Texas maintains one of the most restrictive medical cannabis programs in the United States, allowing limited access to weed products for qualifying patients under state law. This page explains whether medical marijuana is legal in Texas, how the Compassionate Use Program works, and what rules apply to cannabis products, THC limits, and patient eligibility. For a complete overview of cannabis laws by location—including U.S. states, major cities, and countries worldwide—visit our Cannabis Laws by Location guide.
Table of Contents
Is medical marijuana legal in Texas
Legal Status
- Legal for medical use only
- Governed by the Texas Compassionate Use Program (CUP)
- Recreational marijuana remains illegal
THC Limits
Qualifying Conditions (as of 2025)
- Intractable epilepsy
- Multiple sclerosis (MS)
- Spasticity
- Autism
- Cancer
- Post-Traumatic Stress Disorder (PTSD)
- Incurable neurodegenerative diseases
- Parkinson’s, ALS, Alzheimer’s (included under neurodegenerative diseases)
Access Requirements
- Must be a Texas resident
- Need a prescription from a licensed medical professional.
- The doctor needs to be listed on Texas’ Compassionate Use Registry (CURT).
- Cannabis can only be purchased from licensed dispensaries
- Home cultivation is illegal
Restrictions
- No smoking permitted (only oils, tinctures, capsules)
- Very limited dispensary availability
- Not all chronic conditions are covered
- Law uses “prescription” instead of “recommendation,” limiting federal protection
Summary
Texas permits medical marijuana use in low-THC form only, for a limited set of conditions. Access is heavily regulated, and program expansion is ongoing but slow. Compared to other states, Texas remains one of the most restrictive in medical cannabis access.
