This bill amends the Public Health Service Act to establish a new competitive grant program, known as the POINTS Act of 2026. This program empowers States, Indian Tribes, and Tribal organizations to create, enhance, or expand services for individuals at risk of or experiencing clinical gambling addiction. These services encompass a comprehensive range, including prevention, screening, assessment, intervention, and treatment, with an emphasis on culturally and linguistically appropriate care. Grant funds can be utilized for various purposes, such as training healthcare providers, implementing public awareness campaigns, offering specialized treatment like in-person or telehealth options and peer support groups, and establishing or expanding helplines. Priority for these grants is given to applicants serving disproportionately impacted populations (e.g., men, youth, Native Americans, Armed Forces, veterans), operating in primary care settings , partnering with community-based organizations , or located in health professional shortage areas . The bill also mandates annual reports on program effectiveness and authorizes appropriations based on a percentage of federal gambling tax revenue.