Oregon's psilocybin centers served 1,511 clients in Q2 2026

What do the newest numbers show?

The Oregon Health Authority's data file for the second quarter (April 1 to June 30, 2026) reports 1,220 clients served, 966 individual administration sessions and 91 group sessions. It also lists 291 clients who opted out of the client data form, and the 1,220 doesn't include them: in the matching first-quarter file, the same column shows 952, the number of clients who completed the form.¹¹¹

The first-quarter figures come from the program's summer newsletter, published August 21: 952 clients completed the data form and 139 opted out, for 1,091 clients from January 1 to March 31.² The newsletter calls the opt-outs 7 percent, but 139 of 1,091 works out to about 12.7 percent. Counted the same way, the second quarter had 1,511 clients (1,220 plus 291), up about 38 percent by our arithmetic.

Q1 figures are from the newsletter and Q2 figures from the data file.¹² The newsletter adds that 77 clients from January 2025 through March 2026 said they sought services for trauma related to combat or military service.²

The Q2 file records 5 adverse behavioral reactions, 3 severe behavioral reactions, 1 adverse medical reaction, 1 severe medical reaction and 3 post-session reactions, with no clients under 21.¹ For all of 2025, OHA counted 5,935 clients and 13 emergency services contacts.³

How many licensees are left?

OHA's Q2 dashboard, covering January 2, 2023 through September 1, 2026, shows 22 service center licenses, 388 facilitator licenses, 7 manufacturer licenses, 1 laboratory and 967 worker permits in "approved" status. OHA notes that a license can hold more than one status over time, so the categories overlap.⁴ The licensee directory, where listing is optional, showed 20 service centers on October 21.⁵

Closures have added up: OPB reported in July that a third of Oregon's service centers had closed since licensing began in 2023.⁹

What's changing in 2027?

On June 29, OHA announced that, "due to budget challenges," Oregon Psilocybin Services and the Oregon Medical Marijuana Program will form one section, called Medical Cannabis and Psilocybin (MCAP).²

The proposed rules include "significant changes to all license fees, including elimination of reduced fees." Comments ran September 1 to 21, with virtual hearings on September 15 and 16, and "revised rules will become effective on January 1, 2027."² OPB reported that OHA was considering doubling license fees, and that the proposal would end discounts for nonprofit service centers and for facilitators who are veterans or qualify as low-income.⁹ We haven't seen final fee amounts.

What does it mean for someone in San Diego?

Oregon's program takes visitors. OHA says clients must be 21 or older, "do not need to live in Oregon," and must first complete a preparation session with a licensed facilitator. Psilocybin is bought and consumed during an administration session at a service center, and "Products may not be purchased and taken off-site."⁶

Out-of-staters are a large share of clients: in the Q2 file, 525 clients reported living in another U.S. state.¹ OHA doesn't publish a California figure. If you're weighing a trip, the closures and the January fee changes are the numbers to watch.

None of this changes the law in San Diego, where psilocybin remains a Schedule I substance under Health and Safety Code 11054.⁷ Our guide to legal psilocybin access from California compares Oregon with Colorado and New Mexico, and our table of legal psychedelic therapy costs in San Diego covers options closer to home.