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2026 Election Cannabis Results for Texas: What Changed for Patients

Preliminary results from the November 3, 2026 election in Texas, as of November 4, 2026. No marijuana measure appeared on the statewide ballot and no medical cannabis law changed. Texas elected a new governor and a new attorney general, and Houston voters approved Proposition A. Here is what each result does and does not do for Texas patients.

Reviewed by Miracle Leaf® Editorial Team

Published November 4, 2026

2026 Election Cannabis Results for Texas: What Changed for Patients

The November 3, 2026 election gave Texas a new governor and a new attorney general, and Houston voters approved a city marijuana enforcement measure. None of it changed a single medical cannabis rule. If you hold a Texas Compassionate Use Program (TCUP) prescription, nothing about it changed on Election Day.

Results below are preliminary, as of November 4, 2026. Counties are still canvassing and no result here is certified. Each figure is linked to its source so you can check the current count.

What Changed for Texas Cannabis Patients on November 3, 2026?

Nothing in the medical program. No statewide ballot question in Texas dealt with marijuana, and an election does not amend a statute on its own. The changes are in who holds office starting in January 2027, plus one city measure in Houston.

ItemResult (preliminary)
Statewide cannabis measure on the ballotNone (Houston Proposition A was local)
Medical program changeNone
GovernorGina Hinojosa (D)
Attorney GeneralNathan Johnson (D)

A new governor and attorney general change who signs or vetoes bills and who directs state litigation. They do not change existing law on their own. Any change to the medical program still needs a bill, a rule, or a court ruling.

Who Won the Texas Governor Race?

Gina Hinojosa (D) defeated Governor Greg Abbott (R), according to the Associated Press call reported by NPR. The governor signs or vetoes bills passed by the Legislature, which next meets in regular session on January 12, 2027.

What Does the New Texas Attorney General Mean for City Marijuana Lawsuits?

Nathan Johnson (D) won the race for attorney general, and Republican Mayes Middleton conceded on November 4. The current attorney general sued Austin, San Marcos, Killeen, Denton, and Elgin in 2024, and later Dallas, over local measures that limited marijuana enforcement. The new attorney general will direct state litigation strategy, including those cases. As of November 4, 2026, no change to those suits has been announced.

The Dallas Proposition R post covers how the state challenged those local enforcement measures and where the cases stand.

What Is Houston Proposition A?

Houston voters approved a city charter amendment, with about 72 percent voting yes in unofficial results reported by Houston Public Media. It makes Class A and Class B misdemeanor marijuana possession the lowest enforcement priority for the Houston Police Department, bans no-knock warrants, and requires a one-time audit of five years of misdemeanor marijuana enforcement.

It does not legalize marijuana. Possession is still a crime under state law inside Houston city limits. Similar measures in other Texas cities were challenged in court by the state.

What Did Not Change in Texas?

  • Marijuana possession remains illegal under Health and Safety Code chapter 481.
  • The Compassionate Use Program, administered by the Texas Department of Public Safety, works the same way. A registered physician enters a prescription in the state registry for a patient with a condition listed in Occupations Code 169.003.
  • The July 31, 2026 hemp cannabinoid enforcement is unaffected by the vote. The Texas hemp ban post covers it.

Start at the Texas program hub for clinic locations and evaluations, and the Texas marijuana laws page for penalties and the full program record.

What Happened in Other States?

No state voted on legalizing marijuana in 2026, according to Cannabis Now. Massachusetts Question 8, which would have repealed licensed adult use sales, and Idaho HJR 4, which would have given the Legislature sole power to legalize drugs, both failed in preliminary results. The states where cannabis is legal post has the full national table.

Sources for the 2026 Texas Election Results

Book a Texas Compassionate Use Evaluation

The election did not change how prescriptions work in Texas. Miracle Leaf® physicians evaluate patients under the Compassionate Use Program, and eligibility still depends on the conditions listed in Occupations Code 169.003. Start at the Texas program hub.

Call (833) LEGAL-MJ or contact us to book an evaluation. Pricing is on the pricing page.

Disclaimer

This post is informational and is not legal or medical advice. Election results reported here are preliminary and unofficial as of November 4, 2026, and may change as counties finish canvassing and the state certifies results. New office holders take office in January 2027, and nothing here predicts what they will do. Consult a licensed Texas attorney about criminal exposure, and a physician registered with the Compassionate Use Program about clinical eligibility.

Common questions

Frequently asked questions

Did the 2026 election change the Texas Compassionate Use Program?
No. As of November 4, 2026, no statewide ballot measure in Texas dealt with marijuana, and no medical cannabis statute changed on Election Day. The Texas Compassionate Use Program under Health and Safety Code chapter 487 operates under the same rules it did before the vote. A prescription that was valid on November 2 is still valid.
Did Houston legalize marijuana with Proposition A?
No. Proposition A amends the Houston city charter to make Class A and Class B misdemeanor marijuana possession the lowest enforcement priority for the Houston Police Department, bans no-knock warrants, and requires a one-time audit of misdemeanor marijuana enforcement. Unofficial results show about 72 percent voted yes. Possession remains illegal under Texas law, and the only lawful medical route in Texas is still a Compassionate Use Program prescription.
Will the new Texas attorney general drop the lawsuits against city decriminalization measures?
That has not been decided. Nathan Johnson won the race for Texas attorney general and takes office in January 2027. The state lawsuits against Austin, San Marcos, Killeen, Denton, Elgin, and Dallas were filed under the current attorney general. Litigation strategy will belong to the new office holder, but as of November 4, 2026 no change to those cases has been announced.
Who won the 2026 Texas governor race?
Gina Hinojosa (D) defeated Governor Greg Abbott (R), according to the Associated Press call reported by NPR. The result is preliminary as of November 4, 2026. The governor signs or vetoes bills passed by the Legislature, which next meets in regular session on January 12, 2027. A new governor does not change existing law on its own.

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Reviewed by Miracle Leaf® Editorial Team. This article is for general education and is updated when the underlying law or clinical guidance materially changes.