LINCOLN—Problem gambling treatment cases in Nebraska have increased 137% since 2019, rising from 174 to 412 annually, as voters prepare to decide on Measures 440 and 441 to legalize online sports betting on Nov. 3. According to the Nebraska Commission on Problem Gambling, electronic skill games and casino slot machines remain the leading sources of gambling problems, accounting for more than 65% of cases, while sports betting accounts for approximately 12%. Officials also noted that growing prediction markets could complicate efforts to measure the impact of expanded online sports wagering.

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