1. (1) Administration sessions must be conducted by a facilitator and may only take place within a service center’s designated administration area.
2. (2) The requirements of OAR 333-333-5000 and OAR 333-333-5020, if applicable, must be satisfied prior to any client participating in an administration session in an administration area.
3. (3) For clients who intend to consume doses of less than 2.5 mg of psilocybin analyte during administration sessions that occur over the course of multiple days, facilitators shall create a plan with the individual client and coordinate with service centers to ensure the client may access planned administration sessions. This plan must be stored with the client records and made available to the Oregon Health Authority (Authority) upon request.
4. (4) A facilitator must always be present during administration sessions and shall continuously monitor any client participating in the administration session. Continuous monitoring means that a facilitator must maintain visual and audio contact with clients and monitor clients for signs of physical or emotional distress. Video monitoring or other equipment may not be used to satisfy the requirement to continuously monitor clients.
5. (5) The requirements of section (4) of this rule do not apply to client restroom breaks.
6. (6) A facilitator may take restroom breaks of approximately five minutes or less during an administration session if the facilitator remains on the licensed premises and a service center licensee representative is available to monitor clients.
7. (7) A facilitator or service center may provide recorded music or other recorded audio or visual materials during an administration session as long as the client consents to the use of these materials prior to beginning an administration session. Audio or visual media may not contain images or references to violence or harm to self or others. Facilitators and service centers must exercise reasonable judgement to avoid materials that are likely to cause distress for clients. Facilitators and service centers may only provide audio and visual materials that are non-directive. A client may decline the use of these materials at any time, including during the administration session.
8. (8) In addition to a facilitator conducting the administration session, at least one licensee representative of a service center license must be present on the licensed premises at all times when an administration session is taking place at a service center. The licensee representative required by this rule may take restroom breaks of approximately five minutes or less during an administration session as long as they remain on the licensed premises and adequate measures to prevent unauthorized access to the licensed premises are in place as required by OAR 333-333-4550. Licensee representatives may traverse through client administration areas to access restrooms as long as they do not interfere with client administration sessions. If the licensee representative required by this rule holds a facilitator licensee, they are prohibited from transferring, selling or otherwise handling any psilocybin product while they are facilitating a preparation, administration or integration session.
9. (9) Except for individuals described in OAR 333-333-5070 and service centers acting as practicum sites, only clients, facilitators and licensee representatives of a service center may be present during an administration session.

10. (10) Licensee representatives of a service center who are present during an administration session:

    1. (a) May not provide psilocybin services.
    2. (b) May only be present to assist with operations and must leave the administration area after assisting with operations.
    3. (c) Shall not interfere with or otherwise participate in the administration session.
    4. (d) May not share or disclose any information regarding clients’ participation in psilocybin services without the client’s prior written consent.
11. (11) A service center may not host administrative sessions for more than 100 clients at any given time regardless of whether the clients are participating in separate individual or group administration sessions.

Statutory/Other Authority

ORS 475A.235

Statutes/Other Implemented

ORS 475A.235 & ORS 475A.340

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