Medical Cannabis Updates for Texas Physicians

On June 21, Governor Greg Abbott signed House Bill 46, a new law that brings significant changes to the Texas Compassionate Use Program (TCUP). This law took effect on September 1, 2025, and improves accessibility to medical cannabis in Texas.

Have questions about these changes? Fill out the form below to connect with our team.

What Conditions Were Added Under HB 46?

House Bill 46 expands on the list of 150+ qualifying conditions to include:

Chronic Pain
- Note: Patients with chronic pain do not need a history of prior opioid use to qualify.
Crohn's Disease
Inflammatory Bowel Disease (IBD)
Traumatic Brain Injury (TBI)
Terminal illnesses and patients under hospice care

In addition to expanded patient eligibility, House Bill 46 introduces additional updates that impact how physicians prescribe medical cannabis in Texas.

How Chronic Pain is Defined Under HB 46

House Bill 46 defines "Chronic pain" as pain that is not relieved by acute, post-surgical, post-procedure, or persistent non-chronic pain treatment and is associated with a chronic pathological process that causes continuous or intermittent severe pain for more than 90 days, and for which tetrahydrocannabinol is a viable method of treatment.

New Dosage and Product Guidelines

The 1% THC cap will be replaced with a limit of 10 mg THC per dose, with a maximum of 1,000 mg THC per package.
This new dosing measurement will allow for more product types.
Existing products, such as gummies, will be reformulated to align with new dosing requirements.

Prescription Duration and Refills

Each prescription may cover up to 90 days of medication, with up to four refills.
Physicians may prescribe multiple doses or packages within that period to ensure the patient has sufficient milligrams within that time frame.
All prescriptions for inhalable products must specify THC milligrams per dose.

Pulmonary Inhalation Products

Inhalable medical cannabis products (e.g., medical vaporization devices and aerosols) may be prescribed once approved by the Executive Commissioner of DSHS.
Approval and rule-making will occur by October 1, 2025.
These devices are not yet available. We will notify prescribers as soon as they are approved for use.

Satellite Locations and Patient Access

Medical cannabis products can be securely stored at approved locations.
This change allows for secure overnight storage of products, improving patient access in remote regions, reducing wait times and medication costs.

Patient Protections and Privacy

Patient information in the Compassionate Use Registry is confidential and protected by law and may only be accessed by the department, registered physicians, and dispensing organizations.
A patient's participation in the CUP does not disqualify them from obtaining or maintaining a License to Carry (LTC), according to the Department of Public Safety (DPS).

Still Have Questions?

Our team is here to help provide guidance on prescription guidelines, product updates, and patient education. Click below or fill out the form above to connect with us.

Medical Cannabis Updates for Texas Physicians

What Conditions Were Added Under HB 46?

How Chronic Pain is Defined Under HB 46

New Dosage and Product Guidelines

Prescription Duration and Refills

Pulmonary Inhalation Products

Satellite Locations and Patient Access

Patient Protections and Privacy

Still Have Questions?

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Delivery

New Braunfels

North Austin

South Austin

San Antonio

Waco

Nacogdoches

Tyler

Hurst

Fort Worth

Frisco

Plano

Conroe

Houston Heights

Sugar Land

The Woodlands

Corpus Christi

Lubbock

Midland

El Paso

Conroe

Fort Worth

Frisco

Houston Heights

Hurst

Lubbock

Nacogdoches

New Braunfels

North Austin

Plano

San Antonio

South Austin

Sugar Land

The Woodlands

Tyler

Waco

Delivery

New Braunfels

North Austin

South Austin

San Antonio

Waco

Nacogdoches

Tyler

Hurst

Fort Worth

Frisco

Plano

Conroe

Houston Heights

Sugar Land

The Woodlands

Corpus Christi

Lubbock

Midland