-term exclusion, and evolving advertising restrictions.
Strengths:
Limitations:
Illinois shows that even multi-faceted frameworks face challenges when problem gambling prevalence is high relative to resources and when voluntary systems require individuals with judgment impairments to initiate protections.