The Clackamas County Policy Session on May 15, 2024, focused on the potential regulation of psilocybin, following the passage of Measure 109, which allows for the use of psilocybin in therapeutic settings. The meeting highlighted the county's options regarding the adoption of local regulations or a prohibition on psilocybin service centers and manufacturing.

County officials discussed the possibility of holding public hearings to gather input from subject matter experts on psilocybin and the implications of Measure 109. They emphasized the importance of understanding the experiences of other jurisdictions that have implemented similar measures, such as Deschutes County, which has adopted regulations for psilocybin use.

The discussion revealed a divide among commissioners regarding the approach to psilocybin. Some expressed strong concerns about the potential risks associated with psilocybin, particularly in light of ongoing issues with drug addiction in the community. One commissioner argued for a permanent ban, citing public health concerns and the need for consistency in combating substance abuse. Others suggested that the decision should ultimately rest with the voters, advocating for more education and data on the effects of psilocybin before making a final decision.

Concerns were raised about the enforcement of any potential prohibition and the capacity of the Oregon Health Authority (OHA) to oversee psilocybin service centers effectively. Commissioners questioned whether Clackamas County Health Services would have the resources to manage oversight if psilocybin were approved.

The session concluded with a consensus that further research and public input are necessary before proceeding with any regulations or prohibitions. The commissioners agreed to explore the possibility of putting the issue to a vote in November, allowing the community to weigh in on the future of psilocybin in Clackamas County.