Texas HB 46: What the New Medical Marijuana Law Means for Patients

What Is Texas House Bill 46 (HB 46)?

Expanded Qualifying Conditions

HB 46’s most significant change? Four new qualifying conditions now open the door for thousands more Texas patients.

The law adds these conditions to the Texas Compassionate Use Program:

• Chronic pain
• Crohn’s disease or other inflammatory bowel disease
• Traumatic brain injury
• Terminal illness or conditions requiring hospice or palliative care

These join the existing qualifying conditions:

• Amyotrophic Lateral Sclerosis (ALS)
• Autism
• Cancer
• Epilepsy
• Incurable neurodegenerative diseases
• Multiple sclerosis (MS)
• Post-traumatic stress disorder (PTSD)
• Seizure disorders
• Spasticity
• Conditions approved for research programs under state health codes

If you’ve been waiting to see if you qualify, now’s the time to check again. Texas medical cannabis laws now recognize more conditions than ever. That means your chances of accessing legal medical marijuana just got much better. Quick Med Cards can connect you with a qualified Texas cannabis doctor for as little as $45.

Slight Adjustments to THC Limits

This landmark legislation keeps Texas’s strict THC limits intact. However, it gives patients more workable options.

“Low-THC cannabis” still defines the Texas Compassionate Use Program. The previous rule capped THC at less than 1% by weight. Now, Texas HB 46 introduces a more practical standard: up to 10 milligrams of THC per dose, with a maximum of 1 gram of THC per package.

This change simplifies dosing for both patients and doctors. It also keeps Texas medical cannabis laws firmly in the low-THC category.

Texas Marijuana Prescriptions

HB 46 transforms how medical marijuana prescriptions work in Texas. This change alone could save you time and money.

Prescriptions now remain valid for one entire year. You can get up to four 90-day supply refills during that time. As a result, you benefit from fewer trips to the doctor and uninterrupted access to your medication.

Before HB 46, Texas offered no extended prescription periods or flexible refills. Patients faced constant renewals and potential gaps in treatment. That era just ended.

Oversight remains in place, with every prescription monitored by the Texas Medical Board.

With Texas HB 46, you can now plan your treatment for the entire year ahead. No more worrying about prescription renewals disrupting your care.

More Forms of Medical Cannabis Available

The law also expands the forms of medical cannabis available to patients. This change makes treatment more flexible than ever.

Before, Texas limited patients mostly to oils. Now, prescriptions can include:

• Inhalers
• Lotions
• Nebulizers
• Patches
• Suppositories
• Vapes

Smoking marijuana remains illegal in Texas, but the range of approved options has grown significantly.

With these updates, the Texas medical cannabis laws finally give patients like you more practical and potent choices.

Expansion of Medical Marijuana Dispensaries in Texas

The new cannabis law also opens the door to more dispensaries across Texas. For patients, that means easier access and less travel.

Previously, only three dispensaries served the entire state. Now, the Department of Public Safety (DPS) must issue 15 licenses. Each new Texas medical marijuana dispensary has 24 months to open and stay operational. They must also remain at least 1,000 feet from schools.

There’s added flexibility too. Dispensaries can add satellite locations with DPS approval. The licenses must be distributed across public health regions to prevent access from concentrating in just one area.

You won’t have to drive hours across Texas for your medication anymore. Your nearest Texas Compassionate Use Program dispensary could soon be much closer to home.

More Safeguards

Patient protection strengthens as Texas HB 46 builds stronger protections into the program. Oversight is tighter, and patient privacy gets reinforced.

The law introduces several key safeguards, for example:

• Department of State Health Services oversees inhalation rules.
• Texas Medical Board monitors prescriptions to prevent overprescribing.
• Non-naturally occurring synthetic cannabinoids are illegal.
• The Prescription Monitoring Program tracks all dispensing activity.
• Patient records remain confidential, and access is limited to approved physicians, dispensaries, and the Department of State Health Services.
• Patients can request their own data at any time.

These protections ensure the Texas medical marijuana laws expand access without compromising your safety or privacy.

What Happened with The Texas THC Ban through Senate Bill 3?

During the same session that produced HB 46, lawmakers also advanced Senate Bill 3. The bill sought a sweeping Texas THC ban.

It targeted hemp-derived cannabinoids like Delta-8, hemp Delta-9, THC-O, and others that had become popular in retail shops.

If passed, SB 3 would have shut down much of the state’s hemp market. Gummies, vapes, tinctures, and seltzers with intoxicating cannabinoids would become illegal. Only non-intoxicating options like CBD and CBG would survive. Even so, they would face stricter rules and licensing requirements.

Supporters cited youth access and lack of oversight as reasons for the ban. Opponents warned of devastating effects on more than 8,000 small businesses and tens of thousands of jobs.

Although the legislation successfully passed through both legislative chambers, it was ultimately rejected by Governor Greg Abbott’s veto. He pointed to broad economic and legal consequences. He was specific about its potential impact on veterans and patients using hemp alternatives.

The result? Delta-8 and similar products remain legal in Texas, for now. However, the debate is far from over. Future attempts to restrict hemp-derived THC are likely.

Governor Abbott’s veto protects your access today. Still, it also signals ongoing uncertainty in Texas’s marijuana law landscape.

The Vape Ban: Did Senate Bill 2024 (SB 2024) Outlaw Vape Products?

Senate Bill 2024 (SB 2024) is another cannabis law that took effect on September 1, 2025. It established one of the strictest vape prohibitions in the country.

The new vape ban addresses several areas. It covers marketing, advertising, sales, and distribution of e-cigarette products containing THC or hemp-derived cannabinoids. It also targets products designed to appeal to minors, such as vapes shaped like toys or school supplies.

SB 2024 goes further by banning e-cigarettes manufactured in China and other specified countries. It even prohibits vaping devices disguised as typical household items. Criminal penalties for violations are now stricter than before.

Does this vape ban affect you as a medical marijuana patient? Fortunately, no. SB 2024 doesn’t affect vapes dispensed through the Texas Compassionate Use Program. So, your prescribed vaping products remain legal and available through licensed medical marijuana dispensaries.

Who Qualifies for The Texas Compassionate Use Program?

You can access medical marijuana through the Texas Compassionate Use Program (TCUP) if you meet these requirements:

• You must be a permanent resident of Texas.
• You must have one of the qualifying conditions.

Here’s the complete list of the eligible conditions:

• Amyotrophic Lateral Sclerosis (ALS)
• Autism
• Cancer
• Chronic pain
• Conditions approved for research programs under state health codes
• Crohn’s disease or other inflammatory bowel disease
• Epilepsy
• Incurable neurodegenerative diseases
• Multiple sclerosis (MS)
• Post-traumatic stress disorder (PTSD)
• Seizure disorders
• Spasticity
• Terminal illness or conditions requiring hospice or palliative care
• Traumatic brain injury

Frequently Asked Questions

Below are answers to common questions about Texas’s marijuana laws.