Under Texas State law, CUP is available to permanent Texas residents with a qualifying condition, when a CUP-registered physician determines the benefit outweighs the risk.

• Epilepsy
• Seizure disorder
• Multiple sclerosis
• Spasticity (this can cover spinal cord injury with spasticity when spasticity is the diagnosis/feature)
• Amyotrophic lateral sclerosis (ALS)
• Autism
• Cancer (terminal and non-terminal)
• Incurable neurodegenerative disease (as designated by HHSC/DSHS rule)
• The rule’s categories can include items people commonly list like Huntington’s disease, Parkinson’s disease, certain dementias, motor neuron diseases, and various ataxias (depending on the rule categories).
• Post-traumatic stress disorder (PTSD)
• A condition that causes chronic pain (Texas defines “chronic pain” in statute)
• Traumatic brain injury (TBI)
• Crohn’s disease or other inflammatory bowel disease
• Terminal illness or a condition for which the patient is receiving hospice or palliative care
• A condition approved for treatment under a state-authorized research program (CIRB program)

Note: “Anxiety” by itself is not on the statutory list of qualifying conditions.

Texas does not issue a traditional “medical marijuana card.” Instead, eligibility is handled through the Compassionate Use Registry of Texas (CURT) and verified by dispensaries.

1. Schedule an appointment with a qualified physician to review your medical history and confirm whether you meet Texas CUP requirements.
2. If you are eligible, the physician enters your prescription into CURT (patients do not register themselves).
3. After the prescription is in CURT, you (or your legal guardian) can go to a licensed Texas dispensary to have it filled.
4. At pickup, the dispensary will verify your prescription in CURT. You (or your legal guardian) will typically need photo ID and the patient’s last name, date of birth, and last five digits of the patient’s Social Security Number.

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Texas does not have a separate “caregiver card” process like many other states. In general:

• Patients under 18 may require a legal guardian, and guardians can pick up on the patient’s behalf.
• DPS guidance indicates physicians must document legal guardian details in CURT, and guardians must show proof of identification when picking up.
• Caregivers/guardians do not produce or grow cannabis—Texas allows only licensed dispensing organizations to cultivate/produce for CUP.
  

Texas does not require patients to “renew a card” annually, and there is no state patient registration fee.

Instead, patients stay eligible by maintaining an active relationship with a qualified physician and receiving prescriptions/refills as clinically appropriate. Texas law now allows each prescription to provide a 90-day supply and up to four refills of a 90-day supply. To continue treatment, schedule a follow-up appointment so your physician can review your condition, adjust dosing if needed, and issue a new prescription or refills when appropriate

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At the federal level, DOJ/DEA published a proposed rule in May 2024 to move marijuana from Schedule I to Schedule III, which began a formal rulemaking process.
DEA later issued notice of a hearing process,  and the hearing scheduled for January 2025 was postponed pending appeal.

In December 2025, the White House issued an executive order focused on advancing medical marijuana/CBD research and directing agencies to proceed with the rescheduling process (but an executive order itself does not automatically change scheduling).

Separately from federal changes, Texas expanded CUP again in 2025 (HB 46) to add conditions like chronic pain, TBI, and Crohn’s/IBD, and updated dosing/package limits and pulmonary inhalation rules.

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