Texas Medical Marijuana Prescription
As of June 21, 2025, Governor Greg Abbott signed House Bill 46 (HB 46) into law, making Texas the 40th state to officially recognize medical cannabis under an expanded regime. With the passage of House Bill 46, taking effect September 1, 2025, patients will benefit from expanded qualifying conditions, updated dosage rules, and more accessible product forms. Currently, medical marijuana is legal in Texas under specific state guidelines and can be purchased at Texas medical marijuana dispensaries if you are a medical patient.
If you want to know how to get a medical marijuana prescription in Texas, or whether you qualify for a medical marijuana card equivalent, read on for the latest legal details, qualifying conditions, product forms, and prescription process.
What Changed in Texas Medical Marijuana Law in 2025?
Under HB 46, Texas’ Compassionate Use Program (CUP) undergoes major upgrades:
- Expanded qualifying conditions, including chronic pain, Crohn’s disease, traumatic brain injury (TBI), glaucoma, and degenerative disc disease.
- Veteran-specific eligibility: Veterans may qualify with any condition deemed debilitating by a CUP-certified physician.
- THC limits revised: No longer tied to percentage by weight, new law allows up to 5mg THC per dose and 300mg per package.
- New delivery forms: Vape pens, inhalers, patches, and aerosols are now allowed alongside tinctures and capsules.
- More dispensaries: Licensing expanded from 3 to up to 15 statewide organizations, improving geographic access.
New Qualifying Conditions for Medical Marijuana Under HB 46
Previously limited to neurological conditions and cancer, the new CUP guidelines now include:
- Chronic pain (no longer requires prior opioid therapy)
- Crohn’s disease
- Traumatic brain injury
- Glaucoma
- Degenerative disc disease
- Terminal illnesses, hospice or palliative care needs
- Importantly, veterans may now qualify for any condition deemed debilitating by a certified CUP physician
Veterans receive special consideration, and the Texas Health Department now holds authority to add conditions without legislative approval.
Low-THC Oil & THC Dosage Limits Redefined
Historically, Texas medical marijuana law defined “low-THC” as less than 1% THC by weight. Under HB 46, dosage is now milligram-based, offering clarity for both patients and doctors:
Max per dose: 10 mg THC (natural phytocannabinoids)
Max per package: 1 gram total THC – regardless of delivery method
Prescription valid for: 1 year, including four 90-day refills
For patients, this means:
- A 0.5g cartridge at 1% THC = ~5mg THC per use
- Tinctures labeled 0.25ml per dose = ~2.5mg THC
Low-THC Cannabis Products in Texas: New In 2025
Patients may now receive low-THC cannabis via:
- Inhalation: vape pens, nebulizers, inhalers
- Topicals: lotions, patches, suppositories. These methods are exempt from percentage-based limits but must comply with dosage caps.
This is in addition to tinctures, capsules, and lozenges which are currently for medical patients in Texas.
Smoking cannabis remains illegal in Texas, even for medical users.
Expanded Dispensary Access
DPS will issue up to 15 dispensary licenses, with mandatory distribution across public health regions.
Licensed organizations may operate satellite facilities for secure storage and distribution.
This solves geographic access gaps and facilitates better patient access across Texas
Current Legal Status & Pending Regulations in Texas (as of August 2025)
Although HB 46 passed, concurrent legislative proposals may affect the broader THC market:
- Senate Bill 3 originally proposed banning hemp-derived THC products, such as Delta-8 edibles and vapes.
- Governor Abbott vetoed SB 3 on June 23, 2025, citing economic concerns and regulatory imbalance.
- A special legislative session on July 21, 2025, will debate regulated, not prohibitionist, models for hemp-derived THC products
Meanwhile, TCUP remains strictly regulated, and only officially prescribed low‑THC products are legal under Texas medical marijuana laws.
How to Get a Medical Marijuana Prescription Online in Texas
Getting certified has never been easier with PrestoDoctor:
- Create an account at PrestoDoctor.com
- Complete your quick medical questionnaire.
- Complete an online evaluation with a registered Texas physician (HIPAA-compliant platform).
- If eligible, the physician submits prescription into CURT (Compassionate Use Registry of Texas).
- Visit any licensed dispensary in Texas to fill your approved prescription. Be sure to bring your ID with you to the dispensary.
This entire process can take as little as one day.
Why PrestoDoctor Is Trusted by Texans for Cannabis Prescriptions
- HIPAA-compliant online platform
- Same-day appointments and approvals
- Texas-certified physicians who specialize in cannabis medicine
- Money-back guarantee if not approved
- 20,000+ 5-star reviews from real patients
- CURT submission handled directly by your doctor
Learn more on our Texas Medical Marijuana State Page, which includes:
- Details on qualifying conditions
- Step-by-step certification guidance
- Updates on legal changes, licensed physicians, and dispensary locations.
Find A Texas Medical Marijuana Dispensary Near Me
To find a Texas medical cannabis dispensary near you, check out our Dispensary Locator tool with our top recommended Texas medical marijuana dispensaries.
Frequently Asked Questions (FAQ)
Not on its own. However, PTSD, chronic pain, or neurological disorders may qualify under HB 46 if those conditions contribute to mental health symptoms.
Tinctures, capsules, lozenges, sprays, vapes, patches, and inhalers—smokable products remain banned.
Legal status is evolving. HB 46 focuses only on low-THC cannabis from licensed dispensaries. Hemp-derived THC may face future restrictions.
Up to 1 year, with four allowable refills for 90 days each.
Yes—Texas permits low‑THC cannabis prescriptions under its Compassionate Use Program (TCUP). Recreational use remains illegal.
Legal forms are limited to state-approved, non-smokable low-THC cannabis, administered via vape, inhaler, patch, lotion, or tincture. Smoking remains prohibited.
Final Thoughts
Texas’ HB 46, effective September 1, 2025, transforms the Compassionate Use Program into a more accessible path for patients suffering from chronic pain, neurodegenerative illness, and more. With legal, low‑THC cannabis now available in various forms and a streamlined prescription process, qualified Texans can access medical marijuana safely and compliantly.
While broader hemp regulation remains in flux, the medical cannabis pathway is clearly legal and expanding. If you have a qualifying condition—or are unsure—schedule your online medical evaluation today.
