Texas Compassionate Use Card – Low-THC Cannabis Certification Online | Medical Card Exam™

(Updated 2025)

1. 1. Introduction: Texas Compassionate Use Card – Low-THC Cannabis Certification Online | Medical Card Exam™

Texas operates one of the most limited medical cannabis programs in the U.S. under the Texas Compassionate Use Program (CUP). While the list of qualifying conditions has expanded significantly since 2015, THC content in medical cannabis products remains tightly restricted, and smoking cannabis is prohibited.

The state allows vaporization and other non-smokable forms, but products must meet strict THC limits. Home cultivation is not permitted, and patients must obtain their medicine from state-licensed dispensaries.

1. 2. Quick Facts – Texas Compassionate Use Card – Low-THC Cannabis Certification Online | Medical Card Exam™

1. 3. Qualifying Conditions

Patients may qualify for medical cannabis in Texas if diagnosed with:

• • Autism
  • Amyotrophic lateral sclerosis (ALS)
  • Cancer
  • Chronic pain
  • Crohn’s disease
  • Epilepsy
  • Hospice or palliative care for a condition or terminal illness
  • Incurable neurodegenerative disorders
  • Inflammatory bowel disease (IBD)
  • A medical condition approved for the state research program
  • Multiple sclerosis (MS)
  • Post-traumatic stress disorder (PTSD)
  • Seizure disorders
  • Spasticity
  • Traumatic brain injury (TBI)

1. 4. Product & Possession Rules

• • Form Restrictions: Cannabis products must be in non-smokable forms, such as tinctures, capsules, lozenges, or vaporization oils.
  • THC Limits:
    • 10 mg THC per dosing unit
    • 1 gram THC per package
  • Supply Limit: Physicians may authorize up to a 90-day supply.
  • Smoking cannabis is prohibited.

1. 5. Home Cultivation

• • Prohibited — Texas law does not allow patients to grow cannabis at home for personal use.

1. 6. Licensed Dispensaries

• • Texas licenses a limited number of dispensaries under the Texas Compassionate Use Program.
  • Dispensaries must meet stringent operational and security requirements.
  • Delivery is not permitted; patients must pick up orders in person.

1. 7. Caregivers

• • Not authorized under current law — only the registered patient may purchase and possess medical cannabis.

1. 8. Reciprocity

• • Texas does not recognize medical cannabis authorizations from other states.

1. 9. Program Overview

• • Law Signed: 2015
  • Regulatory Authority: Texas Department of Public Safety
  • Estimated Registered Patients (2025): 116,216

1. 10. Key Considerations for Patients

• • All prescriptions must be entered by a registered physician into the Compassionate Use Registry of Texas (CURT).
  • Patients must obtain cannabis products from a state-licensed dispensary.
  • Violating form or THC restrictions can lead to legal penalties.

1. 11. Resources & References

• • Texas Compassionate Use Program – dps.texas.gov
  • NORML – Texas: norml.org/laws/texas