Then in August, the Food and Drug Administration rejected drugmaker Lykos Therapeuticsâ application to offer ecstasy, alongside therapy, as a treatment for PTSD. FDA advisers worried the companyâs researchers were more evangelists than scientists and determined that theyâd failed to prove their regimen was either safe or effective.
Republicans complained the loudest.
âThese technocrats think they know better,â Texas GOP Rep. Dan Crenshaw, a former Navy SEAL who lost an eye in Afghanistan, wrote on X after FDA advisers recommended Lykosâ application be rejected. âTheir job is to say NO and support the status quo.â
But Crenshaw, whoâs helped secure funding for psychedelic research at the Defense Department, got the response he wanted from Kennedy at Tuesdayâs budget hearing. Kennedy said results from early government studies at the Department of Veterans Affairs and FDA were âvery, very encouraging.â He added that his FDA commissioner, Marty Makary, sees it the same way. âMarty has told me that we donât want to wait two years to get this done,â he said.
Crenshaw was pleased. âIâve spent years supporting clinical trials to study the use of psychedelics to treat PTSD,â he told POLITICO. âItâs been a long fight, and itâs taken a lot of grit. Iâm grateful Secretary Kennedy is taking this seriously â helping to mainstream what could be a groundbreaking shift in mental health.â
Kennedyâs comments have revived hope among psychedelicsâ advocates that the Lykos decision was more hiccup than death knell. âItâs important for the entire community and the entire value chain around psychedelic therapy to hear that he wants to responsibly explore the benefits and risks of these therapies,â said Dr. Shereef Elnahal, a health official at the VA under Biden who sees promise in the drugs.
Watch: The Conversation
The VA, under Trumpâs secretary, Doug Collins, is working directly with Kennedy on clinical research.
Collins has referenced psychedelics on a podcast appearance, on X and at a cabinet meeting this spring when Trump pressed him on what heâs doing to drive down the high suicide rate among veterans.
âI talk with Collins about it all the time,â Kennedy said Tuesday. âItâs something that both of us are deeply interested in.â
Psychedelics spreading in red states
Earlier this month, Texasâ Republican governor, Greg Abbott, signed a law to put $50 million into clinical trials of the psychedelic ibogaine, as a mental health treatment.
âThat culture shift is underway,â W. Bryan Hubbard, who spearheaded the Texas bill and is executive director of the American Ibogaine Initiative, told POLITICO. As Hubbard sees it, the narrative around psychedelics has evolved from counterculture recreation to a promising medical treatment for the âdeaths of despairâ from alcohol, drug overdoses and suicides the United States has grappled with in recent decades.
Kennedy was happy to see it.
âItâs super positive. It is really notable that the Republicans have become the party of some of these issues you wouldnât have expected before,â Calley Means, a top Kennedy adviser, told POLITICO. âStates pushing the envelope is certainly aligned with what Secretary Kennedy is trying to do. It gives him leverage to push bolder reforms.â
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The Texas effort involved a six-month sprint by Hubbard and former GOP Gov. Rick Perry to convince state lawmakers to pass the bill. Rep. Morgan Luttrell, another Lone Star Republican who credits ibogaine he took in Mexico with helping him overcome trauma he incurred during military service, also lobbied for it.
Hubbard attributes their success partly to Texasâ independent pioneer culture and a red-state philosophy that was receptive to his pitch for a medicalized psychedelics model. It didnât hurt that Abbott had signed a bill to study ecstasy, psilocybin and ketamine as treatments for veterans with PTSD with Baylor College of Medicine. And since Texans are no stranger to religion, conversations about the spiritual aspect of ibogaine treatment seemed to resonate with lawmakers.
âWe had a message that was tailor-made for the Lone Star State,â he said.
Veterans turned out at public hearings to describe traveling out of the country, often to Mexico, where ibogaine is unregulated, to receive treatment they couldnât access in the U.S.
âThese heroes have gone to war to defend the land of the free, only to come home and be faced with inflexible, bureaucratic systems that offer ineffectual solutions, paired with the Controlled Substances Act that has forced them to flee the country that they have defended in order to access treatment in a foreign country,â Hubbard said.