On June 21, Governor Greg Abbott signed House Bill 46, expanding Texas' medical cannabis program. This bill went into effect on September 1, 2025, marking a major step toward improving access to medical cannabis through the Texas Compassionate Use Program. Here's an overview of this bill and the changes it makes to medical cannabis laws in Texas.
New Qualifying Conditions for Medical Cannabis
As of September 1, 2025, the list of 150+ qualifying conditions includes:
- Chronic Pain (No prior opioid medication required to qualify)
- Inflammatory Bowel Disease (IBD)
- Crohn's Disease
- Traumatic Brain Injury (TBI)
- Terminal illnesses or patients in hospice care
These conditions build on the existing list of qualifying conditions, including:
- Post-traumatic stress disorder (PTSD)
- Cancer
- Peripheral Neuropathy (Nerve Pain)
- Spasticity (Muscle Spasms)
- ALS
- Autism
- Cerebral Palsy
- Multiple Sclerosis
- Alzheimer’s Disease and Other Dementias
- Seizure disorders
- Parkinson’s/Huntington’s Diseases
- Over 100 other incurable neurodegenerative diseases
Click below to learn more and find a registered doctor.
Inhalable and Vaporizable Medical Cannabis Products
Once approved by the Health and Human Services Commission, pulmonary inhalation products may be prescribed by a registered physician. These devices may include medical inhalers and medical vaporization devices, which may provide fast-acting relief for symptoms of qualifying conditions.
Note: Pulmonary inhalation products are not yet available. We will notify our patients as soon as these devices and formulations are approved. Be sure to subscribe to email and texts for the latest updates.
Improved Regional Access of Medical Cannabis
Licensed medical cannabis dispensaries can store products at DPS-approved satellite locations across Texas. This change will improved access to rural areas, reduce wait times to fill a prescription, and assist Texans with limited mobility or access to transportation. Additionally, distribution costs will be reduced, lowering the cost of medication for patients.
Currently, there are already more than 17 pickup locations across Texas where patients can receive their medical cannabis from a licensed dispensary. In areas without a pickup location, patients can receive a home delivery.
Medical Cannabis Dispensary Pickup Locations
- Austin
- San Antonio
- Waco
- Houston
- The Woodlands
- Hurst
- Plano
- Frisco
- Dallas
- Fort Worth
- Longview
- Nacogdoches
Patient Confidentiality
A patient's participation in the Compassionate Use Registry is confidential and may only be accessed by the department, registered physicians and dispensing organizations.
Note: A patient's participation in the Compassionate Use Program does not, in itself, disqualify them from obtaining or maintaining a License to Carry (LTC), according to the Texas Department of Public Safety (DPS).
New THC Measurements
The 1% THC cap will be replaced with a milligram cap of 10 mg per dose. Additionally, medical cannabis products may have up to 1,000 mg per package. By utilizing milligrams to measure THC, the amount of filler ingredients in products can be reduced and will allow for more product options, like capsules, transdermal patches, medical vaporization devices and inhalers.
More About Medical Cannabis in Texas
Medical cannabis products like gummies, tinctures, beverages, chocolates and topicals are available for patients with a prescription. Unlike other states, Texas does not issue medical marijuana cards. Instead, prescriptions are submitted electronically by physicians to the Compassionate Use Registry of Texas, allowing licensed dispensaries to fill these prescriptions.
Does Texas have legal medical cannabis?
Yes, Texas has legal medical cannabis through the Compassionate Use Program. Patients can get a prescription for more than 150 qualifying conditions. Texans can find out if they qualify and see a list of registered doctors by clicking below.
What is the new law on medical cannabis in Texas?
HB 46 is a new law taking effect September 1, 2025, that will allow Texans with chronic pain, traumatic brain injury (TBI), Crohn's disease, inflammatory bowel disease (IBD) and those receiving hospice or palliative care to qualify for medical cannabis. HB 46 makes several other improvements, like expanding access, protecting patient confidentiality and allowing for new product types like medical vaporization and aerosolized devices.
Can law enforcement see if I have a medical cannabis prescription?
The Department of Public Safety maintains a secure online registry called the Compassionate Use Registry of Texas (CURT), where physicians input patient's prescriptions. CURT is accessible only to law enforcement, physicians and licensed dispensing organizations for verifying patient prescriptions.
Patient information within the registry is confidential and can only be accessed by the DPS, registered physicians and licensed dispensing organizations.
Is THC legal in Texas?
Yes, THC is legal under the Texas Compassionate Use Program. Patients with a qualifying condition can access medical cannabis products containing THC.
How do you get medical cannabis in Texas?
To access medical cannabis in Texas, a patient must be a Texas resident with a qualifying condition. Texans can find out if they qualify and receive a prescription by following these three simple steps.
- Schedule an Appointment: Meet with a physician registered to prescribe medical cannabis in Texas.
- Get a Prescription: If eligible, the physician will discuss your treatment plan and upload your digital prescription. Texas does not issue medical marijuana cards; instead, prescriptions are submitted digitally to the Compassionate Use Registry of Texas (CURT).
- Place an Order: Once you receive your prescription, order online or call 512-614-0343 to get started. Texas Original has over 17 locations across Texas and provides statewide delivery in areas without a pickup location.
