What Conditions Qualify for a Medical Card in Texas?
This guide will help you understand the eligibility, application process, and legal boundaries of medical marijuana use in the Lone Star State.
5/28/20252 min read


Texas has taken steps toward medical cannabis legalization through the Compassionate Use Program (CUP), which allows qualified patients to access low-THC cannabis for specific medical conditions. But what conditions qualify for a medical card in Texas? This guide will help you understand the eligibility, application process, and legal boundaries of medical marijuana use in the Lone Star State.
Is Medical Marijuana Legal in Texas?
Yes, medical marijuana is legal in Texas under the state’s Compassionate Use Act. However, it's not as broad as in other states. Texas only permits low-THC cannabis (defined as containing no more than 1% THC by weight) for patients diagnosed with qualifying medical conditions and who are prescribed cannabis by a registered physician.
This makes Texas one of the more restrictive states when it comes to medical cannabis access.
Is Weed Illegal in Texas?
Recreational marijuana—commonly referred to as “weed”—is still illegal in Texas. Possession of marijuana for non-medical purposes can result in legal penalties, including fines or jail time, depending on the amount and circumstances.
While some cities have reduced enforcement, marijuana remains illegal at the state level unless used through the Compassionate Use Program.
What Conditions Qualify for a Medical Card in Texas?
As of now, the following conditions are approved under the Texas Compassionate Use Program (CUP):
Epilepsy and other seizure disorders
Multiple sclerosis (MS)
Autism spectrum disorder
Terminal cancer
Incurable neurodegenerative diseases (like Alzheimer’s, Parkinson’s, and ALS)
PTSD (Post-Traumatic Stress Disorder)
Spasticity
Muscle spasticity related to MS or spinal cord injury
The list is subject to change as legislation evolves, so it's wise to check the Texas Department of Public Safety (DPS) website for the most up-to-date list.
How to Apply for a Medical Marijuana Card in Texas?
Texas doesn’t issue physical medical marijuana cards like some states. Instead, approved patients are entered into the Compassionate Use Registry of Texas (CURT) by their physician.
Steps to Apply:
Get Diagnosed: You must have a qualifying medical condition diagnosed by a board-certified physician.
Find a Registered Doctor: Only doctors listed in the CURT system can prescribe low-THC cannabis.
Physician Evaluation: Your doctor will determine if cannabis treatment is appropriate.
Prescription Entry: If approved, your doctor will enter your information into CURT, which allows dispensaries to verify your eligibility.
Purchase from a Licensed Dispensary: Once in the system, you can legally purchase low-THC cannabis from a state-approved dispensary.
Benefits of a Texas Medical Marijuana Card
Legal protection from prosecution for possession of low-THC cannabis
Personalized treatment for specific medical conditions
Improved quality of life for patients with chronic or terminal illnesses
Final Thoughts
If you're wondering “Is weed illegal in Texas?”—the answer is yes for recreational use, but medical marijuana is legal for patients who qualify under strict guidelines. With the help of a registered physician and a qualifying diagnosis, you can access cannabis as part of your medical treatment. While Texas law remains conservative, its evolving policies offer hope to patients needing alternative options for symptom management. Always consult with a medical professional and follow state guidelines before pursuing cannabis treatment in Texas.
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