State and local-level rules for psychedelic guides and facilitators
Oregon and Colorado are the first two states to decriminalize psilocybin and other psychedelics in the United States. However, their regulations and license requirements vary dramatically.
OregonIn Oregon, anyone over the age of 21 can consume psilocybin in therapeutic settings, when led by a state-licensed facilitator (it cannot be sold and taken home for private use). There are strict rules that the dosing session be conducted in a “non-directive” manner, meaning that there cannot be any direction or therapy discussion during the dosing session. Facilitators are restricted from using the word “therapy” in the administration of psychedelics, although the protocols and processes are often the same as traditional PAT. Also, facilitators are restricted in their ability to use any professional licenses while facilitating a dosing session.Oregon facilitation requirements
  • Training: Completion of an Oregon Health Authority approved training program is mandatory. These programs must include at least 120 hours of core training and a minimum of 40 hours of hands-on practicum experience.
  • Licensing exam: After completing the training, you must pass a licensing exam administered by the Oregon Health Authority.
  • Ongoing requirements: Licensed facilitators are required to maintain their licenses, which include continuing education and renewal processes.
ColoradoColorado was the second state to decriminalize psilocybin, and is currently rolling out its rules and regulations. The draft rules for psychedelic guides were released in February 2024, and draft final rules were released in August 2024. City-level and local rulesEven within states without formal guidance, at the local level, cities and towns have relaxed laws and regulations about psychedelics. You can view the great visual tracker of state and local laws at Psychedelic Alpha.
    Sachi's take on new regulationsThere are four types of licenses for facilitators, with each license allowing different categories for facilitation and guidance of psychedelic services. All facilitators must complete (at a minimum) 150 hours of education, 40 hours of supervised practice, and 50 hours of consultation in order to be licensed. “Healing Centers” will be licensed by the Colorado Department of Revenue and are divided into large scale “Service Centers” and smaller scale “micro-healing centers.” Before offering psychedelic services, safety screenings are mandatory to identify risk factors for both mental and physical conditions, and will determine the level of license required for facilitation. Residential (at-home) facilitation is allowed with specific rules about max dose and monitoring (this is very different from the rules in Oregon). License fees for businesses operating under the natural medicine law are still under review.
    Recommended reading


    Oregon Health Authority fact sheet for facilitators
    Oregon psilocybin services info sheet
    Special thanks to our friends at Psychedelic alpha for their great summary of the newly released Colorado's regulations
    State of Colorado Department of Regulatory Agencies official site for natural medicine
    State of Colorado Health Blog overview of psychedelic laws
    For those interested in national-level credentialing, or governing bodies for psychedelic-assisted therapy, there are several associations and groups with courses available: Psychedelic Medicine Association (PMA); American Psychedelic Practitioners Association (APPA); Vital Psychedelics
    The information on this site is for educational purposes only and is not intended as medical advice. Psychedelics may or may not be legal in your jurisdiction. Consult a lawyer if you have questions about the law, and consult your care team before making any decisions about your health. Legal notice.
    Note: There are several psychedelics under investigation for treatment of the mental and emotional symptoms of cancer. While we focus almost exclusively on psilocybin, we will include breaking information from trusted sources about others (MDMA, Ketamine, etc.).