What Medical Cannabis Changes Are Coming to Texas?

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 (TCUP). Here’s an overview of this bill and the changes it makes to medical cannabis laws in Texas.

Approved Conditions for Medical Cannabis in Texas

Patients in Texas can receive a medical cannabis prescription for conditions such as:

  • 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
  • Post-traumatic stress disorder​ (PTSD)​
  • Cancer
  • Peripheral Neuropathy (Nerve Pain)​
  • Spasticity (Muscle Spasms)​
  • ALS​
  • Autism​​
  • Cerebral Palsy​​
  • Multiple Sclerosis​​
  • Alzheimer’s Disease and Other Dementia​s​
  • Seizure disorders ​​
  • Parkinson’s/Huntington’s Diseases
  • Over 100 other incurable neurodegenerative diseases

Click below to learn more and find a registered doctor.

Find a Doctor

Medical Cannabis Vaporization Legal in Texas

Medical cannabis vaporization products are legal for patients under the Compassionate Use Program. To purchase a medical cannabis vaporization device from Texas Original, you must be a registered TCUP patient and your prescription must specifically allow pulmonary inhalation as a method of administration.
Most patients will need to contact their physician to request this authorization and get a new prescription. Texans interested in learning more about medical cannabis can visit
our Get a Prescription page to find a doctor.

Improved Regional Access to Medical Cannabis

Licensed medical cannabis dispensaries in Texas are now allowed to store products at satellite locations approved by the Department of Public Safety (DPS). This change improves medical cannabis access in rural areas, reduces wait times to fill a prescription and assists Texans with limited mobility or access to transportation. This change may allow dispensaries to lower distribution costs and medication costs for patients.

There are more than 18 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.

Texas Original Dispensary Locations

Same-day access to medical cannabis is available at Texas Original locations in:

  • South Austin
  • San Antonio
  • Plano
  • Houston Heights

Pickup Locations

Patients can place an order ahead of time and pickup in:

  • North Austin
  • New Braunfels
  • The Woodlands
  • Sugar Land
  • Conroe
  • Waco
  • Hurst
  • Frisco
  • Dallas
  • Fort Worth
  • Tyler
  • Nacogdoches
  • Lubbock

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).

THC Laws in Texas

THC laws in Texas were changed under House Bill 46. The 1% THC cap was 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, allowing for more product options, like medical vaporization devices and more concentrated options.


More About Medical Cannabis in Texas

A wide variety of medical cannabis products are available to Texans 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 types of medical cannabis products are legal in Texas?

In Texas, legal medical cannabis products include vaporization devices, gummies, tinctures, concentrates, topicals, chocolates and beverages, giving patients a variety of ways to find relief. Patients can also access full-spectrum formulations, strain-specific concentrates and craft products like flower rosin gummies.

What is the new law on medical cannabis in Texas?

HB 46 took effect on September 1, 2025, which allows 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 made several other improvements, including expanding access, protecting patient confidentiality, and introducing new product types, such as medical vaporization.

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 enter patients’ 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.

  1. Schedule an Appointment: Meet with a physician registered to prescribe medical cannabis in Texas.
  2. 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).
  3. 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.

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