New Mexico Medical Psilocybin Program

Who can qualify, and what each permit takes

Updated July 25, 2026. The two tables reflect the July 23 published proposed rule. On July 17 the department kept the certifying-clinician controlled-substance-number requirement (see CS number). A section below adds specialization options.

Two reference tables. The first is the steps for each permit. The second is which licenses can qualify for each.

These tables cover provider licenses, not patient eligibility. The Act's qualifying conditions for patients are PTSD, major treatment-resistant depression, substance use disorders, and end-of-life care; how a patient is certified is on the CS number page.

Reading the tables

EligibleThe rules give this license a route.

PartialOpen only if that specific license's scope covers it.

ReciprocityOnly through the out-of-state route.

No current pathThe rules give this license no route.

Not specifiedThe rules do not address it. Different from no path: it is unanswered, not closed.

SettledThe published rule states it, and it was not changed on the record.

OpenThe published rule states it, but it is still with the committee or the department: the practicum hours were deferred to committee on July 17, and the controlled-substance number was kept by the department the same day over the board's objection.

Table 1

The steps, for each permit

Read down a column for one permit. Colored pills mark the two steps that were still open when the rule was published on July 23: the practicum hours and the controlled-substance number. Everything on this page goes to the August 28 rule hearing.

Step	Certifying Clinician	Practitioner	Facilitator
Entry credential	NM professional license (e.g. MD, NP)Settled	NM professional license (e.g. PSY, LSW, LCSW)Settled	No licenseSettled
Prerequisites	HIPAA, plus attestation. No BLS, CPR or EMT requirementSettled	BLS or CPR and AED or NM EMT license, plus HIPAA, plus attestationSettled	BLS or CPR and AED or NM EMT license, plus HIPAA, plus attestationSettled
Approved program	New Mexico module, plus clinician curriculum: 8 didacticSettled	New Mexico module, plus practitioner curriculum: 30 shared + 5 practitioner didactic, plus 5 simulated patientSettled	New Mexico module, plus facilitator curriculum: 30 shared + 5 facilitator didactic, plus 5 simulated patientSettled
Practicum at a Healing Center or other approved location	None requiredSettled	120 hoursOpen	100 hoursOpen
Mentoring	Not addressedNot specified	10 hoursSettled	10 hoursSettled
Testing out	All modules but NMSettled	All modules but NMSettled	All modules but NMSettled
Role gate	NM Controlled Substance numberOpen	20 hours supervising facilitatorsSettled	NoneSettled
Permit application	Electronic packet, 2-year permitSettled	Electronic packet, 2-year permitSettled	Electronic packet, 2-year permitSettled
Continuing education	8 CME hours / 2 yearsSettled	20 hours / 2 yearsSettled	20 hours / 2 yearsSettled

Reciprocity is a separate entry into Practitioner or Facilitator for people trained outside New Mexico, if their program is on NMDOH's approved list. The published rule sets both waiver deadlines at December 31, 2027. The July 9 draft had read December 31, 2026 for reciprocity applicants and June 30, 2027 for other certification applicants; at the July 9 meeting the board moved both deadlines to December 31, 2027 without objection; chair Ian Dunn noted that date is a legislative backstop, not the target date. A certifying clinician trained outside New Mexico applies by the same route: 7.35.3.10 (B) names certifying clinician alongside practitioner and facilitator, and requires everything the in-state packet requires, including the New Mexico license and the controlled substance number. The practicum waiver at 7.35.3.10 (D)(1) names practitioners and facilitators only, which costs a certifying clinician nothing, because no practicum applies to that role.

Source: July 23 published proposed rule. Entry credentials, prerequisites, the controlled substance number and the two-year certification: 7.35.3.9, pp. 2-3. Mentoring and testing out: 7.35.3.17, pp. 10-11. Curriculum hours and continuing education: 7.35.3.18, pp. 11-12. Practicum and supervision hours: 7.35.3.19, pp. 12-13. Reciprocity deadline change: July 9 meeting transcript.

Table 2

Which licenses can qualify

Eligibility follows what the license allows. The Certifying Clinician column also turns on the Controlled Substance number, which the department kept in the rule on July 17. Not final; it goes to a public hearing.

Starting license	Certifying Clinician	Practitioner	Facilitator
Prescribing / medical
Physician (MD / DO)	Eligible	Partial	Eligible
Psychiatrist	Eligible	Eligible	Eligible
Nurse Practitioner	Eligible	Partial	Eligible
Physician Assistant	Partial	Partial	Eligible
Licensed behavioral health
Psychologist (PhD / PsyD)	Partial	Eligible	Eligible
LCSW	Partial	Eligible	Eligible
LPCC	Partial	Eligible	Eligible
LMFT	Partial	Eligible	Eligible
Other NM-licensed health
Registered Nurse	No current path	No current path	Eligible
Pharmacist	No current path	No current path	Eligible
Naturopathic Doctor	Not specified	Not specified	Eligible
Massage Therapist / allied	No current path	No current path	Eligible
Other NM-licensed professional	Partial	Partial	Eligible
Non-clinical / community
Unlicensed community member	No current path	No current path	Eligible
Peer supporter / lived experience	No current path	No current path	Eligible
Chaplain / hospice / spiritual care	No current path	No current path	Eligible
Indigenous / traditional healer	No current path	Not specified	Eligible
Trained outside New Mexico
Resident, out-of-state credential	Reciprocity	Reciprocity	Reciprocity
Internationally trained (non-US)	Reciprocity	Reciprocity	Reciprocity

Entry credentials: 7.35.3.9 (D), (E) and (F), July 23 published proposed rule p.3. Reciprocity clause, which names certifying clinician alongside practitioner and facilitator: 7.35.3.10 (B), p.4. The published rule gives license examples only (e.g. MD, NP; e.g. PSY, LSW, LCSW). The scope-of-practice test used to grade Physician/NP/PA and Psychologist/LCSW/LPCC/LMFT as Partial comes from the June 12 recommendation p.1, applied here since the published rule does not restate it.

◆ Options raised · July 16, 2026

Below this line the register changes. These are possibilities discussed at the July 16 End-of-Life Care committee meeting, offered for consideration. They are not in the published rule, not settled requirements, and not this site's recommendation. The two tables above are unchanged.

Specialization as an added layer, not a separate license

Members discussed treating competence in a specific qualifying condition as a layer added on top of core eligibility, sitting on the existing three roles as an endorsement. It would not add a fourth license or a new row to the tables above. End-of-life care is the domain furthest along; PTSD, substance use disorders, and treatment-resistant depression were treated as the same shape.

Baseline, for every facilitator

Proposed as the psychospiritual core

Spiritual assessment and meaning-making
Grief, loss, and bereavement
Family and relational systems
Ethics, culture, equity, and informed consent

End-of-life specialization Overlay

Added on top of the baseline

Client mindset in serious illness and end-of-life
Medical complexity and safety
Adapting facilitation for end-of-life care
Interdisciplinary collaboration and sustainable practice

See the proposed hours and curriculum for this overlay →

First-pass domain tagging presented by Jenn at the End-of-Life Care committee meeting, July 16, 2026. Rule of thumb offered in the discussion: psychospiritual content is baseline for everyone; medical-complexity and prognosis-aware content is the specialization layer.

The same competency, carried by different roles Discussed July 16

Because the layer is an endorsement rather than a license, the same end-of-life competency can land in a clinical, a behavioral-health, or a community context, depending on which of the three roles carries it.

Larry Leeman: described continuity-of-care models where a death doula stays with a client through the journey and a Space Attendant, such as a hospice-trained volunteer, provides continuity. He raised the gap that a chaplain or end-of-life doula has no post-training slot in the current three-role structure.

Jamie: existential and spiritual themes appear across all psilocybin work, not only end-of-life, so a baseline competency in those areas fits every facilitator regardless of specialization.

Source: End-of-Life Care committee meeting, July 16, 2026; positions attributed to the members who stated them.

Open questions on the added layer Discussed July 16

Test out or credential out. For practitioners already specialized in palliative care, members raised whether existing expertise could satisfy the requirement without repeating training. Left open, and flagged for the training committee.

Endorsement or licensure. Dom, of the Department of Health, said diagnosis-specific licensure is logistically difficult and that the department prefers endorsements and best-practice recommendations. Larry Leeman suggested a professional organization for New Mexico end-of-life psychedelic practice as a possible long-term home for the standard.

Source: End-of-Life Care committee meeting, July 16, 2026. The optional route these questions attach to, and the hours proposed for it, are on Specialized domains.

If the committee recommendation is adopted

Facilitator and practitioner didactic becomes a single 84-hour standard for both, replacing the 35 hours each currently owes. The New Mexico module stays required and stays untestable-out-of.
Facilitator practicum falls from 100 hours to about 62, in four scaffolded steps, with a training permit issued after the first.
Practitioner practicum falls from 120 hours to about 72, and the 20 supervisory hours fall to 10.
Mentoring changes from 10 hours after graduation to 20 to 30 hours of supervision during the training permit period, with sign-off requiring two presented cases.
The certifying clinician does not change. The recommendation addresses facilitators and practitioners only. The 8-hour module and the absence of a practicum stand either way.

Source: Dr. Anne Metz, recommendations presented July 17. Not in the published rule. The committee recommendation is in progress and had not reached the department before publication.