Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4986

Introduced
1/28/26  

Caption

Relative to therapeutic psilocybin treatment centers

Impact

If enacted, HB 4986 will significantly redefine the legal landscape surrounding the use of psilocybin in Massachusetts. It will permit the licensed use of psilocybin in controlled therapeutic environments while simultaneously protecting participants and staff from prosecution under existing drug laws. This shift is anticipated to not only provide new treatment avenues for individuals with mental health issues but also to foster a broader discussion on drug policy and decriminalization efforts within the state.

Summary

House Bill 4986 seeks to establish a pilot program for therapeutic psilocybin treatment centers across multiple regions in Massachusetts. This initiative is aimed at utilizing psilocybin, a psychedelic compound, to address various mental and physical health conditions, particularly for individuals suffering from PTSD. The bill intends to create five nonprofit therapeutic centers in designated locations, which will operate under strict regulations set forth by the Department of Public Health. These centers will be staffed by trained medical and mental health professionals to ensure the safety and effectiveness of the treatments provided.

Contention

Key points of contention surrounding H4986 include concerns about the implications of normalizing the use of psychedelics for therapeutic purposes, as well as the potential for misuse. Advocates argue that the bill will pave the way for legitimate medical use of psilocybin, supported by growing research on its efficacy. However, critics might worry about the risks associated with psilocybin treatment and the challenge of regulating its use effectively. The bill also includes provisions for establishing an advisory committee to recommend best practices and assess the impact of the program, highlighting the importance of ongoing evaluation and community engagement.

Companion Bills

MA H2506

Replaces Decriminalizing psilocybin as a treatment for PTSD and certain other conditions

Previously Filed As

MA H2532

Relative to therapeutic psilocybin treatment centers

MA SF4485

Psilocybin therapeutic use program establishment

MA SF3971

Psilocybin therapeutic use program establishment

MA HB1809

Establishing a medical psilocybin advisory board to assess the advantages and disadvantages of the use of psilocybin for therapeutic purposes.

MA HM58

Study Psilocybin-based Medication Treatment

MA LD1034

An Act to Decriminalize Personal Possession of Therapeutic Amounts of Psilocybin for Adults

MA HB05456

An Act Allowing The Use Of Psilocybin For Medicinal And Therapeutic Purposes.

MA HB1717

Modifies provisions relating to alternative therapies and treatments, including psilocybin

MA SB1682

Modifies provisions relating to alternative therapies and treatments, including psilocybin

MA SB1767

Modifies provisions relating to alternative therapies and treatments, including psilocybin

Similar Bills

NH HB1796

Allowing the use of psilocybin in approved clinical settings to treat qualified medical conditions.

IA HF978

A bill for an act relating to the production and administration of psilocybin, and providing penalties. (Formerly HF 620.)

IA HF620

A bill for an act relating to the production of psilocybin and the administration of psilocybin to persons with post-traumatic stress disorder, and providing penalties.(See HF 978.)

IA HF2085

A bill for an act relating to the production and administration of psilocybin and providing penalties.

NJ S3148

"Psilocybin Behavioral Health Access and Services Act"; authorizes production and use of psilocybin to promote health and wellness.

NH HB1809

Establishing a medical psilocybin advisory board to assess the advantages and disadvantages of the use of psilocybin for therapeutic purposes.

NM SB219

Medical Psilocybin Act

MA H4050

To amend the General Laws, in relation to promoting the health and well-being of the residents of the Commonwealth of Massachusetts by establishing a comprehensive framework supporting public health and safety through regulated adult use, support services, and cultivation of psilocybin-containing fungi; and providing for taxation and appropriation thereof