At least two additional U.S. states will pass laws or ballot measures creating legal pathways for psilocybin-assisted therapy by November 30, 2026. Oregon and Colorado already did this. Other states like California, Washington, and Michigan have active ballot initiatives or legislative proposals. This matters because state-level action moves faster than federal action, so people in those states will get legal access even while the federal government hasn't approved it.
Oregon (Measure 109) and Colorado (Prop 122) established precedent. Multiple states (including California, Washington, and Michigan) have active 2026 ballot initiatives or legislative tracks. State-level action is decoupled from federal hostility—indeed, federal inaction creates political space for states to act. This is falsifiable against official election results or enacted statutes. Confidence is moderate because ballot measure outcomes are inherently uncertain and subject to opposition spending.