In this position report, the U.S. non-profit Campaign for Accountability provides an overview the gambling industry’s efforts to prevent consumer protection measures. The report outlines what is known about gambling harm in the United States and some safeguards to reduce the harmful impacts of gambling (e.g., advertising restrictions, reducing appeal to youth and young people, bans on in-play betting, and requiring more safeguards as part of apps). Details regarding the industry's counter efforts are drawn from public documents and broken down by state.