Texas Council seeks Attorney General opinion on ketamine therapy regulations

The Texas Behavioral Health Executive Council convened on July 1, 2025, to address pressing issues in mental health care, including the emerging use of ketamine therapy and the need for legal clarification on its administration. The meeting highlighted the complexities surrounding ketamine's therapeutic use, particularly as it becomes more prevalent in mental health treatment.

A key discussion point was the request for an opinion from the Attorney General regarding the classification and regulation of mental health professionals involved in ketamine therapy. Council members expressed concerns about the potential for misuse and the lack of clear guidelines governing its administration. One member likened the situation to a baseball instant replay, emphasizing the importance of seeking authoritative clarification when there is disagreement on regulatory matters.

The council acknowledged the growing trend of ketamine therapy, noting that while it is legally prescribed by medical doctors, the process for obtaining prescriptions has raised alarms about accessibility and safety. Members voiced apprehension over the ease with which individuals can acquire ketamine prescriptions, particularly in online settings, and the implications this has for patient safety and professional responsibility.

In addition to the ketamine discussion, the council approved a revised ethics policy in response to Governor Abbott's directive, ensuring that ethical standards remain robust in light of evolving practices in mental health care. This update reflects a commitment to maintaining high ethical standards as new therapies and technologies emerge.

The meeting concluded with a recognition of the need for ongoing dialogue and education regarding ketamine and other emerging practices in mental health. Council members emphasized the importance of staying informed about developments in other states and the potential need for future regulatory adjustments to ensure patient safety and professional accountability.

As the council anticipates a response from the Attorney General within 120 days, the discussions underscore a proactive approach to navigating the complexities of mental health treatment in Texas, particularly as new therapies challenge existing frameworks. The council's commitment to addressing these issues reflects a broader concern for public safety and the integrity of mental health practices in the state.