Is Psychedelic Therapy Legal in Maryland?

Illegal

Classic psychedelics are prohibited under Maryland state law, with no state-regulated therapeutic pathway.

Status by substance

State-level status for lawful supervised therapeutic use. Regardless of state law, classic psychedelics remain Schedule I federally. Last reviewed 2026-06.

Psilocybin

Illegal

Schedule I; no decrim. 2024 state task force recommended a regulated-access program; HB 0160 (2025) pending — not yet enacted.

Official source (2026-02) ↗

MDMA

Illegal

Schedule I; no state therapeutic pathway.

Official source (2026-02) ↗

Ibogaine

Illegal

Schedule I; no therapeutic pathway.

Official source (2026-02) ↗

DMT / Ayahuasca

Illegal

DMT Schedule I; federal religious exemptions only.

Official source (2026-01) ↗

Mescaline / Peyote

Illegal

Peyote/mescaline Schedule I; federal NAC religious exemption only.

Official source (2026-01) ↗

Ketamine

Legal / regulated access

Tracked separately — a prescription medicine, excluded from the blended status.

Prescription / off-label therapeutic use (FDA-approved anesthetic; Spravato).

Official source (2019-03) ↗

Educational information, not legal advice. Laws change — confirm with the official sources above before making decisions.

Looking for legal psychedelic-assisted therapy?

ATMA CENA provides supervised, legal psychedelic-assisted therapy in Canada and trains practitioners across North America.

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