Texas is opening the door to broader entry to medical hashish with the passage of Home Invoice 46, which takes impact on September 1, 2025. This laws considerably expands the checklist of qualifying medical circumstances that permit sufferers to qualify for medical marijuana underneath the state’s Compassionate Use Program (CUP) — and it offers the Division of State Well being Providers extra authority to make future adjustments with out requiring new laws.
When you’re a Texas resident questioning whether or not you or a cherished one now qualifies for a medical marijuana prescription, this information will stroll you thru the up to date qualifying circumstances checklist, how doctor discretion performs a job, and what the adjustments imply for veterans and long-term ache sufferers.
Background: What Was CUP Earlier than HB 46?
Earlier than 2025, Texas’ medical marijuana program was among the many most restrictive within the nation. Solely sufferers with a restricted variety of circumstances certified for medical marijuana in Texas, together with:
- Epilepsy and seizure issues
- Most cancers (as a symptom-management choice)
- Autism spectrum issues
- A number of sclerosis
- ALS
- PTSD
- Spasticity
- Incurable neurodegenerative ailments
THC was additionally capped at 1% by weight, and product kinds had been restricted to tinctures and capsules. Many sufferers with continual circumstances, like again ache or gastrointestinal ailments, had been overlooked of this system.
New Qualifying Circumstances Beneath HB 46
As of September 1, 2025, the next medical circumstances have been formally added to Texas’ Compassionate Use Program:
- Persistent Ache – Not requires prior opioid use to qualify.
- Crohn’s Illness – Inflammatory bowel circumstances now included.
- Traumatic Mind Harm (TBI) – Delicate to extreme.
- Degenerative Disc Illness – Persistent spinal ache included.
- Glaucoma – Strain-related ocular issues.
- Terminal Sicknesses – Together with these in hospice care.
These additions mirror rising scientific consensus and affected person demand, making CUP extra aligned with different state applications.
Particular Issues for Veterans
Veterans in Texas now obtain expanded entry to medical hashish. Beneath HB 46, any situation an authorized CUP doctor deems debilitating is now eligible for prescription approval — even when that situation will not be explicitly listed in regulation.
That is significantly vital for veterans going through:
- Persistent ache
- PTSD (usually compounded by bodily damage)
- Traumatic mind accidents
- Nervousness and sleep issues stemming from service
When you’re a veteran, it’s possible you’ll qualify extra simply than up to now — and you don’t want to undergo the VA to entry this system.
How Physicians Can Use Discretion
HB 46 empowers state-certified hashish physicians to make judgment calls when circumstances could not fall neatly underneath an official analysis. For instance:
- A affected person with nervousness and IBS could also be accepted underneath Crohn’s-related irritation.
- A affected person with long-term migraines could qualify underneath continual ache.
- A veteran experiencing insomnia resulting from PTSD could also be accepted with out a separate psychiatric analysis.
That flexibility permits extra sufferers to get efficient, non-opioid remedy legally.
What Documentation Helps?
When you don’t must submit paperwork to the state immediately, it helps your doctor make a powerful medical case for those who deliver:
- Medical information associated to your situation
- Lists of present prescriptions
- Surgical or imaging historical past (for pain-based diagnoses)
- Physician’s notes or discharge summaries (for veterans or trauma circumstances)
Even for those who don’t have these readily available, a licensed PrestoDoctor doctor will help information you thru what’s wanted throughout your telemedicine session.
Quick-Observe Your Certification
Due to HB 46 and PrestoDoctor’s digital platform, getting licensed is quicker and simpler than ever. Right here’s how:
- Create an account at PrestoDoctor.com
- Full a quick consumption type describing your signs
- Meet with a licensed doctor on-line through safe video
- Get your prescription entered into CURT, the Compassionate Use Registry of Texas
- Go to a licensed Texas dispensary to fill your prescription — usually same-day
Qualifying Circumstances for Medical Marijuana In Texas
With the updates in HB 46, Texas is lastly recognizing the fact of continual and complicated medical circumstances — and giving sufferers an actual different to opioids, anti-anxiety meds, and ineffective remedy plans. New qualifying circumstances for medical marijuana in Texas permits for extra folks to entry the drugs they want.
When you suppose it’s possible you’ll qualify, don’t wait. Getting your medical marijuana card in Texas with a licensed PrestoDoctor doctor might take as little as 24 hours.
Begin your analysis now
