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Psychedelics Navigating Uncertain Legal Territory: States Versus FDA Regulations

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Samantha Bailey

News Editor

December 12, 2023

6 mins read

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The landscape of psychedelic drug policy in the United States is quickly becoming a complex puzzle, with pieces that don't always fit neatly together.

At the state level, a movement towards accepting and regulating the use of substances like psilocybin mushrooms and MDMA is gaining momentum. This wave of change was sparked by Oregon in 2020 when voters passed Measure 109, allowing a supervised program for non-therapeutic use of psilocybin.

Colorado voters followed suit, opening the door to psychedelic businesses that are anticipated to start operating by 2025. Meanwhile, New York, Massachusetts, Vermont, Illinois, and California are contemplating similar legal shifts.

However, these progressive state laws clash with federal regulations. Most psychedelics fall under Schedule I, alongside hard narcotics, deemed to have no accepted medical use and a high potential for abuse. This classification makes them federally illegal.

Yet, despite the risk of committing federal felonies, states are pushing forward, mirroring the earlier defiance seen with cannabis legislation.

The intersection of state and federal law in this arena may yield a quagmire of legal implications, raising questions about the safety, control, and future of psychedelic use in medical settings.

FDA and Psychedelics: A Preemptive Gaze

Amidst the conversation about state legalization, the FDA counters with its own agenda. The federal body is currently reviewing psilocybin and MDMA tests conducted by biomedical companies, inching towards potential approval.

Scientist in a lab

However, federal legalization might only pertain to synthetic versions of these drugs, as observed in the case of Δ9-THC, the active ingredient in cannabis.

Synthetic Δ9-THC has been rescheduled under Schedules II and III in approved medicinal forms, while natural marijuana remains Schedule I, signaling how the FDA might bifurcate the market for psychedelics.

Dr. Mason Marks, from Harvard Law's Project on Psychedelics Law and Regulation (POPLAR), believes that businesses promoting the treatment benefits of psilocybin might soon face FDA scrutiny, akin to the challenges that certain CBD companies have encountered.

These companies have been issued cease and desist letters for making unverified medical claims, and similar actions might unfold in the psychedelic space, especially given the recent warnings issued by the FDA about the off-label prescribing of ketamine, and the marketing of Kratom—both substances are often found in the same "grey market" as cannabis products.

This section of the article serves to inform readers about the strategic positioning of federal entities like the FDA and how they might influence the evolving landscape of psychedelics, emphasizing a future where market divisions could potentially mirror those seen in the cannabis industry.

FTC Intervention and Consumer Clarity

Beyond the FDA, the Federal Trade Commission (FTC) looms as another regulatory giant that could significantly impact the psychedelic space. With a history of over 120 cases against supplement manufacturers for dubious medical claims in the last decade, the FTC is likely poised to clamp down on emerging the psychedelic industry.

The current legal turbulence has left consumers in a haze of uncertainty. For example, the Oregon Health Authority recognizes the non-medical nature of its psilocybin program but does not actively enforce restrictions against medical claims.

This discrepancy creates confusion for individuals seeking information about the legal and therapeutic status of psychedelics.

Colorado mountain skyline

Similarly, in Colorado, regulatory boards face a paradox: while they aid in the drafting of rules for the state's program, they must navigate a conundrum with state health insurance.

Insurance is expected to cover services related to unapproved psychedelic medicines despite federal Medicaid's prohibition against funding Schedule I drug uses.

This tension underscores the need for clarity and caution in state law formulation to ensure consumers are not misled about legality and approvals.

Simplifying the complex legal landscape and informing the public accurately becomes paramount, as people seek trusted guidance on psychedelics' status and their potential health benefits amid changing regulations.

The Future of Psychedelic Markets: Synthetic vs. Natural

The outlook for the psychedelic market is one that may well split into two streams: on one side, the synthetic derivatives sanctioned and rescheduled by the FDA, and on the other, naturally occurring substances that remain entangled in legal red tape due to their Schedule I classification.

This bifurcation is not new; it mirrors the current cannabis market, where FDA-approved synthetic cannabinoids exist reluctantly alongside their natural counterparts.

Synthetics, designed in labs and replicating the effects of naturally derived psychedelics, could pave the way for medical and therapeutic use with FDA blessings.

On the flip side, naturally sourced psychedelics like psilocybin derived from mushrooms might remain in the shadows, accessible only in states that choose to sidestep federal regulations.

This divide manifests a larger question about the future of drug legalization: whether the acceptance of drug therapy hinges more on its origins—synthetic versus natural—rather than on its efficacy or safety.

This part of the conversation is crucial for stakeholders, from investors eyeing the promising psychedelic sector to patients seeking alternative treatment options.

The evolving policy could reshape the industry, demanding adaptation from businesses and clarity for consumers.

With drug approvals on the horizon and the potential reclassification of these substances, the market could shift dramatically, proving a fertile ground for innovation but also a regulatory minefield that will test the resilience and agility of the burgeoning psychedelic industry.

Navigating the Legal Thickets: Implications for States and Stakeholders

As states forge ahead with their distinctive psychedelic policies, they find themselves in a complex dance with federal agencies.

Companies and legislators must strategically navigate this uneven terrain, balancing between state-level progressivism and potential federal enforcement actions. The ventures of states like Oregon and Colorado have set a precedent, but they also serve as a cautionary tale of the potential legal entanglements that may ensue.

Stakeholders in these states are spearheading a new frontier, but they do so with the knowledge that the ground beneath them is shaky. This requires not only a robust understanding of the current laws but also a foresight to anticipate changes that may come as the FDA concludes its review and the FTC sharpens its oversight.

Companies operating within this space will need to adopt stringent compliance measures and consider the evolving regulatory landscape in their business strategies.

Lawmakers, on their end, must be deliberate in crafting legislation that interfaces cleanly with federal laws.

This demands a careful approach to ensure that while they advocate for state autonomy on drug policy, they are not inadvertently setting their states or businesses up for conflicts with the FDA or FTC that could undo the progress made thus far in legitimizing the therapeutic use of psychedelics.

Investors and entrepreneurs looking into the psychedelic market should approach this as a dynamic industry with the potential for high reward, but also significant risk.

As policies progress, the grey areas and uncertainties present both challenges and opportunities. Business models must consider the possibility of shifts in legal status, consumer perception, and market access, adapting to maintain compliance and position themselves for long-term success.

Navigating this intricate legal thicket will be a defining challenge for the psychedelics space in the coming years.

Stakeholders carry the responsibility to operate within the bounds of law, while also influencing it, as they chart the unexplored waters of this promising industry.