Current psilocybin laws and regulations in North Carolina
Psilocybin is fully illegal in North Carolina, with no decriminalization, no city deprioritization resolution, and no therapeutic-access program. The state's notable development is a rare bipartisan research bill: HB 727, introduced by Representatives C. Wayne Sasser (R), Allen Chesser (R) and John Autry (D), would fund $5.4 million in grants to study MDMA for PTSD and psilocybin for depression and anxiety. It was approved unanimously by the House Health Committee and, as of August 2026, is sitting in a Senate appropriations committee. It funds research — it would not legalize possession or create public access.
A bipartisan bill from Reps. C. Wayne Sasser (R), Allen Chesser (R) and John Autry (D) proposing $5.4 million in research grants for MDMA and psilocybin therapy studies.
The House Health Committee approved the bill unanimously, sending it onward through the appropriations and rules process.
The bill remains alive in a Senate appropriations committee. Psilocybin is still fully illegal statewide; the bill would fund research only, not legalize possession.
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