Pennsylvania Launches Underage Gambling Campaign Ahead of March Madness 2026

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TLDR Pennsylvania Gaming Control Board launched “What’s Really at Stake” campaign targeting underage gambling during March Madness 75% of U.S. college students gambled in the past year according to CollegeGambling.org 58% of 18–22-year-olds engaged in sports betting per a 2023 NCAA report Illegal and unregulated gambling sites are cited as a major driver of youth gambling Calls to Pennsylvania’s 1-800-GAMBLER helpline from young people have increased in recent years

The Pennsylvania Gaming Control Board has launched a new advertising campaign aimed at reducing underage gambling. The initiative is called “What’s Really at Stake” and it went live during Problem Gambling Awareness Month.

The timing is no accident. March Madness is one of the biggest betting events of the year in the United States. The NCAA basketball tournaments draw massive wagering activity across the country.

The campaign uses social media, online ads, promotional materials, and a dedicated website at WhatsReallyatStake.com. All resources are available for free download by schools, counselors, and individuals.

PGCB executive director Kevin O’Toole said the agency’s main mission is to protect the public. He said that mission now includes a focus on young people who may be exposed to gambling at an early age.

O’Toole pointed to the spread of illegal and unregulated gambling websites as a key factor. He said licensed operators in Pennsylvania have tools to block underage users, but unregulated sites do not carry those protections.

Research Shows Youth Gambling Rates Are High

Data cited by the PGCB paints a concerning picture. According to CollegeGambling.org, 75% of U.S. college students gambled in the past year, either legally or illegally.

Of those students, 18% gambled weekly or more often. Only 22% of U.S. colleges and universities have formal gambling policies in place.

A 2023 NCAA report found that 58% of people aged


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