On June 21, 2025, Texas Governor Greg Abbott signed House Bill 46, bringing major changes to Texas’ current medical cannabis program. The new changes took effect on September 1, 2025. This is an exciting time because the new law expands access to patients across the state through the Texas Compassionate Use Program (CUP). Now in Texas more people than ever can qualify for access to medical marijuana.
Here’s what you need to know about the updates and how they will improve patient access to medical cannabis in Texas.
New Qualifying Conditions
For the first time, patients with chronic pain can qualify for medical cannabis in Texas without having to first try opioid-based medications. In addition, the following conditions are now included under CUP:
- Chronic Pain (no prior opioid use required)
- Crohn’s Disease
- Inflammatory Bowel Disease (IBD)
- Traumatic Brain Injury
- Terminal Illness or Hospice Care Patients
These new conditions join the existing list, which already included:
- ALS
- Alzheimer’s & other dementias
- Autism
- Cancer
- Cerebral Palsy
- Multiple Sclerosis
- Parkinson’s and Huntington’s diseases
- Peripheral Neuropathy (nerve pain and damage)
- PTSD
- Seizure disorders
- Spasticity
- Over 100 other incurable neurodegenerative diseases
New THC Measurements
Previously, Texas law limited products to 1% THC by weight. With House Bill 46, THC will now be measured by milligrams per dose instead:
- Up to 10 mg of THC per dose
- Up to 1,000 mg per package
This update allows for a wider variety of medical cannabis products, such as capsules, patches, inhalers, and vaporization devices. It also reduces the need for filler ingredients, giving patients more effective and consistent treatment options.
Accessibility and Confidentiality
Patients remain enrolled in the Compassionate Use Registry of Texas (CURT), a secure database accessible only by physicians, dispensing organizations, and law enforcement for verification purposes. Patient information is strictly confidential.
How to Get Medical Cannabis in Texas
To access medical cannabis in Texas please follow the steps below.
- Schedule an Appointment: Meet with a physician registered to prescribe medical cannabis. Find a medical prescribing doctor through DocMJ
- Get a Prescription: If eligible, your physician will upload a digital prescription to CURT. (Note: Texas does not issue medical marijuana “cards.”)
- Place an Order: Place your order online here or call us at 833-735-8368
How We Got Here
The Compassionate Use Act was first passed in 2015, allowing low-THC cannabis only for patients with intractable epilepsy. Since then, lawmakers have steadily expanded the program in 2019, 2021, and now 2025, reflecting the growing recognition of cannabis as a legitimate treatment option for Texans. Even though this is a great milestone for the current medical program in Texas, we only hope to continue to expand access to medical cannabis for all patients who would benefit. With expanded qualifying conditions, updated THC measurements, and improved accessibility, more Texans will be able to find relief through safe, physician-guided cannabis treatments.
If you think you may qualify, talk to a licensed prescribing registered physician to learn more and see if medical cannabis is right for you.
