A Republican lawmaker in New Hampshire has prefiled legislation for the coming session that would legalize three psychedelic substances—psilocybin, LSD and mescaline—for therapeutic use with a healthcare provider’s recommendation.
The bill, HB 1693, from Rep. Kevin Verville, would create a regulated psychedelics system for registered patients, with alternative treatment centers (ATCs) set up to produce and dispense the substances.
The proposal is modeled after the state’s existing medical cannabis law, under which seven licensed marijuana ATCs currently serve patients. Psychedelics patients would be required to obtain state-issued ID cards, while designated caregivers could purchase and provide the substances to patients.
To access psychedelics, patients would need a recommendation from a licensed physician, advanced practice nurse, physician’s assistant, nurse practitioner or mental health provider. Anyone falsely claiming to be using psychedelics legally under the measure would be subject to a civil violation and $500 fine, in addition to other penalties.
Among the qualifying conditions envisioned for the program are anxiety, depression, PTSD, panic disorder, obsessive-compulsive disorder, social anxiety, body dysmorphia, eating disorders, sleep disorders, substance use disorder, chronic pain, attention deficit, migraines and cluster headaches, postpartum mental illnesses and others.
The proposal would also allow providers to recommend psychedelics for “any novel or emergent illness which is not categorized in the Diagnostic and Statistical Manual of Mental Disorders but is diagnosed by a state licensed mental health professional,” though there would need to be published scientific observations, including self-reports, regarding psilocybin as a treatment for the condition.
The new program would be overseen by the state Department of Health and Human Services—though the measure does not contain appropriations to fund the program’s startup or staff, a legislative description says, noting that fees for patients and ATCs would be necessary to cover those costs.
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