Oregon Measure 109: How the World's First Regulated Psilocybin Program Works
About This Video
This Willamette Week documentary follows the rollout of Oregon's Measure 109 psilocybin services program from the opening of the first licensed service centers in 2023. The film focuses on the practical reality of the program: what it actually looks like to book, prepare for, and complete a licensed psilocybin session in Oregon; how service centers are navigating the regulatory requirements; and what facilitators and clients are experiencing in the early months. The journalism is grounded and skeptical where appropriate — covering both the genuine therapeutic potential and the real-world challenges of cost, access, and the limited number of licensed practitioners. An essential document for understanding how this program actually works versus how it was theorized to work.
Key Takeaways
- Oregon's program is the world's first state-regulated psilocybin services program — understanding it informs all future legal frameworks.
- Session costs range from $500 to $2,000+; insurance does not currently cover psilocybin services.
- The program requires 160 hours of facilitator training, a licensing exam, and annual renewal.
- Early data suggests the program is functioning safely with no serious adverse events reported in the first year.
- Access equity remains a challenge — the program disproportionately serves higher-income clients who can afford the costs.
Dive Deeper
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