Oregon Health & Science University

Oregon Health Authority has proposed doubling licensing fees for psilocybin manufacturers, service centers and facilitators to shore up funding for the Oregon Psilocybin Services program, the first of its kind in the nation since voters approved Measure 109 in 2020. Manufacturer and service center fees would rise from $10,000 to $20,000, facilitator fees from $2,000 to $4,000, and first-time application fees would double to $1,000.

A group representing many of Oregon's roughly 65 psilocybin professionals, among more than 960 permitted workers statewide, warns the increases could push out smaller operators and force patients—who already pay out of pocket since insurance doesn't cover treatment—to absorb higher costs. A survey cited by the Center for Psychedelic Policy found most licensees would not renew at the proposed rates. Critics, including advocates who ran the original ballot campaign, say the fee-based funding model itself is unsustainable and are urging Governor Tina Kotek to pause the changes. OHA held public listening sessions in September, with revised rules expected to take effect January 1, 2027.