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This study compares bias-based and non-bias-based bullying in terms of their prevalence rates across years and their impacts on students’ self-esteem, social relationships, schoolwork, and physical health. The ordered logit model was conducted using a national sample of adolescents aged 12 to 18 in the U.S. to test the differential impacts of bias-based bullying and the buffering role of social support, as suggested by the Minority Stress Theory. The prevalence rates of bias-based bullying have been consistently increasing since 2015 whereas the prevalence rates of non-bias-based bullying showed a sharp decline in 2022. Bullying victims reporting negative effects are more likely to have low and moderate than high levels of bullying impacts. For each level of bullying impact (low, moderate, and high), victims of bias-based bullying have a higher probability of having effects than victims of non-bias-based bullying. White students are more vulnerable to having high levels of bullying impacts on self-esteem while Asian students are more vulnerable to having high levels of bullying impacts on schoolwork, social relationships, and physical health. Social support ameliorates the negative impacts of bullying victimization and an increase in social support benefits the victims of bias-based bullying more than the victims of non-bias-based bullying.