Any federal ibogaine access legislation that passes both chambers will include mandatory cardiac screening as a statutory floor requirement.

If Congress actually passes a law allowing ibogaine access—something that hasn't happened yet and faces long odds—that law almost certainly will require heart screening first. The logic is political: any law that didn't screen for cardiac risk would face fierce opposition, so any bill that survives both chambers will include it.

Reframed as a conditional: IF a federal ibogaine bill passes both chambers by June 2027, THEN it will contain mandatory cardiac screening. The conditional logic is strong—politically, cardiac death risk makes screening language near-mandatory for moderate co-sponsors. However, the base rate of ANY federal psychedelic bill passing both chambers by mid-2027 is very low (~10-15%), making the unconditional version of this prediction nearly trivially true but rarely triggered. Resolve date extended slightly; confidence reflects the conditional probability, not the base rate of passage.