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Bill

HD 4196

An Act establishing a pilot program for access to regulated psilocybin

194th Legislature (2025-2026) Introduced by Marjorie Decker

Massachusetts pilot program would legalize supervised medical psilocybin use for qualifying patients, advancing therapeutic research while creating potential federal-state legal conflicts.

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Bill Summary · HD 4196

Legislative bill overview

HD 4196 would establish a pilot program in Massachusetts allowing regulated access to psilocybin (a controlled psychoactive compound found in certain mushrooms) under medical supervision. The program would create a framework for licensed facilities to administer psilocybin to qualifying patients for therapeutic purposes, likely focusing on treatment-resistant conditions. This represents a shift from federal prohibition toward state-level decriminalization and medical research.

Why is this important

Psilocybin research has shown promise in clinical studies for treating depression, anxiety, PTSD, and end-of-life distress, particularly in treatment-resistant cases where conventional therapies fail. A pilot program would allow Massachusetts to gather safety and efficacy data while potentially providing therapeutic access to patients before federal rescheduling occurs. This positions the state as a leader in psychedelic-assisted medicine while creating a template for other states.

Potential points of contention

  • Federal-state conflict: Psilocybin remains a Schedule I controlled substance federally, creating legal tensions between state authorization and federal law
  • Safety and oversight concerns: Questions about appropriate screening, dosing protocols, practitioner training standards, and long-term monitoring of participants
  • Equity and access: Pilot programs risk creating disparities in who can afford or access the treatment, and questions about fairness in participant selection

Compiled from official sources — confirm details with the bill’s official record.

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