
In November 2022, Colorado made history by becoming the second U.S. state, following Oregon, to decriminalize psychedelic mushrooms through the passage of Proposition 122, also known as the Natural Medicine Health Act. This groundbreaking measure allows adults aged 21 and older to possess, grow, and use psilocybin mushrooms and other plant-based psychedelics in regulated healing centers. The initiative aims to explore the therapeutic potential of these substances for mental health conditions like depression, anxiety, and PTSD, while also establishing a framework for supervised use. Although the law does not legalize the sale of psychedelic mushrooms in a traditional market sense, it marks a significant shift in drug policy, reflecting growing public and scientific interest in the benefits of psychedelics. The implementation of this measure is expected to unfold over the coming years, with regulations and guidelines being developed to ensure safe and controlled access.
| Characteristics | Values |
|---|---|
| State | Colorado |
| Measure | Proposition 122 (Natural Medicine Health Act of 2022) |
| Election Date | November 8, 2022 |
| Outcome | Passed |
| Vote Percentage | Approximately 53% in favor |
| Effective Date | January 1, 2023 (decriminalization) |
| Key Provisions | Decriminalizes personal use, possession, and growing of psychedelic plants (e.g., psilocybin mushrooms) for adults 21+; allows regulated "healing centers" for supervised use by 2024. |
| Regulated Substances | Psilocybin, psilocyn, mescaline (excluding peyote), dimethyltryptamine (DMT) |
| Legal Status | Decriminalized for personal use; regulated for supervised therapeutic use |
| Criminal Penalties | Removed for personal possession/use; penalties remain for unauthorized sale/distribution. |
| Implementation Timeline | Healing centers to be licensed by 2024; rules developed by 2023. |
| Local Control | Counties/cities can opt out of allowing healing centers. |
| Health Focus | Emphasis on mental health treatment (e.g., PTSD, depression, anxiety). |
| Federal Status | Psilocybin remains illegal under federal law (Schedule I controlled substance). |
| Notable Exclusions | Peyote excluded due to cultural/religious significance to Indigenous groups. |
| Public Opinion | Supported by mental health advocates; opposed by some due to safety concerns. |
| Precedent | Follows Oregon’s 2020 legalization of psilocybin for therapeutic use. |
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What You'll Learn
- Election Results: Final vote counts and percentages for psychedelic mushroom legalization in Colorado
- Legal Framework: Details of the regulations and restrictions under the new Colorado law
- Public Opinion: Surveys and polls on Colorado residents' views on psychedelic mushrooms
- Economic Impact: Potential effects on tourism, healthcare, and local businesses in Colorado
- Implementation Timeline: Steps and deadlines for rolling out the legalized psychedelic mushroom program

Election Results: Final vote counts and percentages for psychedelic mushroom legalization in Colorado
The 2022 midterm elections in Colorado marked a significant shift in the state's approach to psychedelic substances, with Proposition 122, also known as the Natural Medicine Health Act, on the ballot. This initiative aimed to decriminalize and regulate the use of psychedelic mushrooms for individuals aged 21 and older. The final vote counts and percentages reveal a close but decisive victory for proponents of psychedelic mushroom legalization. According to the Colorado Secretary of State's office, the measure passed with 53.4% of voters in favor and 46.6% opposed, out of a total of 2,472,133 votes cast.
Breaking down the numbers, 1,319,721 voters supported Proposition 122, while 1,152,412 voted against it. The margin of victory, approximately 167,309 votes, highlights the polarization of the issue but also underscores the growing acceptance of alternative therapies and substances in Colorado. The results were not uniform across the state, with urban areas like Denver and Boulder showing stronger support compared to more rural counties, which tended to vote against the measure. This geographic divide reflects broader trends in attitudes toward drug policy reform in the United States.
Proposition 122 not only decriminalizes personal use and possession of psychedelic mushrooms but also establishes a framework for regulated "healing centers" where adults can consume these substances under the supervision of trained facilitators. The initiative also calls for the creation of a regulatory body to oversee these centers and ensure safety standards. The passage of this measure positions Colorado as a pioneer in the psychedelic legalization movement, following its earlier leadership in cannabis legalization.
The final vote percentages indicate that while a majority of Coloradans supported the measure, nearly half of the electorate remains skeptical or opposed. This suggests that public education and outreach efforts will be crucial in the implementation phase to address concerns and ensure the program's success. Advocates argue that regulated access to psychedelic mushrooms can provide therapeutic benefits for conditions like PTSD, depression, and anxiety, while opponents raise concerns about potential risks and the lack of long-term research.
In conclusion, the election results for psychedelic mushroom legalization in Colorado demonstrate a narrow but clear mandate for change. With 53.4% of voters approving Proposition 122, the state has taken a bold step toward expanding access to alternative treatments. The final vote counts—1,319,721 in favor and 1,152,412 against—highlight both the progress made and the ongoing debate surrounding psychedelic substances. As Colorado moves forward with implementation, the focus will shift to creating a safe, regulated environment that maximizes the potential benefits while addressing public concerns.
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Legal Framework: Details of the regulations and restrictions under the new Colorado law
In November 2022, Colorado voters approved Proposition 122, also known as the Natural Medicine Health Act, which decriminalized the personal use, possession, and cultivation of psychedelic mushrooms and other plant-based psychedelic substances for individuals aged 21 and older. This landmark legislation establishes a comprehensive legal framework for the regulated use of psychedelics, including psilocybin mushrooms, within the state. The law is designed to balance individual freedoms with public safety, outlining specific regulations and restrictions to govern the use and distribution of these substances.
Under the new Colorado law, adults aged 21 and older are permitted to possess, use, and cultivate psychedelic mushrooms for personal use. Specifically, individuals can possess up to two ounces of psychedelic mushrooms and cultivate up to six plants at home, with a maximum of 12 plants per household. However, the sale and distribution of psychedelic mushrooms remain illegal outside of licensed "healing centers." These healing centers are authorized to provide supervised psychedelic experiences in a controlled environment, ensuring safety and adherence to regulatory standards. The law prohibits the use of psychedelics in public spaces and imposes strict penalties for impaired driving or providing these substances to minors.
The regulatory framework also establishes the Colorado Department of Regulatory Agencies (DORA) as the oversight body responsible for licensing and regulating healing centers. DORA is tasked with developing rules for the operation of these centers, including staff training requirements, facility standards, and protocols for administering psychedelic substances. Healing centers must obtain a license to operate and are subject to regular inspections to ensure compliance with state regulations. Additionally, the law mandates that healing centers provide education and resources to clients about the risks and benefits of psychedelic use.
Another critical aspect of the legal framework is the emphasis on equitable access and social equity. Proposition 122 includes provisions to promote social equity in the licensing process, prioritizing applicants from communities disproportionately affected by the War on Drugs. The law also establishes a fund to support research on the therapeutic benefits of psychedelics and to provide financial assistance to individuals seeking treatment at healing centers. This fund is financed through fees and taxes collected from licensed healing centers, ensuring sustainable funding for these initiatives.
Finally, the law includes safeguards to protect individuals from criminal penalties related to psychedelic use. It seals past criminal records for offenses that are no longer illegal under the new law and prohibits employers, landlords, and other entities from discriminating against individuals based on their legal use of psychedelics. However, the law maintains strict penalties for unauthorized sale, distribution, or provision of psychedelics to minors, emphasizing the importance of responsible use within the established legal framework. Overall, Colorado’s regulations aim to create a safe, equitable, and accessible environment for the therapeutic and personal use of psychedelic mushrooms.
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Public Opinion: Surveys and polls on Colorado residents' views on psychedelic mushrooms
In November 2022, Colorado made history by becoming the second state in the U.S. to legalize psychedelic mushrooms for medicinal use when voters approved Proposition 122, also known as the Natural Medicine Health Act. This groundbreaking decision was preceded by extensive public discourse and polling to gauge Colorado residents’ views on the matter. Surveys conducted in the months leading up to the vote revealed a nuanced but generally favorable public opinion toward the decriminalization and regulated use of psychedelic mushrooms. Polls consistently showed that a majority of Coloradans supported the measure, citing potential therapeutic benefits for mental health conditions such as depression, anxiety, and PTSD. These findings were bolstered by growing national interest in the therapeutic potential of psychedelics, which likely influenced Colorado voters’ perspectives.
One key survey conducted by the Public Policy Polling (PPP) in October 2022 found that approximately 59% of likely Colorado voters supported Proposition 122, while 32% opposed it, and 9% remained undecided. The poll highlighted that younger voters, aged 18 to 45, were the most enthusiastic supporters, with over 70% in favor. Older demographics, particularly those over 65, were more divided, though a slight majority still supported the measure. This generational divide mirrored broader trends in attitudes toward drug policy reform, with younger generations generally more open to progressive changes. Additionally, the survey indicated that support was bipartisan, with a significant portion of both Democratic and Republican voters expressing approval, though Democrats were more likely to support the initiative.
Another critical aspect of public opinion was the influence of education and awareness campaigns. Organizations advocating for the passage of Proposition 122 emphasized the scientific research supporting the use of psychedelic mushrooms in controlled therapeutic settings. A poll by the University of Colorado Boulder in September 2022 found that 65% of respondents who were aware of the potential medical benefits of psilocybin were more likely to vote in favor of the measure. This underscores the importance of informed public opinion in shaping policy outcomes. Conversely, opposition was often rooted in concerns about potential misuse, lack of regulation, and the stigma associated with psychedelics, though these fears were not enough to sway the majority.
Local media outlets also played a role in shaping public opinion by providing balanced coverage of both the potential benefits and risks of legalizing psychedelic mushrooms. A survey by the Colorado Media Project in 2022 revealed that 72% of respondents felt they had access to sufficient information to make an informed decision on Proposition 122. This access to information likely contributed to the measure’s success, as voters felt confident in their understanding of the issue. Furthermore, personal stories shared by individuals who had benefited from psychedelic therapy resonated with many Coloradans, humanizing the debate and fostering empathy among voters.
Finally, post-election analysis suggests that public opinion on psychedelic mushrooms in Colorado was not just a reflection of changing attitudes toward drugs but also a response to the state’s history of progressive policies, such as the legalization of recreational cannabis in 2012. A poll conducted by the Pew Research Center in 2023 found that 60% of Colorado residents believed the legalization of cannabis had been a success, and this positive experience likely influenced their willingness to support similar measures for psychedelics. The passage of Proposition 122 thus represents a continuation of Colorado’s trend toward embracing alternative and evidence-based approaches to health and wellness, driven by informed and evolving public opinion.
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Economic Impact: Potential effects on tourism, healthcare, and local businesses in Colorado
The legalization of psychedelic mushrooms in Colorado, specifically through the passage of Proposition 122 (the Natural Medicine Health Act of 2022), is expected to have significant economic implications across tourism, healthcare, and local businesses. From a tourism perspective, Colorado could see an influx of visitors seeking regulated access to psychedelic therapies or experiences. Similar to the "Green Rush" observed after cannabis legalization, the state may become a destination for both domestic and international travelers interested in psychedelic retreats, wellness centers, and guided sessions. This increase in tourism could boost revenue for hotels, restaurants, transportation services, and other hospitality-related businesses, particularly in areas where licensed psychedelic treatment centers are established.
In the healthcare sector, the economic impact is twofold. Firstly, the legalization creates a new industry focused on psychedelic-assisted therapy, which could attract investment in research, clinical trials, and the development of treatment protocols. This could position Colorado as a hub for psychedelic medicine, fostering innovation and creating high-skilled jobs in healthcare and biotechnology. Secondly, if psychedelic therapies prove effective for conditions like depression, PTSD, or anxiety, the long-term cost savings for the healthcare system could be substantial, as these treatments may offer more efficient alternatives to traditional pharmaceuticals or long-term therapy.
Local businesses, particularly small and medium-sized enterprises, stand to benefit from the ancillary opportunities created by the psychedelic industry. Retail establishments selling related products, such as educational materials, wellness items, or cultivation supplies, could emerge. Additionally, businesses offering complementary services, such as meditation studios, holistic health centers, or eco-tourism operators, may see increased demand. However, the regulatory framework will play a critical role in determining how accessible these opportunities are for local entrepreneurs, as licensing fees and compliance costs could pose barriers to entry.
The economic impact also extends to tax revenue and job creation. If a taxation model similar to cannabis is implemented, psychedelic sales could generate significant revenue for the state, which could be allocated to public health programs, education, or infrastructure. Moreover, the industry is likely to create jobs across various sectors, including cultivation, manufacturing, therapy facilitation, and administration. This could stimulate local economies, particularly in rural areas where cultivation facilities might be established.
However, potential challenges must be considered. The stigma surrounding psychedelics could initially limit tourism growth or investment, while regulatory hurdles might slow industry development. Additionally, if not managed carefully, the industry could lead to gentrification or displacement of local communities, particularly if larger corporations dominate the market. Policymakers and stakeholders must prioritize equitable access and community involvement to ensure the economic benefits are widely shared. Overall, the legalization of psychedelic mushrooms in Colorado presents a unique opportunity for economic diversification and growth, provided it is approached with strategic planning and inclusivity.
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Implementation Timeline: Steps and deadlines for rolling out the legalized psychedelic mushroom program
Phase 1: Regulatory Framework Development (Months 1-6)
Following the passage of the ballot measure legalizing psychedelic mushrooms in Colorado, the first six months will focus on establishing the regulatory framework. The Colorado Department of Public Health and Environment (CDPHE) will lead this effort, drafting rules and guidelines for cultivation, distribution, and therapeutic use of psychedelic mushrooms. Key tasks include defining licensing requirements for growers and facilitators, setting safety and quality standards for mushroom products, and outlining the qualifications for therapists or guides who will administer psychedelic sessions. Public input sessions will be held to gather feedback from stakeholders, including healthcare professionals, advocates, and potential industry participants. By the end of this phase, the regulatory framework must be finalized and approved by the state legislature.
Phase 2: Licensing and Training Programs (Months 7-12)
With regulations in place, the next phase will focus on implementing licensing processes and training programs. The CDPHE will begin accepting applications for cultivation and facilitation licenses, ensuring applicants meet stringent criteria for safety, security, and ethical practice. Simultaneously, accredited training programs for facilitators will be rolled out, covering topics such as psychedelic therapy protocols, risk management, and client care. These programs will be mandatory for anyone seeking to administer psychedelic mushroom sessions. Deadlines for license applications and training completion will be set to ensure a smooth transition into the operational phase. This stage will also include the development of a tracking system to monitor the supply chain from cultivation to consumption.
Phase 3: Facility Setup and Inspection (Months 13-18)
Once licenses are issued, approved entities will begin setting up cultivation facilities and therapeutic centers. The CDPHE will conduct inspections to ensure compliance with safety, security, and operational standards. Facilities must meet specific requirements, such as secure storage for mushroom products, controlled environments for cultivation, and private spaces for therapeutic sessions. Inspections will be scheduled within 30 days of facility completion, and any deficiencies must be addressed before operations can begin. This phase will also include the establishment of a public database of licensed facilities and facilitators to promote transparency and accessibility.
Phase 4: Public Education and Rollout (Months 19-24)
Before full implementation, a robust public education campaign will be launched to inform Coloradans about the legalized program, its purpose, and how to access services safely. This campaign will emphasize the therapeutic potential of psychedelic mushrooms, the risks associated with misuse, and the importance of working with licensed professionals. By the end of this phase, the program will officially launch, with licensed facilities and facilitators permitted to begin offering services. A monitoring system will be put in place to track outcomes, ensure compliance, and identify areas for improvement.
Phase 5: Ongoing Evaluation and Adjustment (Months 25 and Beyond)
The final phase focuses on continuous evaluation and refinement of the program. The CDPHE will collect data on usage, safety, and therapeutic outcomes, publishing periodic reports to assess the program’s effectiveness. Based on these findings, regulations may be adjusted to address emerging challenges or opportunities. Stakeholder feedback will also be solicited regularly to ensure the program remains responsive to the needs of both providers and participants. This phase is open-ended, with the goal of establishing a sustainable and effective psychedelic mushroom program in Colorado.
Each phase includes clear deadlines and milestones to ensure timely and efficient implementation, balancing the need for thorough preparation with the urgency of making this groundbreaking program accessible to those who can benefit from it.
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Frequently asked questions
Yes, in November 2022, Colorado voters passed Proposition 122, also known as the Natural Medicine Health Act, which decriminalized the personal use, possession, and cultivation of psychedelic mushrooms for adults aged 21 and older.
The law allows adults to possess, grow, and use psychedelic mushrooms (psilocybin and psilocin) without facing criminal penalties. However, it does not permit the sale of these substances in a commercial market, and regulated "healing centers" for supervised use are expected to be established by 2024.
While personal use and possession are decriminalized, the sale and distribution of psychedelic mushrooms remain illegal under state law. The law also establishes a framework for regulated access through licensed healing centers in the future.

























