Welcome to the first Trip Report. Every week we'll tell you what actually moved in psychedelic science and policy, how smart people are reading it, and what it means for where your state ranks. This fortnight the federal government did two opposite things at once: the FDA and a House caucus kept building the on-ramp for psychedelic therapy, and the DEA tried, for the second time, to ban five psychedelics, one of which the FDA just called a breakthrough. Out west, Oregon blinked on fees and California wrote its first check.
The Big Stories
Congress & the StatesThe House psychedelics caucus put a federal plan on paper
On October 1 the Congressional Psychedelics Advancing Therapies (PATH) Caucus, co-chaired by Reps. Lou Correa (D-CA) and Jack Bergman (R-MI), released a white paper built from responses to its 2024 request for information. It makes 15 recommendations: national guidance for safe delivery, tiered credentialing so trained facilitators and peer supporters can work alongside licensed clinicians, a national adverse-event monitoring system, a path to Medicare, Medicaid and VA reimbursement, explicit protection for Indigenous and religious use, and guardrails against patents on natural compounds. "Seventy years of war on drugs has really tied us down," Correa told Marijuana Moment. Bergman's framing was narrower: "medical treatments administered by trained professionals in supervised clinical settings."
How it's being read
The enthusiast's case. A bipartisan plan that names insurance coverage, Indigenous protections and anti-monopoly rules in the same breath is the most complete federal picture anyone in Congress has drawn. The report itself expects the first approval by the end of 2026, "with one or more per year subsequently."
The skeptic's case. The paper's own respondents couldn't agree on the biggest question: who gets to do this work. Limit it to licensed clinicians and you protect patients but choke access; open it to community and ceremonial practitioners and you leave the medical model. The report admits the broad approach "is less conventional" and leaves it unresolved.
The sober middle. A white paper is not a bill, and nothing in it changes a law. Its best line is also its warning: "FDA can approve a drug. FDA cannot approve a therapeutic relationship." The hard part was never approval; it's building the clinics, the training and the payment codes.
FDAThe FDA asked how psychedelic therapy should actually be delivered, and the public answered
The FDA's September 14 public hearing, "Considerations for Potential Future Therapeutic Use of Psychedelic Drugs," drew more than 18,000 registrations and about 80 speakers chosen from 200-plus requests, according to a Foley Hoag summary. The written docket (FDA-2026-N-7542) closed October 5. The agency asked about four things only: provider training and credentialing, patient safety, access and coverage, and data collection. Scheduling, legalization and decriminalization were off the table. The hearing follows Executive Order 14401 (April 18), which told agencies to expedite psychedelic research and review, and the FDA's April "national priority vouchers" for psilocybin in depression and methylone in PTSD.
How it's being read
The enthusiast's case. The regulator is designing the delivery system before the first approval instead of after. Speakers pushed for competency-based training that isn't tied to one profession, and for certified care outside hospitals, including rural and telehealth models.
The skeptic's case. Everything that most people mean by "psychedelic reform" was excluded by design. This is the medical lane and only the medical lane. One speaker called reimbursement "a safety question" because "clinics will shut down without it," which is a polite way of saying the economics aren't solved.
The sober middle. The FDA's own words, from the hearing materials: "Neither a priority voucher nor a Breakthrough Therapy designation is an FDA finding of safety or effectiveness." The head of the FDA's drug center co-wrote a New England Journal of Medicine framework before the hearing that put approved treatments as "still likely years away," per Medical Daily.
DEAThe DEA tries again to ban five psychedelics, including one the FDA just fast-tracked
On September 23 the DEA published a proposed rule to put five tryptamines (4-OH-DiPT, 5-MeO-AMT, 5-MeO-MiPT, 5-MeO-DET and DiPT) into Schedule I, the category for drugs with "no currently accepted medical use." It's the same five compounds the DEA proposed in January 2022 and withdrew that July, after roughly 600 public comments and a fight over a hearing. This time the DEA leans on an updated HHS evaluation from April. Its evidence: 518 law-enforcement encounters in total, 65 poison-center exposures between 2000 and 2021, and one death, in 2004, in a person who had also taken alcohol and an antidepressant. Comments and hearing requests are due October 23. The twist: 4-OH-DiPT is the active compound behind luvesilocin, which the FDA granted Breakthrough Therapy status for postpartum depression on February 23, with a Phase 3 trial planned this year.
How it's being read
The enthusiast's case. The DEA says the compounds mimic DMT and psilocybin, are used "on their own initiative rather than on the basis of medical advice," and have no approved product anywhere. Scheduling, in this view, is routine housekeeping for drugs that look and act like drugs already scheduled.
The skeptic's case. "Four years ago DEA withdrew this same proposal after experts across the field made an enormous effort to demonstrate why these compounds have no place on Schedule I," patent attorney Graham Pechenik told The Microdose. Schedule I makes every lab study a licensing project. Mindstate's CEO said the agency is "being asked to apply a 20th-century category system to a 21st-century measurement problem."
The sober middle. On the same day, a GAO audit found the DEA followed HHS's recommendation on all 84 scheduling rules it finalized from 2020 through 2025, and that neither the DEA nor the FDA has comprehensive written policies for how they decide. Both agreed to write some. So the fight is really over HHS's April evaluation, and over whether "no accepted medical use" can survive a breakthrough designation.
OregonOregon blinked on doubling its psilocybin fees, and the budget hole is still there
On September 22 the Oregon Health Authority said it will not adopt the fee increases it floated in June for the state's licensed psilocybin program, citing feedback from its advisory board and the public comment period. The plan would have doubled fees across the supply chain, including the application fee ($500 to $1,000) and the annual facilitator license ($2,000 to $4,000), and ended discounts for veterans and low-income applicants. State documents reported by the Oregon Capital Chronicle show the program is short about $3.8 million this budget cycle even without the increases, and licenses have dwindled since the program opened in 2023. The 2020 campaign promised the program would pay for itself through fees.
How it's being read
The enthusiast's case. "This was an industry fighting for its survival, and it really came together," said Andreas Met of Satya Therapeutics. Every speaker at the public hearing opposed the increases, and the agency listened.
The skeptic's case. Nothing was fixed. The agency is now eyeing the 15 percent tax on psilocybin products, and the fiscal analysis landed days before comments closed, after a rulemaking notice said the impact "cannot be quantified at this time."
The sober middle. Sam Chapman, who ran the 2020 ballot campaign, put it plainly: "The program's budget gap hasn't gone away, and the 2027 legislature will decide how to fund it." The first legal psilocybin program in the country is now a budget line, and budget lines get cut.
What it means for the Atlas
Oregon's entry gets a new note: fees held, shortfall unresolved, decision moved to the 2027 session. Its "small step" for residents was already "fully fund the program and protect it from rollback." It just got more specific.
CaliforniaCalifornia's first state money for psychedelic research goes to veterans
Governor Newsom signed Assembly Bill 113 on September 18, putting $4.7 million into psychedelic-assisted therapy research for veterans with PTSD, traumatic brain injury, addiction and other service-related conditions (bill text). The money runs through the California Initiative to Advance Precision Medicine, which expects to issue a request for applications later this year, according to The Microdose. It's the state's first appropriation for this research, and the third year in a row California has passed a psychedelic research law, after bills easing study approvals in 2024 and 2025. Sen. Brian Jones (R-Santee) pushed the idea for three years before it was folded into the budget, per KPBS.
How it's being read
The enthusiast's case. "AB 113 puts real state resources behind finding new answers for veterans struggling with PTSD, TBI, and the invisible wounds of service," Newsom said. Veterans' groups from the VFW to the American Legion lined up behind it, which is how this issue has moved in red and blue states alike.
The skeptic's case. $4.7 million is a rounding error in a state budget and funds studies, not treatment. California twice declined to create a therapy program, and this bill doesn't either.
The sober middle. "While many states have appropriated funds for research, only a handful have directed it specifically to veterans," said Logan Davidson of VETS. Research money is the step that brings skeptics along, and the state that vetoed decriminalization is now paying for the science.
What it means for the Atlas
California's entry adds the appropriation to its momentum note and sources. Its rank doesn't move: research was already scored as active.
Also Worth Knowing
Can psychedelic trials be blinded after all? Four researchers say try harder
Josh Woolley and Andrew Krystal (UCSF), Kevin Yang (UC San Diego) and Boris Heifets (Stanford) published a JAMA Psychiatry perspective on September 16 proposing a masking strategy they call UMBRAA: combinations of approved drugs that produce an unfamiliar altered state, with participants told less about what's in the mix. "Heart stents and knee arthroscopy both looked effective until sham-controlled trials showed they weren't," Woolley said. It's a proposal, not a tested method; the authors flag the safety and ethics questions themselves.
A shorter yardstick for "did it change you?"
David Yaden's group at Johns Hopkins published a 17-item replacement for the persisting-effects questionnaire, a 140-plus-statement survey that trials have used for two decades without formal validation, The Microdose reports. Housekeeping, but the kind that decides whether the next decade of trial results can be compared.
Psychedelic users were more likely to be vegetarian. Don't read it as cause.
A Scientific Reports study (September 11) of about 21,800 people in two British birth cohorts found lifetime psilocybin or LSD use was associated with stronger pro-environmental attitudes and higher odds of a vegetarian diet. The correlation is small, the data are retrospective, and the authors say only that the drugs "may promote" those attitudes. We'd say: the kind of person who tries psychedelics may also be the kind who skips the steak.
The VA's big psilocybin trial is progress. Independent labs want in too.
Two Ohio State researchers argued in an op-ed (September 30) that the VA's PIVOT trial (about 240 veterans with treatment-resistant depression, five VA medical centers, Compass Pathways donating the psilocybin, running to about 2031) shouldn't crowd out academic research, since many veterans never enroll in VA care.
On the move, by state
- Oregon — Fee doubling withdrawn September 22; $3.8 million shortfall goes to the 2027 legislature. OHA statement
- California — AB 113 signed September 18: $4.7 million for veteran psychedelic-therapy research. Bill text
- Federal — DEA tryptamine comments due October 23; FDA docket closed October 5; the PATH Caucus plan is out.
Sources
- PATH Caucus white paper — Rep. Bergman's office (PDF), Marijuana Moment
- FDA hearing and docket — Foley Hoag, Medical Daily, Docket FDA-2026-N-7542, Executive Order 14401
- DEA proposal — Federal Register, The Microdose, Psychedelic Alpha on the 2022 challenge, Reunion Neuroscience, GAO-26-108623
- Oregon fees — OHA statement, Oregon Capital Chronicle, OPB, The Microdose
- California AB 113 — Bill text, KPBS, VETS release, The Microdose
- Research — UCSF release on the JAMA Psychiatry perspective, Scientific Reports, Marijuana Moment op-ed on the VA trial
The Trip Report is a weekly read from The Elevated States Project. Educational only, not legal or medical advice. Every claim links to its source; if we got something wrong,
tell us.