[Federal Register Volume 91, Number 133 (Tuesday, July 14, 2026)]
[Notices]
[Pages 43095-43098]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2026-14155]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2026-N-7542]


Considerations for Potential Future Therapeutic Use of 
Psychedelic Drugs; Public Hearing; Request for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Public hearing; request for comments.

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SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
announcing a public hearing on the potential future therapeutic use of 
psychedelic drugs. In collaboration with federal partners, FDA is 
holding this public hearing to obtain feedback and perspectives on 
issues associated with the potential future therapeutic use of drug 
products containing a psychedelic drug substance in supervised and 
supportive settings.

DATES: The public hearing will be held with an in-person and virtual 
option (i.e., hybrid) on September 14, 2026, from 12:30 p.m. to 4:30 
p.m. Eastern Time. Registration, including requests to present at the 
public hearing, must be completed through the meeting registration page 
at www.fda.gov/news-events/fda-meetings-conferences-and-workshops/considerations-potential-future-therapeutic-use-psychedelic-drugs-public-hearing-09142026 by 11:59 p.m. Eastern Time on August 21, 2026. 
Questions about registration and participation should be sent to 
[email protected] and should include the title of this 
notice. See the SUPPLEMENTARY INFORMATION section for attendance and 
registration information.
    Comments may be submitted at any time until October 5, 2026. 
Comments received after that date will not be considered. See the 
ADDRESSES section for how to submit comments.

ADDRESSES: 
    Location: The public hearing will be held at the White Oak Great 
Room, 10903 New Hampshire Ave., Silver Spring, MD 20993. The entrance 
for public meeting participants (non-FDA employees) is through Building 
1, where routine security check procedures will be performed. For 
security and parking information, please refer to https://www.fda.gov/about-fda/visitor-information/public-meeting-information and https://www.fda.gov/about-fda/visitor-information/visitor-parking-and-campus-map.
    Additional details, including any changes to the time of the public 
hearing and registration information, will be posted at www.fda.gov/news-events/fda-meetings-conferences-and-workshops/considerations-potential-future-therapeutic-use-psychedelic-drugs-public-hearing-09142026. The online web conference meeting link can be accessed at 
www.fda.gov/news-events/fda-meetings-conferences-and-workshops/considerations-potential-future-therapeutic-use-psychedelic-drugs-public-hearing-09142026 on the day of the meeting.
    You may submit comments as follows. The https://www.regulations.gov 
electronic filing system will accept comments until 11:59 p.m. Eastern 
Time on October 5, 2026. Comments received by mail/hand delivery/
courier (for written/paper submissions) will be considered timely if 
they are received on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions must include the Docket No. FDA-2026-
N-7542 for ``Considerations for Potential Future Therapeutic Use of 
Psychedelic Drugs; Public Hearing; Request for Comments.'' Timely 
comments (see DATES) will be placed in the docket and, except for those 
submitted as ``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday, 240-402-7500.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on

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https://www.regulations.gov. Submit both copies to the Dockets 
Management Staff. If you do not wish your name and contact information 
to be made publicly available, you can provide this information on the 
cover sheet and not in the body of your comments and you must identify 
this information as ``confidential.'' Any information marked as 
``confidential'' will not be disclosed except in accordance with 21 CFR 
10.20 and other applicable disclosure law. For more information about 
FDA's posting of comments to public dockets, see 80 FR 56469, September 
18, 2015, or access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts, and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, 240-402-7500.

FOR FURTHER INFORMATION CONTACT: Caroline Huang, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6117, Silver Spring, MD 20993-0002, 855-
543-3784, [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is responsible under the Federal Food, Drug, and Cosmetic Act 
(FD&C Act) (21 U.S.C. 301 et seq.) and the Public Health Service Act 
for protecting and promoting the public health through the regulation 
of human drugs, biological products, medical devices, foods, and other 
products. FDA's oversight of drug products, including potential 
psychedelic drug products, spans preclinical investigation through the 
full lifecycle of an approved product. FDA remains committed to 
advancing innovation while upholding its public health mission to 
ensure that drugs are safe, effective, and of high quality. With 
respect to psychedelic drug development, FDA has made significant 
advances.
    In April 2026, FDA issued national priority vouchers to companies 
studying psilocybin for treatment-resistant depression (TRD), 
psilocybin for major depressive disorder (MDD), and methylone for post-
traumatic stress disorder (PTSD) (U.S. Food and Drug Administration, 
2026). Through enhanced regulatory engagement and streamlined review 
procedures, national priority vouchers are designed to significantly 
reduce review times for qualifying drug applications for products that 
align with critical U.S. national health priorities, while maintaining 
FDA's rigorous scientific and regulatory standards.
    FDA has also granted Breakthrough Therapy designation to specific 
psychedelic drug development programs, including MDMA for the treatment 
of PTSD (Multidisciplinary Association for Psychedelic Studies, 2017) 
and psilocybin for TRD (COMPASS Pathways, 2018) and MDD (Khan, 2019). 
Breakthrough Therapy designation facilitates and expedites the 
development and review of drugs intended to treat a serious or life-
threatening disease or condition where preliminary clinical evidence 
indicates that the drug may demonstrate substantial improvement over 
available treatments on a clinically significant endpoint (U.S. Food 
and Drug Administration, 2018). Neither national priority voucher 
issuance nor Breakthrough Therapy designation constitutes an FDA 
determination of safety or effectiveness, and neither is a substitute 
for marketing approval.
    This hearing also supports implementation of Executive Order 14401 
of April 18, 2026, ``Accelerating Medical Treatments for Serious Mental 
Illness'' (91 FR 21709, April 22, 2026), which establishes a policy of 
accelerating innovative research models and appropriate drug approvals 
to help increase access to psychedelic drugs for serious mental 
illness, and which directs HHS and FDA to collaborate with other 
federal departments and agencies, as appropriate and consistent with 
applicable law, to increase clinical trial participation, data sharing, 
and real-world evidence generation regarding psychedelic drugs.
    Given this background, and as part of that coordinated federal 
effort, FDA and federal partners seek input on considerations for the 
potential future therapeutic use of psychedelic drugs in supervised and 
supportive settings.

II. Notice of Hearing Under Part 15

    FDA will hold a public hearing consistent with 21 CFR part 15 (part 
15) to provide the opportunity for the public to present information 
and views on the potential future therapeutic use of psychedelic drugs 
in supervised and supportive settings. The hearing will be conducted by 
a presiding officer, who will be accompanied by FDA panelists, 
including subject matter experts from the Center for Drug Evaluation 
and Research, as well as federal partner panelists. As provided in 
Sec.  15.30(f) (21 CFR 15.30(f)), the hearing is informal, and the 
rules of evidence do not apply. No participant may interrupt the 
presentation of another participant. Only the presiding officer and 
panel members may pose questions; they may question any person during 
or at the conclusion of each presentation.
    Public hearings under part 15 are subject to FDA's policy and 
procedures for electronic media coverage of FDA's public administrative 
proceedings (21 CFR part 10, subpart C). Under 21 CFR 10.205, 
representatives of the media may be permitted, subject to certain 
limitations, to videotape, film, or otherwise record FDA's public 
administrative proceedings, including presentations by participants. 
The hearing will be transcribed as provided in Sec.  15.30(b) (see also 
TRANSCRIPTS). To the extent that the conditions for the hearing, as 
described in this notice, conflict with any provisions set out in part 
15, this notice acts as a waiver of those provisions as specified in 
Sec.  15.30(h).

III. Topics for Discussion at the Public Hearing

    FDA and our federal partners are interested in public input on the 
potential future therapeutic use of psychedelic drugs in supervised and 
supportive settings, including the following topics: (1) provider 
training and credentialing, (2) promotion of patient safety, (3) 
considerations for access, and (4) best practices for data collection 
and standardization.
    Certain topics identified below implicate the authorities of other 
federal agencies or of states; FDA seeks this input to inform 
coordinated consideration and does not intend this notice to suggest 
FDA regulatory action outside our statutory authority. Input on 
operational, workforce, and access considerations may also inform 
understanding of how any measures to promote safe use could affect 
patient access to, and healthcare system capacity to deliver, these 
therapies.

Provider Training and Credentialing

    [cir] The evidence base for training and educational curricula, and 
the expert body(ies), if any, that would be expected to develop, 
review, or endorse them.
    [cir] Personnel and training needs by phase of care (screening and 
preparation, administration and monitoring, and follow-up), including 
minimum staffing during administration and monitoring and the roles and 
qualifications of non-prescriber personnel such as licensed counselors 
and peer support specialists.

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    [cir] Training for care coordination across primary care, 
behavioral health, and specialty providers.
    [cir] Credentialing and licensure considerations, ranging from 
background education and experiential qualifications to supervision and 
practice hour requirements.

 Promotion of Patient Safety

    [cir] Best practices to promote patient safety, including patient 
education and counseling, assessment of side effects, and 
considerations of set and setting (i.e., mindset and environment).
    [cir] Topics that should be explicitly addressed in informed 
consent procedures, e.g., the potential for an amplified power 
imbalance between patient and provider, the use of therapeutic touch, 
and the risk of psychological distress or a challenging psychedelic 
experience.
    [cir] Recommended practices to screen patients before treatment for 
medical and psychiatric conditions associated with greater risk of 
adverse outcomes (e.g., cardiovascular disease, psychosis, or 
suicidality).
    [cir] Strategies to mitigate potential diversion and non-medical 
use of psychedelic drugs, once approved by FDA.
    [cir] Mechanisms to prevent, detect, and report ethical violations 
by practitioners to appropriate authorities.
    [cir] Criteria for determining appropriate monitoring during and 
after drug administration, as well as coordination of post-
administration follow-up, including with emergency and crisis response 
services where needed.

 Considerations for Access

    [cir] Evidence needs for coverage, benefit design, reimbursement, 
and payment models, including healthcare economic impact analyses.
    [cir] Preparation and coordination between providers and payors to 
enable appropriate access to services.
    [cir] Considerations for implementation of access to services, 
including workforce, space, scheduling, storage, security, and clinic 
capacity.
    [cir] Telehealth screening, follow-up, and care coordination.

 Best Practices for Data Collection and Standardization

    [cir] Creation of data repositories (e.g., Coordinated Registry 
Networks) that may inform real-world assessment of safety.
    [cir] Data sources and coordination across data sources--including 
electronic health records, insurance claims, registries, pharmacy data, 
adverse event reports, patient- and clinician-reported outcomes, 
national surveillance systems, federally funded surveys, and state 
programs for psychedelic use--to characterize both medical and non-
medical use.
    [cir] Establishment of common data elements across data sources for 
drug, dosage, indication, setting, and patient characteristics (e.g., 
comorbidities).
    [cir] Approaches to defining, identifying, and reporting adverse 
events in the context of the acute and long-term effects of psychedelic 
drugs.
    [cir] Considerations for interoperability and linkages across 
healthcare delivery systems and settings, data quality, privacy-
protection, and longitudinal follow-up.
    FDA is not seeking comment on the following topics: (1) the safety 
or effectiveness of any particular drug product, or the merits of any 
pending or anticipated application before the Agency; (2) the 
scheduling status of any substance under the Controlled Substances Act, 
which is addressed through separate statutory processes; (3) the 
legalization or decriminalization of psychedelic substances, or the 
merits of state or local programs authorizing their use, although FDA 
welcomes input on data collection from such programs as described 
above; (4) religious, ceremonial, or personal (non-medical) use of 
psychedelic substances; or (5) individual disputes, enforcement 
matters, or complaints regarding specific practitioners or entities. 
Comments and presentations addressing these topics may not be 
considered.

IV. Participating in Public Hearing

    Registration: To register to attend the free public hearing, please 
visit the following website: www.fda.gov/news-events/fda-meetings-conferences-and-workshops/considerations-potential-future-therapeutic-use-psychedelic-drugs-public-hearing-09142026. Registration will open 
on July 13, 2026. Live closed captioning will be provided during the 
public hearing. Additional information on requests for special 
accommodations due to a disability will be provided during 
registration.
    Requests to Present: During online registration, you may request to 
present information and views at the hearing. Each request to present 
must include: (1) the presenter's name, title, affiliation, and contact 
information; (2) the organizations or interests, if any, on whose 
behalf the presenter would appear, including disclosure of any 
financial relationships with entities developing, manufacturing, or 
expecting to provide products or services related to psychedelic drugs; 
and (3) the topic area(s) identified in section III that the 
presentation will address. Individuals and organizations with common 
interests are urged to consolidate or coordinate their presentations 
and to designate a single presenter.
    FDA anticipates that requests to present will exceed the time 
available. If so, FDA will select presenters and allot presentation 
time with the goal of having a broad representation of ideas and issues 
presented at the meeting. Following the close of registration, FDA will 
determine the time allotted to each presenter and the approximate start 
time of each presentation and will notify participants ahead of the 
hearing. All written requests for participation must be received by 
August 21, 2026, 11:59 p.m. Eastern Time. No commercial or promotional 
material will be permitted to be presented or distributed at the public 
hearing.
    Selection to present at the meeting is not a prerequisite for 
having your views considered. Persons not selected to present, or who 
prefer not to present, may submit the same information as written or 
electronic comments to the docket (see ADDRESSES), and FDA will 
consider timely written comments equally with oral presentations.
    Transcripts: A transcript of the public hearing will be available 
at https://www.regulations.gov as soon as possible after the hearing 
and may be viewed at the Dockets Management Staff (see ADDRESSES). A 
link to the transcript will also be available at www.fda.gov/news-events/fda-meetings-conferences-and-workshops/considerations-potential-future-therapeutic-use-psychedelic-drugs-public-hearing-09142026.

V. References

    The following references marked with an asterisk (*) are on display 
at the Dockets Management Staff (see ADDRESSES) and are available for 
viewing by interested persons between 9 a.m. and 4 p.m., Monday through 
Friday; they also are available electronically at https://www.regulations.gov. FDA has verified the website addresses as of the 
date this document publishes in the Federal Register, but websites are 
subject to change over time.

    * COMPASS Pathways. (2018). COMPASS Pathways receives FDA 
Breakthrough Therapy designation for psilocybin therapy for 
treatment-resistant depression. Retrieved from https://ir.compasspathways.com/News--Events-/news/news-details/2018/COMPASS-Pathways-receives-FDA-Breakthrough-Therapy-designation-for-psilocybin-therapy-for-treatment-resistant-depression/default.aspx
    * Khan, T. (2019). Usona Institute's psilocybin receives the US 
FDA Breakthrough Therapy designation for major

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depressive disorder. Retrieved from https://www.usonainstitute.org/updates/fda-grants-breakthrough-therapy-designation-to-usona-institutes-psilocybin-program-for-major-depressive-disorder
    * Multidisciplinary Association for Psychedelic Studies. (2017). 
FDA grants Breakthrough Therapy designation for MDMA-assisted 
therapy for PTSD, agrees on Special Protocol Assessment for phase 3 
trials. Retrieved from https://www.maps.org/news/media/6786-press-release-fda-grants-breakthrough-therapy-designation-for-mdma-assisted-psychotherapy-for-ptsd,-agrees-on-special-protocol-assessment-for-phase-3-trials
    * U.S. Food and Drug Administration. (2018). Breakthrough 
Therapy. Retrieved from https://www.fda.gov/patients/fast-track-breakthrough-therapy-accelerated-approval-priority-review/breakthrough-therapy
    * U.S. Food and Drug Administration. (2026). FDA accelerates 
action on treatments for serious mental illness following Executive 
Order. Retrieved from https://www.fda.gov/news-events/press-announcements/fda-accelerates-action-treatments-serious-mental-illness-following-executive-order

Grace R. Graham,
Deputy Commissioner for Policy, Legislation, and International Affairs.
[FR Doc. 2026-14155 Filed 7-13-26; 8:45 am]
BILLING CODE 4164-01-P