Oregon

Oregon dropped its proposed psilocybin fee increase, and its own forecast for that path leaves the programme $3.9 million short by June 2027.

Oregon’s August forecast for its psilocybin programme assumes no General Fund money, and all three of its scenarios, with or without the increase, end short. None of the authority’s budget documents says the programme will stop.

Analysis · By Allan Kerr · Checked 23 October 2026

In brief

  • The Oregon Health Authority dropped its proposed licence-fee increase on 22 September, so licensees pay the fees already in force. It also plans new rules, which it describes as unrelated to fee changes, to take effect on 15 January 2027.
  • Budget documents the authority published on 22 October show the programme spent $3.8 million and took in $1.1 million in the year to 30 June 2026. Fees and tax have fallen short of spending since licensing began in 2023, and the 2025-27 budget is the first with no General Fund money to close the gap.
  • The authority’s August forecast for the path it has now taken ends June 2027 an estimated $3,886,443 short; its other two scenarios also end short. The authority’s licensing dashboard counts 386 facilitator, 21 service centre and 7 manufacturer licences currently approved on 20 October, against 383, 23 and 9 in early June, though it cannot show which businesses left or joined. None of the authority’s budget documents says the programme will stop.

On 22 September the Oregon Health Authority dropped (opens in new tab) the licence-fee increases it had proposed for psilocybin licensees. They would have doubled the main licence fees from January 2027, taking a facilitator licence from $2,000 to $4,000 a year and a service centre or manufacturer licence from $10,000 to $20,000. They would also have ended the reduced fees used, by the authority’s count, in about 32 percent of licence transactions since July 2025.

On 22 October its Medical Cannabis & Psilocybin section, formed on 1 September by merging Oregon Psilocybin Services with the medical marijuana programme, published its psilocybin budget information (opens in new tab): an October overview, an August summary with a note added after the reversal, and a one-page sheet covering 1 July 2021 to 30 June 2026, beside an organisational chart.

None of the documents changes a rule. Oregon’s entry in the register carries the proposal, its withdrawal and the new rulemaking the authority opened on 19 October.

What these figures are

  • The one-year figures cover 1 July 2025 to 30 June 2026, the first year of the 2025-27 budget.
  • The June 2027 figures are forecasts the authority made in August 2026, on the assumptions it states for each scenario. The October overview, written after the reversal and the merger, gives no new forecast.
  • The licence counts are for single days: the dashboard’s for early June, 1 September and 20 October 2026, and the August summary’s for 23 July.
  • Oregon licenses psilocybin services for adults 21 and over under ORS 475A, with no prescription involved, and this page is not legal, financial or medical advice.

The year to June 2026

What Oregon’s psilocybin programme took in and spent, 1 July 2025 to 30 June 2026

One year of a two-year budget, in US dollars, as the Oregon Health Authority’s sheet prints it, with no General Fund money. The sheet’s balance line for the year, minus $2,723,231, is revenue less spending for this year alone and leaves out money carried in from earlier years.

US dollarsTook inSpent
Total1,096,3883,819,619
Fees998,085
Tax98,303
General Fund0
Staff2,650,192
Cost allocation924,567
Legal103,796
Services, supplies and translation141,064

Source: Oregon Health Authority, OPS Budget 2021-2027 (opens in new tab), published 22 October 2026.

Fees and tax have fallen short of spending since licensing began in 2023. In the two years of 2023-25 they brought in $2,332,202 against $5,467,243 spent, and $3,139,672 of General Fund money closed the gap.

In 2021-23, a start-up period in which licence applications opened only in January 2023, the General Fund line was $5,863,132. Of that, $3,092,885 went unspent and, in the words of the overview and the August summary, “was unable to be carried over”.

The authority’s budget request for 2027-29 (opens in new tab) puts the end of General Fund support in one line: the programme “fully transitioned to Other Funds in the 2025-27 biennium”, Other Funds being, in this budget, its own fee and tax revenue. Oregon’s entry records that the authority’s rulemaking notice of 28 August said the ballot measure anticipated a programme that would pay for itself, and that it currently does not.

After staff, the largest line is cost allocation. The August summary (opens in new tab) lists it among its 2025-27 cost drivers as “direct and indirect costs, comprising 25% of the OPS budget”.

In the October overview’s (opens in new tab) account, fees have fallen short because the industry “is still growing”, local ordinances and zoning keep some applicants from finding property, and licensees “face high costs related to insurance, banking, tax filing, and other constraints.”

The overview’s list of unanticipated cost increases in 2023-25 adds data and reporting work (a 2023 law required it without new money), legal counsel, cost-of-living raises, state agency and infrastructure charges, laboratory accreditation and product testing contracts, and advisory board pay that “will require more budget funds”.

The programme has cut its positions from 23 full-time equivalents to 17, which the August summary calls “the minimal number of positions to implement ORS 475A.”

The forecast to June 2027

The August summary priced three versions of the 2025-27 budget, each with the same spending and no General Fund money. Its first scenario assumes no fee increase, the decision the authority has since made, and ends June 2027 an estimated $3,886,443 short.

The shortfall in Oregon’s August 2026 forecast for its psilocybin programme, two years to 30 June 2027

Three scenarios, in US dollars, from the Oregon Health Authority’s August summary, made before it dropped the fee increase. Each spends $8,525,650 with no General Fund money. The third builds in the expected loss from the increase, which the summary says was calculated with “an assumed worst-case scenario of 60% reduction” and other factors.

US dollarsNo fee increase, the path takenFee increase, licence trends keptFee increase, licence attrition
Shortfall3,886,4432,952,7934,246,161
Revenue forecast4,639,2075,572,8574,279,489

Source: Oregon Health Authority, OPS Budget Information, August 2026 (opens in new tab), pages 1 and 2. The shortfall is the summary’s estimated cash balance, printed there in brackets as a negative balance; September press reports gave the no-increase figure as $3.8 million. Every revenue forecast includes $2,315,485 carried in from earlier years.

The increase would have narrowed the shortfall if licensees had stayed, and widened it under the authority’s expected loss. The second scenario, the only one in which it helps, assumes current licence trends, “not considering expected loss of revenue/licensee attrition due to fee increases”.

The third builds in an expected loss that, the summary says, was “calculated with an assumed worst-case scenario of 60% reduction with additional consideration for those currently eligible for reduced fees, other changes in process and historical attrition trends”. The summary does not say what the 60% is a reduction of. The third ends further short than no increase at all.

The overview concludes that “increasing licensing fees may be counterproductive, pricing out licensees and resulting in fewer licensees, significant decreases in revenue, and increased need for GF support.” The rules advisory committees’ feedback, the August summary records, was “unanimously opposed to fee increases.”

The documents name what the programme would depend on, and commit to none of it. “Absent a significant increase in licensees and statutory changes,” the overview says, “sustainability of the program continuing to meet statutory requirements would be dependent on other revenue streams, such as General Fund, or additional solutions, such as creation of new revenue streams.”

The August summary expects the 1 September merger with the medical marijuana programme to “result initially in some small cost savings though the overall budget shortfall will not be significantly reduced”. The overview says the programme is working with its advisory board “on recommendations for program sustainability”, though the August summary records that the board passed none by its 1 May deadline “due to quorum issues”.

The documents also do not reconcile the money carried between periods, and do not say why. The August summary says its revenue forecast “includes carryover for 2025-27 of $2,315,485.”

The sheet’s balance lines are $3,092,885 for 2021-23 and $4,631 for 2023-25. The first is the unspent General Fund money that could not be carried over. That leaves $4,631 on the sheet’s own figures, against the $2,315,485 the forecast carries in. The forecast counts that carryover as revenue, so any part of it that is not there would add the same amount to the June 2027 shortfall.

Licences since June

The authority’s licensing dashboard (opens in new tab) gives counts for three dates, one before the committees met, one after the proposal was filed and one after it was dropped.

Licences currently approved on Oregon’s psilocybin licensing dashboard, early June to 20 October 2026

Counts of licences in the “currently approved” status on three days, by type. The dashboard “does not track the lifecycle of a specific license”, so the table cannot show which businesses left or joined. Only the 20 October count comes from after the fee proposal was dropped.

Licences currently approved on Oregon’s psilocybin licensing dashboard, early June to 20 October 2026
Early June1 September20 October
Facilitators
383388386
Service centres
232221
Manufacturers
977
Laboratories
111

Source: Oregon Health Authority, Oregon Psilocybin Services Data Dashboard (opens in new tab): 2026 Q1 and Q2 archives (data to 6 June and 1 September, read by eye) and the live report, read on 22 October 2026 (data to 20 October).

The August summary’s licence table is a separate count from the dashboard’s. It is dated 23 July 2026, after the rules advisory committees met about the proposal on 6 and 9 July. On that day 379 facilitators, 20 service centres, 7 manufacturers and 1 laboratory held licences, in the table’s words “Approved as of July 23, 2026”. The summary’s own text treats them as licences held: its account of the committees’ objections refers to “the 379+ currently licensed” facilitators and “the 28+ small businesses that operate under Oregon’s model”.

The table’s other column, “All-Time Totals”, gives 641 for facilitators, 39 for service centres, 19 for manufacturers and 2 for laboratories since 1 January 2023, without defining the column. The dashboard, a separate report, says that in its own counts a licensee who lets a licence lapse and is later licensed again “may be represented as two separate licenses”.

The summary’s own sentence on the period since the first licence was issued, in March 2023, is that “over 33% of service centers have either surrendered or not renewed their licenses”, beside “a steady increase in facilitator license applications” since HB 2387, a 2025 law for facilitators who also hold certain other Oregon health licences.

Oregon’s entry carries a different kind of figure, from the authority’s 2025 year-end summary (opens in new tab): 377 facilitator, 25 service centre, 11 manufacturer and 1 laboratory licences approved during 2025. That is a flow, the approvals granted over a year. The July table and the dashboard count a stock, the licences held on one day, and a flow cannot be subtracted from a stock. We printed the 377 and the 25 as a year-end roster until 5 September, and corrected the entry.

On 20 October the dashboard still showed one approved laboratory licence. The August summary records an objection from committee members about the laboratory: “The laboratory will not renew its license, leaving no option for product testing under the model.” It does not say which member said so.

Oregon’s entry records that, under the proposal, the laboratory licence fee would have stayed at $10,000 until 2029 and its application fee would have risen from $500 to $1,000. The objection was made about fees that will not take effect.

Service centres had sold 46,273 psilocybin products by 23 July 2026, the August summary says, and the October overview puts the total at “over 50,000” by 1 October, adding that the number “may include the sale of secondary doses”. Both figures count products sold, and of people the overview says only that “thousands of clients have been served”.

Reading the shortfall

The gap behind the shortfall is older than the fee decision. Since licensing began, fees and tax have fallen short of spending; what changed in 2025-27 is that the General Fund stopped closing the gap, and the fee decision left it open.

The forecast’s spending side is a reason to hold the June 2027 figure loosely. It has the programme spending $4,706,031 in the year to June 2027, $886,412 more than the year before, and $500,866 of the rise is cost allocation.

The sheet puts cost allocation at $373,393 for the two years of 2023-25 and $924,567 for the one year to June 2026. The forecast’s two-year totals for cost allocation are round sums, $600,000 direct and $1,750,000 indirect, and the second-year forecasts are what is left of them after the first year’s cost allocation. The documents do not say how the round sums were set or whether the way cost allocation is calculated changed.

The case for a fee increase rests on the second scenario, in which licence trends hold; there the increase would have cut the shortfall by $933,650. The documents price nothing between the second and third scenarios, so “may be counterproductive” is the authority’s judgement about which is likelier.

None of the authority’s budget documents says the programme will stop. ORS 475A still directs the authority to license and regulate psilocybin services, and new rules are planned to take effect on 15 January 2027.

What comes next

The new rulemaking, separate from the fee proposal

2 and 4 November 2026
Rules advisory committee meetings.
1 to 21 December 2026
Public comment, with a hearing on 15 December.
15 January 2027
Planned effective date of the new rules.

The budget

After the 2027 legislative session
The August summary says there “may be some additional opportunities for alignment and streamlining of work to increase efficiencies.”
30 June 2027
The biennium the forecast covers ends.
2027-29 and later
The August summary warns that its estimated cash balance “may reflect more significant budget shortfalls due to negative cash balance carryover.” The authority’s budget request for 2027-29, submitted on 28 August while the fee increase was still proposed, contains no policy package for the psilocybin programme.

Related. Oregon in the register · Alerts