InnerTrek
USA (Oregon)
Oregon Measure 109 licensed psilocybin service center and facilitator training program.
Legal basis: Oregon Measure 109 (licensed service center)
Oregon and Colorado are the only places in the US where psilocybin is legally accessible — through licensed service centers and healing centers.
Oregon Measure 109 is the first state-regulated psilocybin services program in the United States. Voters passed it in November 2020 with roughly 56% support. It directed the Oregon Health Authority (OHA) to develop rules for licensing four categories of participants: psilocybin product manufacturers (cultivation), service centers (the licensed facility where administration sessions occur), facilitators (the licensed person who provides preparation, administration, and integration services), and product testing laboratories.
The implementation timeline was deliberate: OHA published draft administrative rules through 2021–2022, opened the license application portal on January 2, 2023, and approved the first service-center license — EPIC Healing Eugene — on May 5, 2023. EPIC served its first client on June 23, 2023, marking the first legal regulated psilocybin services session in US history.
Critically, Measure 109 does not decriminalize psilocybin in Oregon. Possession, cultivation, and use outside the licensed framework remain illegal under Oregon law and federally under the Controlled Substances Act. The Measure 109 framework is a regulated exception specifically for adults 21+ receiving services at licensed service centers from licensed facilitators using product from licensed manufacturers tested by licensed laboratories. The entire chain is state-tracked.
An Oregon-licensed psilocybin service center is a state-permitted physical facility where licensed facilitators provide psilocybin services to clients 21 and older. The structural requirements:
Oregon-licensed facilitators complete a state-approved training program before applying for licensure. The OPS administrative rules require a training curriculum of approximately 160 hours covering: psilocybin pharmacology and effects; client screening and intake; preparation, administration, and integration practice; ethics including consent and power dynamics; cultural considerations; Oregon-specific regulatory and reporting requirements; and emergency response. Beyond the didactic 160 hours, candidates complete a practicum component involving supervised observation and supervised facilitation.
The minimum educational requirement is a high school diploma or equivalent. Facilitators do not need to be licensed mental-health professionals, physicians, or any other regulated healthcare provider. Many are — and many service centers explicitly market the mental-health-licensed status of their facilitators as a quality differentiator — but it is not required by Measure 109.
After completing training and the practicum, candidates sit for a state-administered exam, undergo a background check, and apply for facilitator licensure through OHA. The license must be renewed annually.
An Oregon Measure 109 client experience runs in three phases:
One or more preparation sessions before the administration session. The facilitator and client discuss intentions, the client's relevant medical and psychiatric history, what to expect during the session, and screening for contraindications. This is also where logistics are confirmed: transportation to and from the service center (clients cannot drive themselves home), accommodation for the night after the session, support persons.
The dosing session itself, typically 4–6 hours at the service center. The client receives the psilocybin dose under facilitator supervision and remains at the facility for the duration of the experience. The facilitator is present throughout (in person, not just on call). Some service centers offer group administration sessions where multiple clients dose at the same time with shared facilitator coverage; others offer one-on-one only. The client is monitored for safety throughout and supported emotionally as needed. Clients may not leave with any psilocybin.
A follow-up session, typically a few days to a few weeks after administration, to discuss what came up during the session and how the client wants to integrate the experience. Some service centers offer ongoing integration packages; many connect clients to outside therapists trained in psychedelic integration.
| Tier | Single-session program (prep + admin + integration) | What's included |
|---|---|---|
| Lower (group admin) | $1,500–$2,200 | Group administration session (typically 3–6 clients with shared facilitator coverage), shorter preparation and integration sessions. |
| Mid (one-on-one admin) | $2,200–$2,800 | One-on-one administration with dedicated facilitator throughout, multi-session preparation and integration. |
| Premium | $2,800–$4,000+ | Mental-health-licensed facilitator, extended preparation and integration arc, sometimes higher-dose or longer-duration sessions. |
| Sliding-scale | varies | Some Oregon service centers offer reduced-cost slots for participants with documented financial need or for specific populations (veterans, terminal-illness patients). Limited availability. |
Insurance does not cover any Oregon Measure 109 services. Out-of-state travelers should budget separately for travel to Oregon (Portland PDX, Eugene EUG, or Bend RDM are the practical airports), local lodging for the night of the session (driving immediately after is not permitted; most clients book accommodation locally), and ground transportation. The fully-loaded cost for an out-of-state client is typically $2,500–$5,000 once travel and lodging are included.
We do not operate, recommend, or take commissions from any retreat center. The operators below are ones we have written about because they publish medical-screening and safety protocols our editorial team can verify. Independent verification of credentials before you book is still on you.
USA (Oregon)
Oregon Measure 109 licensed psilocybin service center and facilitator training program.
Legal basis: Oregon Measure 109 (licensed service center)
USA (Oregon)
Oregon-licensed psilocybin services center in Bend operated by licensed facilitators.
Legal basis: Oregon Measure 109 (licensed service center)
USA (Oregon)
First licensed psilocybin service center to open under Measure 109 (May 5, 2023 licensure; first client June 23, 2023). 500+ clients served as of 2025.
Legal basis: Oregon Measure 109 (licensed service center)
USA (Colorado)
The first licensed psilocybin healing center in Colorado under Prop 122 / Natural Medicine Health Act; received license March 31, 2025 and conducted the state's first regulated psilocybin session on June 6, 2025.
Legal basis: Colorado Prop 122 / Natural Medicine Health Act (licensed healing center)
USA (Colorado)
Denver-based licensed healing center operated by the team behind My Denver Therapy. Every facilitator is a Clinical Facilitator — state-licensed under Prop 122 AND a licensed mental-health professional (LPC, LMFT, PMHNP) — which is a higher bar than the baseline facilitator credential.
Legal basis: Colorado Prop 122 / Natural Medicine Health Act (licensed healing center)
Colorado Proposition 122 — passed in November 2022 and codified as the Natural Medicine Health Act — is the second US regulated psilocybin program. It is structurally similar to Oregon Measure 109 but broader in two ways.
First, the regulated channel. Colorado licenses "healing centers" (analogous to Oregon service centers) where adults 21+ can receive psilocybin under licensed facilitator supervision. The Colorado Department of Revenue's Natural Medicine Division (NMD) administers the program. The first licensed Colorado healing center, The Center Origin in Denver, received its license on March 31, 2025 and conducted the state's first regulated psilocybin session on June 6, 2025. Psilocybin Healing Centers of Colorado followed shortly thereafter; both operators emphasize that every facilitator at their respective centers is also a licensed mental-health professional (a higher bar than the baseline state-licensed facilitator credential).
Second, personal-use decriminalization. Beyond the licensed-center track, Colorado Prop 122 also decriminalized personal use, possession, cultivation, and non-commercial sharing of four natural medicines for adults 21+: psilocybin, DMT (including ayahuasca), mescaline (excluding peyote, which is reserved for indigenous-religious use), and ibogaine. This is broader than Oregon's psilocybin-only framework. The personal-use side is decriminalized but not commercialized — commercial provision is still restricted to the licensed healing-center channel, and only for psilocybin in the initial implementation phase (the other three substances may be added to commercial licensing in future rulemaking).
For most prospective clients in 2026, the practical distinction is: Oregon has more licensed service centers and a longer track record (program in active operation since 2023); Colorado is newer with a smaller number of licensed centers but a broader framework that may matter long-term.
Eligible: Adults 21 and older. No residency requirement in either Oregon or Colorado — out-of-state and international travelers can access licensed services. Identification verification at the service center is required (state-issued ID, passport).
Generally not eligible: Anyone under 21. Clients with active or recent suicidality, recent serious psychiatric hospitalization, active psychosis, or certain medication conflicts (notably lithium, MAOIs, and many tricyclics). Clients with significant cardiac disease may be declined; pregnancy is a contraindication. Each licensed operator sets its own additional screening criteria.
Insurance: Not covered. Federal Schedule I status precludes Medicare, Medicaid, and commercial insurance reimbursement. HSAs generally do not qualify either.
| Criterion | Oregon (Measure 109) | Colorado (Prop 122) | International (Jamaica, Netherlands, Costa Rica) |
|---|---|---|---|
| Regulation | State-licensed facilitators, service centers, product chain | State-licensed; broader natural-medicine decriminalization track | None (varies by country); voluntary self-regulation only |
| Format | Single dosing session per visit | Single dosing session per visit | Multi-day retreat, 1–3 dosing sessions |
| Cost | $1,500–$3,000+ per session | $1,500–$3,500+ per session | $1,200–$8,000 for 3–7 days |
| Product testing | Mandatory state-licensed lab testing | Mandatory state-licensed lab testing | Operator discretion |
| Facilitator credential | State-licensed; ~160 hours training | State-licensed; comparable training | Operator discretion |
| Insurance | None | None | None |
| Take-home | Prohibited | Prohibited (in licensed track) | N/A (substance legal locally in some) |
No — it is a state regulatory program for psilocybin services. Facilitators do not need to be licensed medical providers, the service is not billed through medical insurance, and a diagnosis is not required to participate.
A licensed Oregon facilitator must be present throughout the administration session. Some service centers allow a support person (including a personal therapist) to attend; this is operator-specific.
No. Most service centers require pre-arranged transportation and recommend local lodging for the night of the session.
No. Measure 109 covers full-dose administration sessions only; take-home of any psilocybin (including for microdosing) is prohibited.
Service centers must have an emergency-response protocol and trained facilitator presence throughout. Acute psychiatric distress is rare but does occur; facilitators are trained to support clients through difficulty and to refer to medical emergency services if needed.
No — Oregon has more centers as of 2026 because its program is two-plus years older. Colorado is newer; its center count is growing and the broader Natural Medicine Health Act framework may produce different long-term dynamics.
Get retreat & safety updates
When operators, regulations, or safety guidance for Psilocybin Service Centers in Oregon (and Colorado) changes, we'll send you the update.
Suggest a tool, topic, or improvement that would make this site more useful.