What conditions qualify for medical marijuana in Texas?
Texas approves medical marijuana (low-THC cannabis) for 9 qualifying conditions including epilepsy, PTSD, cancer, multiple sclerosis, autism, and anxiety. The Texas Compassionate Use Program (TCUP) has expanded significantly since 2015 and now serves over 100,000 patients. MMJ.com offers telehealth evaluations for $149.99 with same-day certification.
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What is the complete list of Texas qualifying conditions?
The Texas Compassionate Use Program (TCUP) recognizes the following qualifying conditions for 2026:
Neurological Conditions
- Epilepsy and Seizure Disorders (including refractory epilepsy)
- Multiple Sclerosis (MS)
- Amyotrophic Lateral Sclerosis (ALS)
- Spasticity Disorders (from brain injuries or disease)
- Tourette Syndrome
Mental Health Conditions
- Post-Traumatic Stress Disorder (PTSD)
- Anxiety Disorders (patient must be actively treated by a licensed mental health professional)
Developmental Conditions
- Autism Spectrum Disorder
Cancer
- Cancer (all cancer patients now qualify, previously limited to terminal diagnosis)
Note: Texas has one of the more restrictive qualifying conditions lists compared to other states. Conditions like chronic pain, migraines, and glaucoma do not currently qualify.
How does Texas' medical marijuana program work?
Texas' program differs from most states in several important ways:
| Feature | Texas TCUP |
|---|---|
| THC Content | Low-THC cannabis (was 0.5%, now expanded) |
| Product Forms | Oils, tinctures, pills, topicals only |
| Smokable Flower | Not permitted |
| Home Cultivation | Not permitted |
| Dispensaries | Limited (3 licensed companies) |
| Delivery | Available to patients |
How do I qualify for a Texas medical marijuana card?
To qualify for the Texas Compassionate Use Program:
- Be a Texas resident with valid state ID
- Have a qualifying condition from the approved list
- Complete a physician evaluation with a CURT-registered physician
- Get certified in the Compassionate Use Registry of Texas (CURT)
- Access products through licensed dispensaries
MMJ.com connects you with CURT-registered physicians for telehealth evaluations. Most patients receive same-day certification.
How much does a Texas medical marijuana certification cost?
| Fee Type | Cost |
|---|---|
| Physician Evaluation (MMJ.com) | $149.99 |
| State Registration Fee | $0 (FREE) |
| Total Cost | $149.99 |
Texas has no separate state registration fee—your physician submits your certification directly to CURT. MMJ.com provides a 100% money-back guarantee if you're not approved.
What are the benefits of medical marijuana for Texas qualifying conditions?
Epilepsy and Seizure Disorders
Therapeutic Benefits: Reduces seizure frequency and severity, often when other medications have failed.
Research Evidence: FDA-approved CBD (Epidiolex) has demonstrated significant effectiveness in controlling severe seizure disorders. This was the primary reason Texas created the Compassionate Use Program.
PTSD
Therapeutic Benefits: Reduces anxiety, nightmares, insomnia, and other trauma-related symptoms.
Research Evidence: Clinical research demonstrates significant improvements in sleep quality, anxiety reduction, and emotional stability for veterans and other PTSD patients.
Anxiety Disorders
Therapeutic Benefits: Reduces anxiety symptoms and improves overall quality of life.
Research Evidence: Studies show medical cannabis can reduce anxiety symptoms, though patients must be actively treated by a licensed mental health professional to qualify in Texas.
Multiple Sclerosis
Therapeutic Benefits: Manages muscle spasticity, pain, and improves mobility.
Research Evidence: Clinical trials confirm significant reduction in muscle spasticity and improved daily functioning.
Cancer
Therapeutic Benefits: Alleviates treatment-related nausea, chronic pain, appetite loss, and improves quality of life.
Research Evidence: Clinical trials confirm cannabinoids effectively reduce nausea and stimulate appetite in cancer patients.
Autism Spectrum Disorder
Therapeutic Benefits: May reduce behavioral issues, anxiety, and aggression; may improve communication.
Research Evidence: Emerging research shows promising results for symptom management in autism patients.
ALS
Therapeutic Benefits: Manages spasticity, pain, and may slow symptom progression.
Research Evidence: Studies show cannabis can help manage ALS symptoms and improve quality of life.
Can I grow marijuana at home in Texas?
No, home cultivation is not permitted in Texas under any circumstances. All medical cannabis must be purchased through the state's licensed dispensaries.
Where can I purchase medical marijuana in Texas?
Texas has a limited number of licensed dispensaries (Compassionate Use Registry retailers). The three licensed companies operate multiple dispensary locations across the state and offer delivery services.
Products available include:
- Cannabis oils and tinctures
- Capsules and pills
- Topical products
- No smokable flower is permitted
How do caregivers and pediatric patients qualify?
Caregiver Requirements
- Must register separately with DPS
- Complete background check
- Can assist registered patients
Pediatric Patient Requirements
- Must have a qualifying condition (epilepsy and autism are common)
- Parent or legal guardian must consent
- Parent typically serves as caregiver
- MMJ.com provides specialized guidance for families with children
How many patients are in Texas' medical marijuana program?
As of 2025, Texas has over 100,000 registered medical cannabis patients. The program has grown significantly since PTSD and cancer were added as qualifying conditions. However, only about 810 physicians are registered to prescribe, creating access challenges in some areas.
Frequently Asked Questions
How long does it take to get a Texas medical marijuana certification?
The telehealth evaluation takes 10-15 minutes with same-day certification. Your physician submits your information directly to CURT (Compassionate Use Registry of Texas), and you can access dispensaries immediately.
Can out-of-state patients access Texas' medical marijuana program?
No, Texas does not offer reciprocity for out-of-state medical marijuana patients. Only Texas residents registered in TCUP can purchase medical cannabis.
Does chronic pain qualify for medical marijuana in Texas?
No, chronic pain is not currently a qualifying condition in Texas. However, conditions that cause chronic pain (like MS or cancer) do qualify.
Does anxiety qualify for medical marijuana in Texas?
Yes, anxiety disorders qualify, but with a specific requirement: you must be actively treated by a licensed mental health professional. Our physicians can help determine if you meet this requirement.
Can I use telehealth for my Texas medical marijuana evaluation?
Yes, Texas allows telehealth evaluations for medical marijuana certifications. MMJ.com offers secure, HIPAA-compliant video consultations with CURT-registered physicians.
What documents do I need for my evaluation?
You'll need a valid Texas ID and any medical records related to your qualifying condition. For anxiety patients, documentation of active treatment by a mental health professional is required.
How long does a Texas medical marijuana certification last?
Texas medical marijuana certifications are valid for 1 year. MMJ.com provides renewal reminders to help you maintain uninterrupted access.
Is smokable marijuana available in Texas?
No, smokable cannabis flower is not permitted in Texas. Only oils, tinctures, capsules, and topicals are available through licensed dispensaries.
What is the approval rate for Texas medical marijuana evaluations?
MMJ.com maintains a 98% approval rate for qualified patients. If you're not approved, you receive a full refund under our 100% money-back guarantee.
What conditions might be added in the future?
Texas legislators continue to discuss expanding TCUP. Conditions under consideration include:
- Chronic pain
- Traumatic brain injury (TBI)
- Glaucoma
- Crohn's disease
- Sickle cell disease
Medical Disclaimer
Medical cannabis effects and effectiveness vary among individuals. Potential side effects include dizziness, sedation, cognitive impairment, and risk of dependency. Always consult a qualified healthcare provider before beginning treatment.
Reviewed by MMJ.com Medical Advisory Team Last Updated: December 17, 2025