States that have medical treatments with psyclobin ttherapies for PTSD and treatment resistant depression

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States with Legalized Psilocybin Therapy

Oregon
Oregon was the first state to both decriminalize psilocybin and legalize its supervised use. In November 2020, voters passed Measure 109, which established a regulated program for adults to access psilocybin services in licensed facilities under the guidance of trained facilitators. This program is not limited to medical use-clients do not need a diagnosis or referral, but all use must occur in licensed centers with oversight134567.

Colorado
Colorado followed Oregon by passing Proposition 122 in November 2022, legalizing supervised psilocybin use in state-regulated healing centers. As of March 2025, Colorado has issued licenses for medical-assisted psilocybin use, allowing adults to access therapy in controlled settings123456.

New Mexico
In April 2025, New Mexico enacted the Medical Psilocybin Act, creating a regulated therapeutic psilocybin program. This law allows patients with certain qualifying conditions to use psilocybin under the supervision of licensed healthcare providers. The program is overseen by a Medical Psilocybin Advisory Board and is designed to serve as a model for medicalized access12.

Cities and Counties with Decriminalized Psilocybin

While decriminalization does not mean full legalization or regulated therapy, many cities have deprioritized enforcement of psilocybin possession and use. Notable cities include:

  • Denver, Colorado (first city to decriminalize, May 2019)

  • Oakland and Santa Cruz, California

  • Washington, D.C.

  • Somerville, Cambridge, and Northampton, Massachusetts

  • Seattle, Washington

  • Detroit, Michigan

  • Washtenaw County, Michigan

  • Arcata, California1

Decriminalization in these areas generally means law enforcement treats psilocybin possession and use as the lowest priority, but does not create a legal framework for supervised therapy.

States Considering or Advancing Legislation

Several states are actively considering or have introduced legislation for psilocybin therapy or decriminalization:

  • Massachusetts: Debating both a regulated access bill and a decriminalization bill2.

  • Minnesota: Proposed a tightly regulated therapeutic program for adults with qualifying conditions2.

  • New Jersey: Considering a comprehensive therapeutic access bill for behavioral health treatment24.

  • Connecticut, California, and others: Have introduced or are considering similar bills45.

Key Points of Comparison

State/CityLegalized TherapyDecriminalizedNotes
OregonYesYesFirst state with regulated psilocybin therapy centers1357
ColoradoYesYesState-regulated healing centers, licenses issued in 20251236
New MexicoYes (medical)NoMedical Psilocybin Act for qualifying conditions, 202512
Denver, CONoYesFirst city to decriminalize1
Oakland, CANoYesDecriminalized1
Santa Cruz, CANoYesDecriminalized1
Washington, D.C.NoYesDecriminalized1
Somerville, MANoYesDecriminalized1
Cambridge, MANoYesDecriminalized1
Northampton, MANoYesDecriminalized1
Seattle, WANoYesDecriminalized1
Detroit, MINoYesDecriminalized1

Summary

  • Oregon, Colorado, and New Mexico are the only states with legalized, regulated psilocybin therapy as of May 2025.

  • Numerous cities-including Denver, Oakland, Santa Cruz, Washington, D.C., Seattle, and several in Massachusetts-have decriminalized psilocybin, but do not have legal therapeutic programs.

  • Many other states are considering or advancing legislation, but have not yet enacted full legalization for therapy1234567.

Citations:

  1. https://en.wikipedia.org/wiki/Psilocybin_decriminalization_in_the_United_States
  2. https://statecapitallobbyist.com/healthcare/state-lawmakers-consider-psilocybin-legislation-to-expand-access-and-reduce-penalties/
  3. https://psychedelicalpha.com/data/psychedelic-laws
  4. https://theweek.com/drugs/1024449/the-state-of-psychedelic-therapy-in-the-us
  5. https://www.astho.org/communications/blog/state-policies-supporting-evidence-based-therapeutic-psilocybin-use/
  6. https://www.psychiatrist.com/news/colorado-becomes-second-state-to-legalize-psychedelic-mushrooms/
  7. https://pmc.ncbi.nlm.nih.gov/articles/PMC10069558/
  8. https://recovered.org/hallucinogens/psilocybin/psilocybin-legal-status
  9. https://harris-sliwoski.com/psilocybin-map/
  10. https://www.verywellmind.com/where-are-psychedelics-legal-for-therapeutic-use-6827701
  11. https://psychedelics.berkeley.edu/law-and-policy-map/
  12. https://www.nytimes.com/2023/01/03/health/psychedelic-drugs-mushrooms-oregon.html
  13. https://www.psychedelicpassage.com/where-to-find-legal-psychedelic-therapy-in-2025/
  14. https://psychedelicalpha.com/news/2025s-psychedelic-policy-surge-a-state-by-state-bill-by-bill-analysis
  15. https://reason.org/commentary/state-psychedelics-legalization-and-policy-roundup-february-2025/
  16. https://maps.org
  17. https://www.bbc.com/future/article/20240320-legal-status-of-psychedelics-around-the-world

Answer from Perplexity: pplx.ai/share

Qualifying Conditions for Psilocybin Therapy in New Mexico

Under the Medical Psilocybin Act, the following conditions currently qualify for access to psilocybin therapy in New Mexico:

  • Major treatment-resistant depression

  • Post-traumatic stress disorder (PTSD)

  • Substance use disorders

  • End-of-life care12345678

The Department of Health also has the authority to approve additional qualifying conditions in the future, based on emerging research and recommendations from a Medical Psilocybin Advisory Board12468.

Patients-including minors with provider approval-must be diagnosed with one of these qualifying conditions to access therapy, which will be administered under the supervision of licensed healthcare professionals in approved settings12458.

Citations:

  1. https://healthesystems.com/regulatory/new-mexico-enacts-psychedelic-therapy-bill/
  2. https://www.marijuanamoment.net/new-mexico-governor-signs-bill-to-create-psilocybin-therapy-program-legalizing-medical-use-of-the-psychedelic/
  3. https://endoflifeoptionsnm.org/medical-psilocybin-act-awaits-signature/
  4. https://www.nmlegis.gov/Sessions/25%20Regular/bills/senate/SB0219.HTML
  5. https://josephrosadomd.com/psilocybin-therapy-newmexico/
  6. https://psychedelicalpha.com/news/breaking-new-mexico-passes-nations-first-legislature-driven-psilocybin-access-act
  7. https://cannabistaxattorney.com/new-mexico-legalizes-psilocybin-magic-mushrooms-therapy/
  8. https://www.nmhealth.org/about/mcp/svcs/mpp/

Answer from Perplexity: pplx.ai/share

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