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Medical — LimitedNorth America

Texas

Texas operates the Compassionate Use Program (CUP), established in 2015 and significantly expanded by HB 46 in June 2025. The 2025 expansion replaced the former 1% THC weight limit with a dose-based cap of 10 mg THC per dose and 1 gram THC per package, and added qualifying conditions including chronic pain, Crohn's disease, traumatic brain injury, and terminal illness. Permitted delivery methods now include lotions, patches, inhalers, and vaporizers, though smoking remains prohibited. The program is expanding from 3 to 15 licensed dispensing organizations, with satellite dispensaries permitted. By end of 2025, over 135,000 patients were registered in the CUP registry, a 32% year-over-year increase. The Texas Department of Public Safety oversees licensing and compliance.

Ask the Expert about Texas
Regulator
Texas Department of Public Safety
Key Legislation
Tex. Occ. Code § 169.001 et seq.; Tex. Health & Safety Code Ch. 487
Year Legalized
2015
Program Size
~135,000 registered patients (end of ...

Key Facts

  • HB 46 (2025) expanded THC limits from 1% by weight to 10 mg per dose / 1 g per package
  • Over 135,000 patients registered as of end of 2025, a 32% annual increase
  • Licensed dispensaries expanding from 3 to 15 organizations with satellite locations
  • New qualifying conditions added in 2025: chronic pain, Crohn's disease, traumatic brain injury, terminal illness
  • Smoking cannabis remains prohibited; vaporization and topicals now permitted

Key Legislation

Tex. Occ. Code § 169.001 et seq.; Tex. Health & Safety Code Ch. 487 (Compassionate Use Act, expanded by HB 46, 2025)

Regulatory Body

Texas Department of Public Safety (DPS)

Country Info
ISO Code
US
Region
North America
Tier
Tier 3 — Restricted
Status
Medical — Limited
Sources
Texas DPS — Compassionate Use ProgramTexas State Law Library — Cannabis & the LawMarijuana Policy Project — Texas Overview
Disclaimer: This information is for general reference only and does not constitute legal advice. Cannabis regulations change frequently. Always verify with official sources and local legal counsel before making compliance decisions.