We develop exponential family synthetic controls (EFSC), a distributional version of synthetic controls for a panel of datasets. Each cell of the panel corresponds to a dataset drawn from an exponential family whose natural parameters factorize probabilistically across units and times. We estimate the latent factors using black-box variational inference. This replaces the usual weighted-average view of synthetic controls with a flexible probabilistic model that operates on full distributions. We propose causal estimands based on divergences between pre- and post-intervention distributions induced by the posterior of the natural parameters, together with distributional placebo tests to support causal inference and assess the significance of the estimated effects. We validate the proposed framework on synthetic and real data. Across a variety of exponential-family distributions, EFSC accurately recovers causal effects induced by exponential tilts, together with the corresponding divergences between treated and counterfactual distributions. The framework also captures effects induced by structural perturbations of the latent factors and by heavy-tailed noise contamination. Finally, we apply EFSC to study the expansion of Medicaid under the Affordable Care Act (ACA) and its impact on the distribution of health insurance coverage across U.S. states. Code is available at https://github.com/blei-lab/efsc.

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