Following the repeal of the Professional and Amateur Sports Protection Act (PASPA) in 2018, gambling fever has swept large sections of the US, with 40 jurisdictions since taking up the option to offer legal wagering. 

The National Council on Problem Gambling (NCPG) launched PGAM in 2003 with the aim of raising awareness on the issue. Since its inception, and particularly post-PASPA, the event has marked an important month in the calendar in the fight for responsible gambling (RG).