1. (1) Facilitators have a duty to put clients’ interest above their own and to use a standard of care that other reasonable facilitators would use under similar circumstances.
2. (2) A facilitator shall not make any misrepresentations to clients regarding psilocybin products or services, the requirements of ORS 475A.210 to 475A.722 and these rules, or the facilitator’s qualifications and experience.
3. (3) A facilitator must use a nondirective facilitation approach to providing psilocybin services to clients during preparation, administration and integration sessions, except for a facilitator who has notified the Oregon Health Authority (Authority) of their license status as required by OAR 333-333-5130 and provides health care or behavioral health care services during preparation and integration sessions.
4. (4) A facilitator who has notified the Authority of their license status as required by OAR 333-333-5130 must provide prior notice of this license status to clients and inform clients whether they will be providing health care or behavioral health care services during preparation and integration sessions.
5. (5) A facilitator shall utilize their training to distinguish between typical side effects of consuming psilocybin and medical emergencies. In the event of a medical emergency, a facilitator must contact emergency responders or other appropriate medical professionals immediately.
6. (6) A facilitator shall determine whether they are able to provide psilocybin services to a client. If a facilitator determines that they are unable to provide services to a client for any reason, the facilitator may refer the client to another facilitator.
7. (7) If a facilitator has supervisory, evaluative, or other authority over a client, the facilitator shall provide the client an opportunity to receive psilocybin services from another facilitator.

8. (8) Facilitators may provide supportive touch during administration sessions when requested by the client and with the client’s prior written consent in a form and manner prescribed by the Oregon Health Authority.

   1. (a) Supportive touch is limited to hugs or placing hands on a client’s hands, feet or shoulders. A facilitator shall not use any other forms of touch, nor permit another person to use any other form of touch during an administration session, except for client support persons who perform activities identified in a written support person plan pursuant to OAR 333-333-5070.
   2. (b) Clients participating in a group administration session may provide prior written consent to authorize supportive touch from other clients participating in the administration session. Supportive touch is limited to hugs or placing hands on a client’s hands, feet or shoulders.
9. (9) A facilitator shall not assist a client with any of the activities required to be performed by a client support person pursuant to OAR 333-333-5070(5)(d), (f), (g) or (m).
10. (10) A facilitator shall not engage in any romantic relationship, sexual contact, or sexual intimacy with a client during the provision of psilocybin services including preparatory, administration, and integration sessions.
11. (11) A facilitator shall not engage in any romantic relationships, sexual contact, or sexual intimacy with clients, or clients’ partners or immediate family members, for a period of one year following the last date that the facilitator provided psilocybin services to the client.
12. (12) A facilitator may not engage in any financial transactions with clients or the client’s partners or immediate family members that violate a facilitator’s duty to place client’s interests above their own as required by section (1) of this rule.
13. (13) If a facilitator is a mandatory reporter of abuse under Oregon law, the facilitator must disclose their status and obligations to a client at the beginning of the client’s first preparation session.
14. (14) A facilitator may not supervise individuals experiencing the effect of consuming psilocybin products at any location other than a service center except as allowed by section (15) of this rule.

15. (15) These rules do not prevent a facilitator from:

    1. (a) Participating in harm reduction activities at festivals and events, via telephone hotlines and mobile applications, or in other situations when unforeseen circumstances arise that require harm reduction support.
    2. (b) Supervising individuals experiencing the effect of consuming psilocybin products during federally approved research and clinical trials.
    3. (c) Supervising individuals experiencing the effect of consuming psilocybin products at locations outside of Oregon if they hold the necessary license or authorization or it is otherwise lawful to do so in that location.
16. (16) The requirements of these rules apply to all facilitators, regardless of whether a facilitator is also a licensee representative of a service center.
17. (17) The requirements of these rules apply to all facilitators, regardless of whether multiple facilitators provide services to the same client, or whether a lead or primary facilitator has been designated.

Statutory/Other Authority

ORS 475A.235, ORS 475A.340 & Oregon Laws 2025, chapter 147

Statutes/Other Implemented

ORS 475A.340 & Oregon Laws 2025, chapter 147

History

PH 21-2025, amend filed 10/24/2025, effective 01/01/2026
PH 82-2024, amend filed 11/22/2024, effective 01/01/2025
PH 58-2023, amend filed 12/21/2023, effective 01/01/2024
PH 206-2022, adopt filed 12/27/2022, effective 12/27/2022