In a move that would have seemed unthinkable just a decade ago, a new presidential administration is placing psychedelics front and center in its health policy agenda. Health Secretary Robert F. Kennedy Jr. told Congress that psychedelic-assisted therapy—long stigmatized and sidelined—is on track for federal approval “within 12 months.”That timeline stunned even long-time advocates. But it aligns with a wider political shift, not just in progressive strongholds but also in conservative territories like Texas. Former Trump officials including ex-Governor Rick Perry and Secretary of Veterans Affairs Doug Collins have expressed support for expanding access to psychedelics for treating PTSD, depression, and addiction.The timing is no accident. The U.S. Food and Drug Administration (FDA) recently dealt a heavy blow to advocates by rejecting MDMA-assisted therapy for PTSD, citing concerns over research integrity. The decision was a major setback for the psychedelic movement—but it may also have sparked a political counter-response.MDMA, also known as ecstasy, had long been the frontrunner in the race to integrate psychedelics into clinical medicine. The Multidisciplinary Association for Psychedelic Studies (MAPS), which backed MDMA research for decades, had hoped for a groundbreaking FDA approval this year.Instead, FDA advisors voted overwhelmingly against it, criticizing data collection methods, researcher bias, and missing adverse event reports. One panelist described the trial environment as bordering on “cult-like.” Critics argued that while results appeared promising, the data lacked scientific rigor.The agency hasn’t entirely shut the door on MDMA, but it's clear that any future approval will come with strict conditions—or require new clinical trials entirely.Rather than retreating, psychedelic advocates now seem to be finding powerful allies. Kennedy’s endorsement of psychedelic therapies stems in part from personal experience—he’s spoken openly about family members and friends who found healing through these substances.Meanwhile, Rick Perry and other Republican figures are pushing forward with state-level projects that bypass the slow-moving federal process. Texas recently approved $50 million to fund research into ibogaine, a powerful and controversial psychedelic derived from a West African plant.Ibogaine remains a Schedule I substance, in the same legal category as heroin. But veterans and policymakers in Texas are betting on it to address the state’s opioid crisis and support those suffering from war-related trauma.“It’s not just red states or blue states anymore—it’s veterans, families, people from across the spectrum who are saying: what we’re doing isn’t working,” said Bryan Hubbard, co-founder of Americans for Ibogaine.What is The Ibogaine Experiment?Ibogaine is not your typical psychedelic. While small studies suggest it may reset the brain’s reward system and break addictive cycles, it’s also known for severe side effects—including potentially lethal heart arrhythmias.Veterans like Marcus Capone say it changed their lives. Capone, a former Navy SEAL, describes his first ibogaine experience as “a complete purge.” After years of therapy and medication, one session left him with “no more anxiety, no more depression.”His nonprofit, VETS, has already sent over 1,000 veterans abroad for psychedelic treatment. But federal officials remain cautious. Former NIDA director Nora Volkow acknowledged ibogaine’s promise but warned it “would be dead in the water” for FDA approval in its current form due to toxicity risks.Still, the National Institutes of Health is now supporting development of synthetic ibogaine analogs—evidence that even federal agencies are evolving.Fast-Tracking Psychedelic Drug Approval—At What Cost?FDA commissioner Marty Makary, who reports to RFK Jr., recently announced efforts to accelerate drug approvals that serve “American health interests.” One proposed framework could shrink the FDA’s review process from six months to just one.Makary has also floated the idea of relaxing placebo-controlled trial requirements—controversial in psychedelic research because participants often know if they received the real drug. That change could open the door for faster results, but it also raises concerns about scientific integrity.Critics like Yale psychiatrist Philip Corlett are sounding the alarm. “The public is ahead of the science right now,” he warns. “If RFK and others are serious, they should stick to the benchmarks of clinical research. Otherwise, this could backfire.”What Happens to MDMA Now?The future of MDMA therapy is uncertain. FDA regulators could override the advisory panel’s vote and approve the drug with new safeguards, such as risk evaluation and mitigation strategies (REMS). Another possibility: conditional approval with a requirement for post-market research.But there’s also a chance the drug could be shelved, at least temporarily, while Lykos—the company behind the MDMA trials—regroups and launches a new study. That could delay approval by years.“The hope was that if we did the science right, the data would speak for itself,” said trial investigator Ingmar Gorman. “But that’s not how it played out.”The psychedelic renaissance now finds itself in a paradox: increasingly mainstream and bipartisan in political circles, but still fragile in the eyes of regulatory science.States like Texas and Oregon are forging ahead. Veterans and nonprofits are doing the groundwork. And the federal government, under a high-profile and controversial health secretary, appears willing to fast-track approval processes but speed and politics won’t substitute for rigorous evidence. If the next wave of psychedelic approvals is rushed or mishandled, it could risk discrediting therapies that millions of patients might one day benefit from.