What Conditions Qualify for a Medical Card in Texas in 2025?

Photo by Joshua J. Cotten

Texas patients living with chronic, debilitating, or neurodegenerative health conditions may be eligible for medical marijuana under the state’s Compassionate Use Program (CUP). However, unlike in other states, Texas maintains a narrow and specific list of approved diagnoses. If you’re wondering what conditions qualify for a medical card in Texas, this guide will walk you through the official list, eligibility criteria, application steps, costs, and more.

We’ll also explain how to qualify for medical marijuana in Texas, what to expect from the low-THC cannabis products available through state-licensed dispensaries, and how Green Health Docs can assist you through the entire process—online or in person.

A Natural Alternative for TX Residents

Is Medical Marijuana Legal in Texas?

Yes—but with limitations. Medical marijuana is legal in Texas for residents who have been diagnosed with certain qualifying conditions and receive a prescription from a physician registered with the Compassionate Use Program. The program first launched in 2015 and has expanded over time to include more diagnoses, though it remains more restrictive than those in most other states.

Under current law, only low-THC cannabis is allowed—defined in Texas as products containing no more than 1% tetrahydrocannabinol (THC). This includes oils, tinctures, lozenges, and topical products, but not smokable cannabis or edibles. These products are available from licensed dispensaries, such as those listed in our Texas medical marijuana dispensaries guide.

To learn more about cannabis laws in the state, check out our page: Is Weed Legal in Texas?

What Are the Requirements for a Texas Medical Marijuana Card in 2025?

Texas does not issue a physical “medical marijuana card” like other states. Instead, eligible patients are registered in the Compassionate Use Registry of Texas (CURT) by a state-approved physician. Once entered into this system, you are legally permitted to purchase low-THC cannabis from any licensed dispensary in the state.

To qualify, you must meet the following criteria:

• Be a permanent Texas resident with valid proof of identity
• Have a qualifying condition listed under the CUP
• Receive a prescription from a physician who is registered with the program
• Be entered into the CURT system by your prescribing physician
  
  

There is no separate state application, no application fee, and no wait time once you’re approved by your doctor. For help finding a provider, visit our Texas medical marijuana doctors page or schedule a fast evaluation through Green Health Docs.

What Are the Texas Medical Marijuana Qualifying Conditions?

The Texas Compassionate Use Program qualifying conditions are listed by the Department of Public Safety and updated as the law evolves. As of 2025, the following conditions officially qualify:

• Amyotrophic lateral sclerosis (ALS)
• Autism spectrum disorder
• Cancer (all stages and types)
• Chronic pain (Newly added)
• Crohn’s disease / inflammatory bowel disease (Newly added)
• Epilepsy
• Hospice care (Newly added)
• Incurable neurodegenerative diseases (e.g., Alzheimer’s, Huntington’s, advanced Parkinson’s)
• Multiple sclerosis (MS)
• Neuropathy
• Post-traumatic stress disorder (PTSD)
• Seizure disorders
• Spasticity
• Traumatic brain injury (Newly added)
  
  

This Texas medical marijuana official list of conditions has been growing gradually over time, with legislative efforts continuing to push for broader access. Of note, the “incurable neurodegenerative disease” category includes dozens of additional diagnoses that may not be explicitly named but are covered under the law.

Patients living with mental health conditions or neurological disorders that cause severe symptoms may still be eligible. Visit these resources to learn more:

• Can You Get a Medical Card for ADHD in Texas?
• Can You Get a Medical Marijuana Card in Texas?
  
  

Recent Changes to the Texas Medical Marijuana Program

Texas is in the midst of significant cannabis policy reform. While the Compassionate Use Program (CUP) still maintains a more limited structure than in many other states, new legislation passed in 2024 and 2025 marks a major shift in access, eligibility, and product availability. These changes are making it easier for patients—particularly those with chronic pain and complex conditions—to benefit from legal, doctor-supervised cannabis treatment.

New Qualifying Conditions Added in 2025

In a major victory for patients and advocates, Texas lawmakers passed House Bill 1805, expanding the state’s official list of medical marijuana conditions. Newly added diagnoses include chronic pain, traumatic brain injuries, Crohn’s disease, and terminal illnesses. Most notably, the updated law removes the previous requirement that chronic pain patients try and fail opioid treatments before becoming eligible—opening the door for safer, non-opioid-based alternatives from the start.

The bill also makes it easier for physicians to join the Compassionate Use Program, with the goal of building a larger, more accessible care network for Texans. If you’ve been told you don’t qualify in the past, now is the time to revisit your eligibility.

Texas Bans Hemp-Derived THC Products

At the same time medical access is expanding, Texas is also cracking down on over-the-counter THC products. Senate Bill 3 proposes a ban on hemp-derived cannabinoids like delta-8 and delta-10, which were previously available in convenience stores and wellness shops statewide. If enacted, this law would remove these products from the market and leave the Compassionate Use Program as the only legal route for accessing THC in any form.

For patients who have relied on hemp products for pain, sleep, or anxiety relief, this ban may limit options—but it also emphasizes the importance of becoming legally registered under CUP. Green Health Docs can help you make the transition to medical marijuana, ensuring access to safe, lab-tested, and fully compliant products.

Expanded Access to Inhalable Cannabis Products

Another important update in 2025 is the expansion of inhalable low-THC cannabis products through the medical program. For the first time, Texas dispensaries are now allowed to offer vapes, nebulizers, and metered-dose inhalers as legal treatment options. These products provide fast-acting relief, especially beneficial for patients managing intense symptoms like nerve pain, muscle spasms, or breakthrough discomfort.

Previously, patients were limited to oral tinctures or capsules, which made the program less appealing for those needing immediate relief. With inhalable options now available through state-licensed dispensaries, Texas moves closer to aligning with national medical cannabis standards—while still operating within a low-THC framework.

How to Know if You Qualify for Medical Marijuana in Texas

While the Texas Compassionate Use Program provides a defined list of qualifying diagnoses, many patients aren’t sure if their specific condition fits. This uncertainty is common, especially for individuals with overlapping symptoms or chronic issues that haven’t responded well to traditional treatments. If you’re asking how to qualify for medical marijuana in Texas, the best first step is to speak with a physician who can interpret your case based on the latest guidelines.

In particular, the CUP allows for some flexibility under categories like “incurable neurodegenerative disease” and “chronic neuropathy.” These umbrellas may cover a range of illnesses, such as diabetic nerve pain, advanced Parkinson’s disease, Alzheimer’s, and other degenerative brain or nervous system conditions. Additionally, symptoms like chronic pain, seizures, muscle spasms, and insomnia—if connected to an approved diagnosis—can strengthen your eligibility.

Ultimately, what illness qualifies for medical marijuanas in Texas depends on both your diagnosis and how it impacts your quality of life. If your condition causes daily impairment or has not responded to conventional treatment, there’s a strong chance you may be eligible. Our team at Green Health Docs can help determine your eligibility quickly during a confidential online consultation.

Conditions That Might Qualify in the Future

Although Texas’s medical marijuana law remains restrictive, there’s ongoing momentum to expand the Compassionate Use Program to cover a broader range of conditions. In recent years, lawmakers have considered bills that would include diagnoses such as anxiety, depression, and chronic pain. Many of these conditions are already approved for cannabis use in other U.S. states, where medical programs are more inclusive.

Public support for expansion is growing, especially as studies continue to show that cannabis may offer symptom relief for mental health conditions, sleep disorders, and inflammatory diseases. If you suffer from one of these yet-unapproved conditions, we encourage you to stay informed and consider getting evaluated anyway. Sometimes, a doctor can make a case for eligibility under an existing category, such as “neuropathy” or “PTSD.”

Green Health Docs actively monitors legislative updates and emerging eligibility pathways. We recommend checking our blog regularly for updates or speaking directly with a licensed physician to determine if your diagnosis may be covered under the evolving interpretation of Texas’s medical marijuana laws.

Photo by Elsa Olofsson

Texas Medical Marijuana Costs: What to Expect

Texas does not charge an official registration or application fee for medical marijuana access. However, patients should be aware of a few standard costs involved with getting and maintaining their prescriptions:

• Physician Evaluation: New patient consultations generally cost between $150 and $200
  • While Green Health Docs offers certification services starting at $200, we are happy to offer our readers an $80 coupon code, to bring the price down to $120. This discount can be applied by using code TXBLOG80 when you checkout on the Texas Medical Marijuana Card page.
• Annual Renewals: Follow-up appointments are typically $100–$150
• Cannabis Products: Pricing depends on the dispensary and product type, with most low-THC products ranging from $40 to $150 per bottle or dose
  
  

There are currently only a few dispensaries operating in Texas, but many offer statewide delivery, which helps bridge the access gap for rural patients. For up-to-date pricing and service areas, check our guide to Texas medical marijuana dispensaries.

How to Apply for a Texas Medical Marijuana Card Online in 3 Steps

Step 1: Consult a Medical Marijuana Doctor

Schedule a telemedicine appointment with a licensed physician registered with the Texas Compassionate Use Program. During this visit, the doctor will review your symptoms, diagnosis, and medical history to determine eligibility.

Green Health Docs makes this step fast and convenient—book online here.

Step 2: Prepare Your Documentation

You’ll need a valid Texas-issued ID and, ideally, any supporting medical records that confirm your qualifying diagnosis. Your physician may also request a list of previous treatments you’ve tried.

Step 3: Submit Your Application

There’s no paperwork for you to submit. Once your physician approves you, they will enter your information directly into the CURT database. You’ll then be able to fill your prescription at any state-licensed dispensary without needing to wait for a physical card or state approval.

Need to renew? Visit our Texas Marijuana Card Renewal page.

What Makes the Texas Medical Marijuana Program Unique?

Unlike other states that issue physical ID cards for cannabis patients, Texas operates through a completely digital registry. This means there’s no need to carry a card or submit state paperwork—once a doctor enters your name and prescription into the Compassionate Use Registry of Texas (CURT), you’re officially authorized to purchase low-THC cannabis. This streamlined, physician-driven approach can be convenient for patients, especially those living far from state offices or dispensaries.

Texas also limits cannabis products to a maximum of 1% THC, making it one of the only programs in the country with a low-THC requirement. While this may seem restrictive, many patients still report significant relief from oils and tinctures with balanced THC and CBD levels. These products are legally available only through licensed dispensaries, several of which now offer delivery services across the state.

Another unique feature of Texas’s program is its strong telemedicine infrastructure. At Green Health Docs, we’ve helped thousands of patients get approved without leaving home. The combination of secure telehealth evaluations and a streamlined digital registry makes the process faster and more accessible than many people expect.

Where Can You Use Medical Marijuana in Texas?

Even if you qualify for medical marijuana in Texas, it’s important to understand where and how you can legally use it. Low-THC cannabis may only be consumed in private residences. Public use, including use in parks, vehicles, or workplaces, is not permitted—even for registered patients. Employers may also set their own drug policies, which can affect your rights in the workplace.

Patients should also be cautious about transporting their medication. While your prescription protects you under Texas law, cannabis remains illegal at the federal level and in neighboring states. You cannot bring cannabis across state lines, even if you’re traveling to another state where medical marijuana is legal.

If you have questions about possession limits, employment concerns, or traveling with cannabis, it’s best to consult your physician or dispensary. Green Health Docs can also help clarify the rules and offer practical tips on safely and legally using your medication.

Apply for Your Texas Medical Card Today

If you’ve reviewed the qualifying conditions and think you may be eligible, now is the time to take the next step. The Texas Compassionate Use Program offers legal, low-THC medical cannabis for patients facing serious or chronic health conditions—and Green Health Docs is here to make the process simple, secure, and fast.

Our state-licensed physicians conduct telemedicine evaluations, meaning you can get approved from the comfort of your home without the hassle of traveling or filling out complicated forms. If you qualify, we’ll enter your information directly into the state registry the same day—so you can legally begin filling prescriptions at any licensed dispensary across Texas.

Don’t wait to get the relief you deserve. Apply for your Texas medical marijuana card today or call/text our support team at 240-356-1000 for personal assistance 7 days a week.

Photo by Courtney Rose

Texas Medical Marijuana Conditions FAQs

Who Prescribes Medical Marijuana in Texas?

Only physicians who are registered with the Texas Compassionate Use Program (CUP) are allowed to prescribe medical marijuana. These providers must be licensed to practice medicine in Texas and must complete the required state training to join the Compassionate Use Registry of Texas (CURT). Not all doctors in Texas are part of this program, so it’s important to work with a provider who understands the CUP process and can legally enter your information into the state’s registry.

At Green Health Docs, we make it easy to connect with certified CUP physicians through secure telemedicine appointments. Our team will not only evaluate your condition but also take care of all state-level requirements on your behalf. Once approved, your prescription is entered directly into the CURT system, and you can legally purchase low-THC cannabis from a licensed Texas dispensary without any additional paperwork.

How Hard Is It to Get a Medical Marijuana Card in Texas?

Texas has a narrower program than many other states, but if you have a qualifying condition, the process is surprisingly simple. You don’t need to apply to a government agency or wait for a physical card. Instead, once your CUP-registered physician approves your diagnosis, they enter your prescription into the CURT database. This acts as your legal access to medical marijuana.

The key to a successful application is working with a knowledgeable physician who is familiar with the program and can identify whether your symptoms fall within the scope of approved conditions. Green Health Docs specializes in guiding patients through this exact process, helping reduce delays and confusion. In most cases, you’ll be able to visit a dispensary the same day as your appointment.

How Much Does It Cost to Get a Medical Marijuana Card in Texas?

Unlike most other states, Texas does not charge a state application or registration fee to access medical marijuana. However, there are still a few out-of-pocket costs patients should expect. The first is the physician evaluation, which typically ranges from $150–$200 for a new patient consultation. This fee covers your eligibility assessment, consultation, and submission to the state registry.

You’ll also need to renew your prescription at least once per year, with follow-up visits usually costing $100–$150. Finally, product pricing at dispensaries varies widely, with low-THC oils, tinctures, and capsules generally priced between $40 and $150 depending on formulation and quantity. While insurance does not cover these costs, some dispensaries offer veteran and senior discounts.

Is Medical Marijuana Covered by Insurance in Texas?

No. As of 2025, medical marijuana is not covered by any insurance plans in Texas—or in any other U.S. state. This includes doctor visits, consultations, renewals, and any cannabis products purchased from licensed dispensaries. The reason is that cannabis remains a federally illegal substance, and insurance providers follow federal regulations.

Patients are responsible for covering all costs out of pocket, but some clinics and dispensaries offer discounts or flexible payment options. At Green Health Docs, we’re transparent about our pricing and always aim to provide accessible care, especially for those managing long-term or disabling health conditions.

Can You Get Medical Marijuana in Texas for Anxiety or Depression?

Currently, anxiety and depression are not on the official list of qualifying conditions under the Texas Compassionate Use Program. However, some patients with co-occurring conditions like PTSD, neuropathy, or incurable neurodegenerative diseases may still qualify if those diagnoses are documented. It’s also worth noting that many states began expanding access by adding mental health conditions, so changes may come in future legislative sessions.

If you’re dealing with anxiety or depression alongside another serious condition, it’s still worth consulting a physician. They may determine that your diagnosis aligns with an existing category or advise you on future eligibility options. Check out our updates here: Can You Get a Medical Marijuana Card in Texas?

Do You Have to Renew Your Medical Marijuana Access in Texas?

Yes. While Texas does not issue physical cards, prescriptions for low-THC cannabis must be renewed regularly—typically every 12 months. Some patients with complex or evolving conditions may need more frequent check-ins with their physician to adjust dosages or update medical documentation.

Green Health Docs offers Texas marijuana card renewals through telemedicine, making the renewal process quick and convenient. We recommend setting a reminder or booking your next appointment shortly before your prescription expires to avoid gaps in access.

Are There Age Restrictions for Getting Medical Marijuana in Texas?

There are no minimum or maximum age limits written into the Texas Compassionate Use Program, which means both children and seniors may qualify if they meet the medical criteria. However, minor patients (under 18) must have a parent or legal guardian involved in the evaluation and treatment process. The guardian must also consent to the use of low-THC cannabis and help manage the patient’s care.

Many pediatric patients with conditions like autism, epilepsy, or spasticity have found relief through Texas’s medical marijuana program. If you’re the caregiver of a child with one of these diagnoses, Green Health Docs can guide you through the approval process and ensure the physician’s recommendation is properly recorded.

Can I Travel With My Texas Medical Marijuana Prescription?

Traveling with medical marijuana—especially across state lines—is a legal gray area and should be approached with caution. While you are protected under Texas law when carrying prescribed low-THC products, you may still face legal consequences if you take cannabis into other states or through federal checkpoints, including airports.

We recommend keeping your products in their original packaging, carrying a copy of your prescription (or digital access through your dispensary account), and never attempting to bring cannabis into a state where it’s illegal or unrecognized. When in doubt, leave your medication at home or contact legal counsel for guidance.

Get Your Texas Medical Marijuana Card Today

If you’re interested in obtaining a Texas medical marijuana card, Green Health Docs can help. Visit our Texas med card page to get more information and to schedule an online telemedicine appointment with a doctor. You’ll just need a valid photo ID and proof of one of the TX qualifying medical conditions to get started. If you have any questions or would prefer to schedule your TX medical card appointment over the phone, give us a call or text 7 days per week at 240-356-1000.

This article is reviewed by Dr. Anand Dugar, an anesthesiologist and pain medicine physician. He is also the founder of Green Health Docs. Graduating from medical school in 2004 and residency in 2008, Dr. Dugar has been a licensed physician for almost 20 years and has been leading the push for medical cannabis nationwide.