Older adults with significant cognitive decline (e.g., dementia or Alzheimer’s disease) and who gamble are particularly at risk for developing gambling problems. However, the gambling industry has no official policy that directly addresses older adult gamblers with cognitive impairment. Thus, this report summarizes existing policies and practices of the gambling industry related to cognitive impairment. This report also describes policies and practices from the finance industry that may be used to limit the spending of older adult gamblers with cognitive impairment.