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Texas Doctors Push 21+ Age Limit for Prediction Markets

The Texas Medical Association is urging lawmakers to set a 21+ age limit and ad restrictions for prediction markets
Texas doctors push for restrictions on prediction market firms.
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State of Play’s TL;DR

  • Texas doctors are asking lawmakers to put new guardrails on prediction markets, including a minimum participation age of 21 and tighter ad rules.
  • The move adds another layer to the national fight over whether platforms like Kalshi and Polymarket are regulated financial products, gambling-adjacent products, or both in practice.

The Texas Medical Association is urging state lawmakers to regulate prediction market platforms, arguing they can encourage gambling addiction among adolescents and young adults.

Its proposal includes a minimum age of 21, restrictions on advertising near schools and parks, and limits on social media marketing.

The group also wants ads barred from using celebrities, cartoons, or characters from games and shows marketed toward teens and children.

Pediatrician says prediction markets no different from gambling

Dr. Lindy McGee, a pediatrician involved in the push, told KERA that prediction markets are “no different psychologically than any other type of gambling,” even if they do not technically fall under that legal category.

Texas is one of 11 states where sports betting is illegal, so any new scrutiny of prediction markets lands in a state that has long taken a restrictive approach to wagering.

McGee also warned about easy access for younger users:

“Basically, you have a situation right now where high school seniors are legally walking around with Vegas in their pockets.”

Lt. Gov. Dan Patrick previously instructed the Senate State Affairs Committee to study prediction markets as possible gambling loopholes, giving the issue a clear foothold in Texas policy discussions.

Another layer in fight

The Texas debate is notable because it targets access and marketing rather than just legality. A 21-plus rule would mirror the age standard commonly seen across much of the US gambling industry, while ad restrictions would aim squarely at how these platforms reach younger audiences.

The proposal could also sharpen the state-versus-federal clash around prediction markets. A Polymarket spokesperson said state legislative efforts “run counter” to the federal regulatory framework overseen by the Commodity Futures Trading Commission.

“We look forward to addressing these claims through the appropriate legal process.”

KERA reported that it did not receive a response from Kalshi or the Coalition for Prediction Markets before publication.

That tension matters beyond Texas. Prediction markets have become a live issue in US gambling regulation because they sit near the boundary between trading and wagering. If lawmakers in a major state move to impose age and advertising limits, other states could be watching closely.

Based on reporting by Abigail Ruhman for KERA News.

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Ian St. Clair

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Ian St. Clair is a lover of words, vocal or written. Naturally, that makes Ian a great communicator and leader. Ian is curious and driven, always looking to improve, and always welcomes a challenge. Ian is authentic, possesses high-level emotional intelligence, and knows just when to crack a joke. A University of Northern Colorado graduate, Ian is now an expert in the US online gambling field, where he's been for over 5 years. Ian also has over a decade of journalism experience covering college and professional athletics, as well as the symphony and theater. Ian's a lover of history, news, and bacon. Oh, and tacos.

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