Colorado's Natural Medicine Framework: What Leaders Should Know

Colorado's Proposition 122, passed in 2022, established the first regulatory framework for natural medicine services — including psilocybin facilitation — in the continental United States. As someone who served on the Natural Medicine Advisory Board as a primary architect of the facilitation framework, I had direct involvement in shaping how these services would be structured and overseen.

What the framework gets right is the emphasis on the facilitation relationship. Experiences of this kind are not primarily pharmaceutical events. They are relational ones, and the quality of what happens in and after the experience is determined in large part by the quality of the guide.

What that means for someone considering this work: the legal and regulatory container is now in place. What still requires discernment is who you work with inside that container. A license is necessary but not sufficient. The depth, the preparation quality, the integration capacity — those are what determine the outcome.

For leaders considering this work, the practical questions worth asking: Does this person have genuine experience in non-ordinary states themselves? Do they understand the specific pressures and psychology of high-performing men? Do they have the capacity to work with what surfaces — not just hold the space while it surfaces?

Colorado's framework creates access. The work of finding the right person within it still requires judgment.

I'm available to speak with anyone navigating that decision, regardless of whether we end up working together.