Texas Medical Marijuana Qualifying Conditions

What the Texas Compassionate Use Program Covers

If you live in Texas and you are looking for a medical marijuana card, the first thing to know is that Texas does not issue one. The Texas Compassionate Use Program (TCUP), governed by Texas Health & Safety Code Chapter 487, is a physician-prescription model rather than a patient-card model. A Texas-licensed physician registered with the Compassionate Use Registry of Texas (CURT) writes the prescription, the prescription itself is the access credential, and no separate state ID card is issued. Texas patients pay no state registration fee under TCUP. Miracle Leaf® supports Texas patients in Houston, Dallas, and Austin through CURT-registered physicians and telehealth evaluations statewide.

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Prefer in-clinic? See Texas locations.

How Much Does a Texas Medical Marijuana Evaluation Cost?

Texas charges no state fee under the Compassionate Use Program because TCUP issues a physician prescription rather than a patient card. A Miracle Leaf® Texas evaluation is $199 for the initial visit and covers the qualifying-condition review, CURT prescription entry, and follow-up. Each Miracle Leaf® clinic is independently operated and sets its own price within the network maximum; call your nearest Texas clinic to confirm the price at that franchise.

State program fees and clinic visit fees are separate. The dispensing organization charges product cost at the point of sale; that is independent of both the state fee and the clinic visit fee. For Florida and Georgia equivalents, see the Miracle Leaf® pricing page.

Is Medical Marijuana Legal in Texas?

Yes for low-THC cannabis under the Texas Compassionate Use Program, and no for adult-use. HSC Chapter 487 authorizes physician-prescribed cannabis with a dose-based THC limit (10 mg per dose, 1 gram per package) under HB 46 of 2025. Adult-use remains illegal under TX HSC §481.121. Smokable flower is not permitted; authorized forms are oils, tinctures, capsules, lozenges, patches, lotions, and vaporized products.

How Texas Qualifying Conditions Are Set Under Chapter 487

The Texas Compassionate Use Program is a low-THC medical cannabis program. Texas Health & Safety Code Chapter 487, as amended by HB 46 of 2025, applies a dose-based THC limit (up to 10 mg of THC per dose, with no package or inhalation device exceeding 1 gram of total THC), prohibits smokable flower, and limits sales to licensed dispensing organizations expanding from three toward fifteen. The Texas Department of Public Safety administers CURT, the Compassionate Use Registry of Texas, where qualifying conditions are matched to a CURT-registered physician's prescription. There is no patient registration, no state fee, and no state-issued ID card.

The qualifying-conditions list has widened across four legislative sessions. Senate Bill 339 of 2015 created the program for intractable epilepsy. HB 3703 of 2019 added autism, multiple sclerosis, ALS, terminal cancer, seizure disorders, and incurable neurodegenerative diseases. HB 1535 of 2021 raised the THC cap from 0.5 percent to 1 percent and added PTSD plus all cancer types. HB 46 of 2025 (source: state .gov) then replaced that 1 percent by-weight cap with a dose-based limit (up to 10 mg of THC per dose, with no package or inhalation device exceeding 1 gram of total THC), added chronic pain, Crohn's disease or other inflammatory bowel disease, traumatic brain injury, and terminal illness or hospice and palliative care as qualifying conditions, and authorized patches, lotions, suppositories, and non-smoked pulmonary inhalation for the first time. HB 46 is the largest single-bill expansion in the program's history, with DPS directed to issue 12 additional dispensary licenses to grow the program from three operators toward fifteen.

What a TCUP physician evaluates is two-fold. First, whether your medical records show a qualifying condition under Chapter 487. Second, whether the physician holds the board certification or specialty fit that Chapter 487 requires for that condition class. Because the prescription enters CURT directly, there is no patient application step, no state fee, and no waiting period for a card to mail. Once the prescription is in CURT, the patient may purchase low-THC products from a licensed dispensing organization the same day.

What Conditions Qualify for the Texas Compassionate Use Program?

Fifteen conditions qualify a Texas patient for a TCUP prescription under Chapter 487 as expanded by HB 46. Each links to a deeper Miracle Leaf® condition page.

• Chronic pain. Added under HB 46 of 2025 and now the broadest single qualifier in the program. A CURT-registered physician evaluates whether non-cannabis treatments have been considered. Learn about TCUP for chronic pain.
• Post-traumatic stress disorder (PTSD). Added under HB 1535 of 2021. Texas veterans and first responders are a primary patient cohort. Learn about TCUP for PTSD.
• Multiple sclerosis and MS-related spasticity. Spasticity is a separately enumerated qualifier under Chapter 487. Learn about TCUP for multiple sclerosis.
• Cancer. All cancer types qualify under the program after HB 1535 broadened the original terminal-cancer language. Learn about TCUP for cancer.
• Epilepsy. The founding qualifier from SB 339 of 2015. Learn about TCUP for epilepsy.
• Seizure disorders. Added under HB 3703 of 2019 to cover seizure presentations outside intractable epilepsy. Learn about TCUP for seizure disorders.
• Amyotrophic lateral sclerosis (ALS). Added under HB 3703 of 2019. Learn about TCUP for ALS.
• Crohn's disease or other inflammatory bowel disease. Added under HB 46 of 2025. Learn about TCUP for Crohn's disease.
• Parkinson's disease. Covered under Chapter 487's incurable neurodegenerative diseases category. Learn about TCUP for Parkinson's disease.
• Alzheimer's disease. Covered under the incurable neurodegenerative diseases category. Learn about TCUP for Alzheimer's disease.
• Huntington's disease. Covered under the incurable neurodegenerative diseases category. Learn about TCUP for Huntington's disease.
• Autism spectrum disorder. Added under HB 3703 of 2019. Pediatric eligibility requires a designated caregiver who is a parent or legal guardian. Learn about TCUP for autism spectrum disorder.
• Spinal cord injury. A separately enumerated qualifier under Chapter 487. See the qualifying conditions hub for the full Miracle Leaf® condition library.
• Traumatic brain injury (TBI). Added under HB 46 of 2025. See the qualifying conditions hub for the full Miracle Leaf® condition library.
• Terminal illness, hospice, or palliative care. Added under HB 46 of 2025. A patient with a terminal illness or who is receiving hospice or palliative care qualifies under Chapter 487. See the qualifying conditions hub for the full Miracle Leaf® condition library.

The qualifying-conditions Texas list is set by statute, not by individual clinic, and Miracle Leaf® physicians use the same Chapter 487 criteria when reviewing your records. A TCUP-registered physician must determine that the diagnosis is well documented before entering a prescription into CURT.

Miracle Leaf® clinics support Texas patients under TCUP. Telehealth evaluations are available statewide with CURT-registered physicians.

Telehealth for Texas TCUP Evaluations

Texas TCUP evaluations run primarily through telehealth. Book your virtual visit with a CURT-registered physician and complete the entire prescription path from home. Once the physician determines you meet a Chapter 487 qualifying condition, the prescription enters CURT the same visit and you may pick up product from a licensed dispensing organization that day or the next business day.

For comparison, the three southeastern programs Miracle Leaf® serves run differently. Texas is telehealth-primary under TCUP. Georgia runs telehealth-primary under the Low THC Oil Patient Registry. Florida is the in-clinic state for the initial visit per OMMU guidance.

How Do I Get a Texas Medical Marijuana Card?

Texas does not issue a medical marijuana card. The access credential is a TCUP physician prescription entered into the Compassionate Use Registry of Texas. To start, schedule an evaluation with a CURT-registered Miracle Leaf® physician. The physician reviews your records, confirms a qualifying condition under HSC Chapter 487, and submits the prescription the same visit. You then fill the prescription at a TCUP-licensed dispensing organization.

The five-step Texas TCUP path:

1. Schedule a Miracle Leaf® Texas evaluation. Telehealth or in-clinic. The physician must be CURT-registered with the Texas Department of Public Safety.
2. Submit your medical records. Documentation supports the qualifying-condition review under HSC Chapter 487 as expanded by HB 46 of 2025 (chronic pain, PTSD, cancer, multiple sclerosis, epilepsy, ALS, Crohn's disease or other inflammatory bowel disease, Parkinson's disease, Alzheimer's disease, Huntington's disease, autism spectrum disorder, spinal cord injury, traumatic brain injury, seizure disorders, and terminal illness or hospice and palliative care).
3. Physician evaluation and CURT entry. The CURT-registered physician evaluates eligibility against Chapter 487 and, if approved, enters the prescription into the Compassionate Use Registry of Texas the same visit. No patient application is filed and no state fee is charged.
4. Confirm prescription in CURT. The prescription itself is the access credential. There is no state ID card to wait for in the mail and no patient registration number to memorize. The prescription is verified against CURT at the dispensary.
5. Fill the prescription at a licensed dispensing organization. Three TCUP dispensing organizations are currently active: Fluent, Texas Original, and Goodblend. Twelve additional Phase I and Phase II licensees hold conditional licenses and cannot dispense until DPS grants final approval. See the Texas licensed dispensaries reference page for the current active and conditional list.

A Texas resident searching for a "medical marijuana card" should know that the program structure differs from Florida and Georgia. TCUP does not issue a state ID card under HSC Chapter 487; the physician prescription in CURT functions as the access credential. The Texas TCUP prescription page covers the clinic-side process step by step.

Sources for Texas Qualifying Conditions

• Texas Health & Safety Code Chapter 487, "Compassionate-Use Program." statutes.capitol.texas.gov. State .gov primary statute.
• Texas Department of Public Safety, Compassionate Use Program and CURT registry. dps.texas.gov. State .gov program portal.
• Texas Department of State Health Services, Compassionate Use Program. dshs.texas.gov. State .gov health authority.
• HB 46 (89R), 2025 Texas Legislature, "An Act relating to the Compassionate-Use Program." statutes.capitol.texas.gov (codified into Chapter 487). State .gov bill source.
• TX Health & Safety Code §481.121, "Possession of marijuana." statutes.capitol.texas.gov. State .gov adult-use penalty statute.
• National Academies of Sciences, Engineering, and Medicine, The Health Effects of Cannabis and Cannabinoids (2017). nationalacademies.org (source: peer-reviewed consensus report on chronic pain and PTSD evidence).

Related Texas Resources

• Qualifying conditions hub for the cross-state condition library.
• Georgia qualifying conditions for the Low THC Oil Patient Registry comparison.
• Texas program details for clinic locations, dispensing organizations, and CURT physician notes.

Ready to Start Your Texas TCUP Evaluation?

Ready to enroll? Call (833) LEGAL-MJ to book a Texas telehealth evaluation with a CURT-registered Miracle Leaf® physician.

Disclaimer

This page is informational and is not medical or legal advice. The Texas Compassionate Use Program is set by Texas Health & Safety Code Chapter 487 and administered through CURT by the Texas Department of Public Safety. Consult a CURT-registered Texas physician for clinical questions and a licensed Texas attorney for legal questions. Cannabis remains a Schedule I controlled substance under federal law, and a TCUP prescription does not protect federal employment, federal contracting, security clearance status, active-duty military service under UCMJ Article 112a, or DOT-regulated transportation work.