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Texas medical marijuana card, in short: You can get certified online. You’ll need permanent Texas residency and one of 13 qualifying conditions — including chronic pain, PTSD, cancer, epilepsy and traumatic brain injury. A Leafwell telehealth evaluation is $99 and Texas charges no state fee. Texas issues no physical card: your physician enters your prescription into the CURT registry.

Who qualifiesPermanent Texas residents with one of 13 qualifying conditions (chronic pain, PTSD, cancer, epilepsy, seizure disorders, multiple sclerosis, spasticity, ALS, autism, incurable neurodegenerative disease, traumatic brain injury, Crohn’s/IBD, terminal or hospice/palliative care). No minimum age — minors qualify through a parent or legal guardian.
Cost$99 Leafwell telehealth evaluation + $0 state fee = $99 total. Money back if you’re not approved.
How long it lasts Texas has no card expiry date. A prescription covers a 90-day supply and may include up to four refills. After that you need a new evaluation — Leafwell renewals are $99.
Online or in personFully online. Telemedicine is permitted for medical cannabis in Texas, so no in-person visit is required. Your physician enters you into CURT; dispensaries verify you there with your photo ID.
What you can buy (HB 46)Low-THC cannabis from state-licensed dispensing organisations: oils, tinctures, capsules, topicals, lozenges, suppositories, and vaporised/aerosolised products. Capped at 10 mg THC per dose and 1 g THC per package. Smoking remains illegal, including for patients.

The key benefits of a medical marijuana card in Texas

  • Access to dispensaries

  • No minimum age — minors qualify with a guardian

  • Higher possession

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3 easy steps to get your TX medical card

  1. 1

    Sign up

    Register with Leafwell on any device and consult with a licensed medical marijuana doctor in minutes.

  2. 2

    Get approved

    Once approved, your doctor will submit your details to the Compassionate Use Registry of Texas (CURT).

  3. 3

    Shop product

    Go to your local dispensary and show your photo ID: they will verify your patient status via CURT.

Medical marijuana patients save more with Leafwell.

Get your money back if not approved.

Leafwell telehealth evaluation (new and returning patients)

$99

State fees

$0

What are the requirements for a medical card in Texas?

Patients must be a permanent Texas resident and have a qualifying medical condition. There is no minimum age — minors qualify through a parent or legal guardian. The following medical conditions may qualify you for the Texas Compassionate Use program:

  • Amyotrophic lateral sclerosis (ALS)
  • An incurable neurodegenerative disease (e.g., Parkinson’s, Alzheimer’s, Huntington’s)
  • Autism
  • Cancer
  • Chronic pain
  • Crohn’s disease or other inflammatory bowel disease
  • Epilepsy
  • Multiple sclerosis (MS)
  • Terminal illness or a condition treated with hospice care
  • PTSD
  • Seizure disorders
  • Spasticity
  • Traumatic Brain Injury (TBI)

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With Leafwell, you'll be matched up with a highly knowledgeable, empathetic, licensed medical marijuana doctor.

2 things you need to apply

You'll need to provide the following to apply for a Texas med card:

  1. 1

    Proof of Identity

    You will need a government-issued photo ID, such as a Texas driver’s license or state ID card. You can also use a US passport or out-of-state ID. The last five digits of your Social Security number are also required for registration in the Compassionate Use Registry of Texas (CURT).

  2. 2

    Medical Marijuana Recommendation

    Once approved, your medical cannabis doctor will enter your details into the Compassionate Use Registry of Texas (CURT), and you may purchase legal medical cannabis.

Get Started

Next steps after approval

After you’ve spoken to a Leafwell physician and been approved for the Texas Low THC program, you don’t need to do anything.

The next steps are for your physician — they will enter your details in their physician profile within the Compassionate Use Registry of Texas, known as CURT.

Once your details have been entered, you can purchase medicine from a licensed dispensary. You’ll need to present your valid ID to the dispensary so they can access CURT and confirm that you’re a valid patient in the state.


How to renew your card

Need to renew your Texas medical marijuana card? Here’s everything you need to know.

  1. Sign in to Leafwell or register as a renewal patient if you’re new to Leafwell.
  2. Speak with a Texas-licensed healthcare provider online and get approved.
  3. Your provider will enter your details into the Compassionate Use Registry of Texas (CURT). As a reminder, no physical cards or certificates are issued.
  4. Go to your local dispensary and show your photo ID. The employees there will verify your patient status in CURT.

Please note: If you are seeing a new physician, you must request that your previous physician terminate the relationship in CURT before your appointment.


Legal restrictions for cardholders

The Texas Compassionate Use Act was enacted in 2015. This Act required the Texas Department of Public Safety to establish a secure registry of physicians who treated epilepsy. This was done to facilitate prescribing low-THC cannabis to patients with epilepsy for whom low-THC cannabis may be especially effective.

In 2019, the list of qualifying conditions for cannabis treatment expanded to include epilepsy, terminal cancer, MS, ALS, seizure disorders, and incurable neurological disorders. PTSD was added in 2021. On September 1, 2025, chronic pain, inflammatory bowel diseases, traumatic brain injuries, and end-of-life patients in palliative or hospice care were also added.

HB 46 also raised the cap from 3 to 15 licensed dispensing organizations and authorized satellite storage locations. Three dispensing organizations are dispensing today — Fluent, Texas Original and goodblend — and the Department of Public Safety has said it will license up to 12 more. A newly licensed organization cannot dispense until DPS grants final approval, so access across the state will improve gradually rather than all at once.

Other important Texas cannabis laws include:

  • Recreational Use Illegal: Possession of up to two ounces is a Class B misdemeanor carrying up to 180 days in county jail and a $2,000 fine. A driver’s license suspension is no longer automatic for a first offense — since SB 181 took effect in 2023 a court may order one only if it makes a written finding that the suspension is in the interest of public safety, and the period is 90 days. Some municipalities apply more lenient penalties.
  • No Physical Card: There are no cards in Texas. All you need to do is enter your nearest dispensary and they will be able to cross-reference your ID with the CURT system where they can verify that you are a certified patient.
  • No Smokables Allowed: Texas permits a range of non-smokable medical cannabis products: oils, tinctures, capsules, lozenges, gummies, topicals and lotions, patches, and suppositories. As of September 1, 2025, HB 46 also allows non-smoked inhalation using nebulizers, inhalers, or vaporizers that are approved by the Texas Department of State Health Services and directed by your prescribing physician. Smoking medical marijuana remains prohibited in Texas.
  • CBD and Delta-8: Hemp-derived CBD products are legal in Texas without a prescription, provided the product contains no more than 0.3% delta-9 THC by dry weight. Delta-8 THC is not legal in Texas. The Texas Department of State Health Services classifies delta-8 and certain other tetrahydrocannabinols as Schedule I controlled substances, and those restrictions have been back in force since July 31, 2026, after the Texas Supreme Court upheld the department’s scheduling authority.
  • Cultivation is Illegal: Since cannabis flower is not legal for medical patients, card holders cannot legally grow marijuana in Texas.

How to become a caregiver

Caregiver Requirements:

  • At least 18 years of age.
  • An eligible patient must be a permanent Texas resident.
  • Caregivers must show proof of ID and the patient’s last name, date of birth, and the last five digits of their social security number when purchasing.
  • A legal guardian must show proof of identification to the dispensing organization.

Caregiver Registration (Leafwell):

  • Patients must provide the full name of their caregiver plus the last five digits of the caregiver’s social security number.

Can I use my card from another state in Texas?

Texas doesn’t have medical marijuana reciprocity with any state. Medical cards obtained in other states cannot be used in Texas.

Reciprocity does not work in the other direction either. Texas does not issue a medical marijuana card, certificate or ID — your physician enters your prescription into the CURT registry, and a Texas dispensing organization verifies you there against your photo ID. Because there is no Texas-issued credential to present, states that accept out-of-state medical cannabis patients cannot accept a Texas one. Maine, for example, publishes an approved visiting-patient list that requires state-issued documentation; Texas is not on it.

If you are travelling, treat cannabis as illegal at your destination unless you separately qualify as a patient there. Never carry Texas-dispensed product across a state line — that is a federal offense regardless of either state’s law.


Minor patient information

People under 18 with a qualifying condition can get a med card in Texas. However, a minor can only apply through a parent or legal guardian under the compassionate use program.

To register a minor patient in Texas a parent or legal guardian can be entered in CURT by the physician. The full name and last five (5) digits of the caregiver’s social security number is required to apply.


FAQs

Find answers to commonly asked questions about medical marijuana in Texas.

Can you get a medical card online in Texas?

Yes. Telemedicine is permitted for medical cannabis in Texas, so the whole process can be completed online with no in-person visit. You meet a Texas-licensed physician registered with the Texas Compassionate Use Program by video, and if the physician determines you qualify, they enter a low-THC cannabis prescription for you into the Compassionate Use Registry of Texas (CURT). You can then buy from a state-licensed dispensary using your photo ID — Texas does not issue a physical card. Leafwell's Texas evaluation is $99, and Texas charges patients no state fee.

How often do I need to renew my Texas medical marijuana prescription?

Texas has no card and no annual expiry date — what runs out is your prescription. Under Texas Occupations Code §169.003 a prescription covers a 90-day supply, and your physician may authorise up to four refills of that supply. Once your refills are used you need a new evaluation so a fresh prescription can be entered into CURT. Leafwell renewals are $99 and are done online; we recommend booking about two weeks before your last refill runs out so there is no gap in access.

Does Texas have medical marijuana certificates, recommendations or cards?

Texas does not issue a card with an expiry date, so what renews is your prescription. Under HB 46, a physician may prescribe a 90-day supply of low-THC cannabis and may authorise up to four refills of that 90-day supply. When your refills run out you need a new evaluation and a new prescription entered into CURT. Leafwell renewals are $99 and can be done online, and we recommend booking before your last refill is used so there is no gap.

What medical marijuana is legal in Texas?

Registered patients may buy low-THC cannabis from one of the state-licensed dispensing organisations. Since HB 46 took effect on September 1, 2025, low-THC cannabis is defined by a per-dose cap of 10 milligrams of THC per dosage unit rather than the old 1% by weight limit, and a dispensary may not dispense a package or an inhalation device containing more than 1 gram of THC in total. Products include oils, tinctures, capsules, topicals, lozenges and suppositories, and HB 46 also allows aerosolised and vaporised products for pulmonary inhalation. Smoking cannabis remains illegal in Texas, including for registered patients, and there is no legal recreational market.

Will I be added to a public database once I have my medical marijuana prescription in Texas?

It is mandatory to register to CURT for medical MMJ patients in Texas.  However, this database is not public.

How do I buy medical cannabis in Texas?

Texas residents who have been approved for medical cannabis can purchase at a licensed dispensary or use a licensed delivery service.

Can you smoke marijuana in your home in Texas?

Technically, no. Texas has prohibited the smoking of marijuana, even for medical purposes. This means that smoking marijuana is illegal everywhere in Texas, including in homes, apartments, and hotels. However, police may not enter a home without a warrant, with some exceptions.

What is the penalty for bringing marijuana into Texas?

There are significant penalties for bringing marijuana into Texas, depending on the quantity and whether or not it is a repeat offense. Possession of marijuana under two ounces is a class B misdemeanor punishable by up to 180 days in jail and up to a $2,000 fine. Possession of marijuana between two and four ounces is a class A misdemeanor punishable by up to one year in jail and a $4,000 fine. Possession of marijuana between four ounces and five pounds is a state jail felony, punishable by up to 2 years in jail and a $10,000 fine. Possession of marijuana between five pounds and 50 pounds is a third-degree felony, punishable by up to 10 years in jail and a $10,000 fine. Possession of marijuana between 50 pounds and 2,000 pounds is a second-degree felony, punishable by up to 20 years in jail and a $10,000 fine. Possession of marijuana above 2,000 pounds is a first-degree felony, punishable by between five years and life in prison and a $50,000 fine. Being arrested with a significant amount of marijuana in your possession may bring further charges, such as intent to distribute.

Is Delta 9 legal in Texas?

There are two separate rules. Hemp-derived products containing no more than 0.3% THC by dry weight are legal for any Texas resident to buy without a prescription. Medical low-THC cannabis, which is what a Texas prescription gives you access to, is regulated separately by the Texas Compassionate Use Program and sold only through state-licensed dispensing organisations. Cannabis above the hemp threshold that is not dispensed under the program remains illegal in Texas.

Can you grow THCA in Texas?

THCA stands for tetrahydrocannabinolic acid. It's the precursor to THC (tetrahydrocannabinol), which is the main psychoactive constituent of cannabis. THCA changes to THC when it goes through a process called "decarboxylation," which is when a carboxy group in THCA is removed to form THC. This is usually achieved through the application of heat. Athough THCA is not psychoactive, it is illegal if it is found in quantities of above 0.3% in hemp plants, with the exception of those licensed to grow medical cannabis. So, it is essentially illegal to grow plants containing any significant amount of THCA.

Are there recreational marijuana dispensaries in Texas?

No. You cannot purchase recreational marijuana in Texas, and there are no non-medical adult use dispensaries.

What disqualifies you from getting a medical card in Texas?

The two things that stop a Texas application are not being a permanent Texas resident and not having a diagnosis on the state's qualifying-conditions list. Texas law also requires the prescribing physician to judge that the medical use of low-THC cannabis is reasonable for you, so a physician can decline on clinical grounds. Texas law sets no other bar: there is no age minimum for the program, and nothing in the statute disqualifies you based on employment, insurance status or a past cannabis conviction. If you are declined, you can be evaluated again once you have records documenting a qualifying diagnosis.

What are the requirements for a medical card in Texas?

Texas has three requirements. First, you must be a permanent Texas resident — you will show a government-issued photo ID such as a Texas driver's license or state ID, plus the last five digits of your Social Security number, so you can be entered in the Compassionate Use Registry of Texas (CURT). Second, you need a diagnosis on the state's qualifying-conditions list, which covers 13 categories including chronic pain, PTSD, cancer, epilepsy, multiple sclerosis, autism and terminal illness. Third, a physician registered with the Texas Compassionate Use Program must judge that low-THC cannabis is reasonable for you — that consultation can be done entirely by telehealth. There is no minimum age: minors qualify through a parent or legal guardian. Texas charges patients no state registry fee, and a Leafwell evaluation is $99.

How much does a medical card cost in Texas?

A Leafwell telehealth evaluation is $99 and Texas charges no state registry fee, so the total is $99 — the same for a new patient and for a renewal. If the provider does not approve you, you get your money back. There is no separate application, card or ID fee in Texas, because the state does not issue a card; your prescription is entered into the CURT registry at no cost to you.

How hard is it to get a medical marijuana card in Texas?

It is straightforward if you have a qualifying condition. Texas recognises 13 of them, and the 2025 expansion under HB 46 added chronic pain, Crohn’s disease and other inflammatory bowel diseases, traumatic brain injury, and hospice or palliative care. There is no state application to file, no fee, no waiting list and no in-person visit required: a Leafwell evaluation is done by telehealth, usually the same day, and your physician enters the prescription into CURT directly.

Will medical marijuana be legal in Texas?

Medical cannabis is already legal in Texas and has been since the Texas Compassionate Use Act of 2015. HB 46, effective September 1, 2025, expanded the program substantially — adding chronic pain, inflammatory bowel diseases, traumatic brain injury and hospice or palliative care to the qualifying conditions, authorising prescribed vaporised and aerosolised products, and raising the cap on licensed dispensing organizations from 3 to 15. Recreational cannabis remains illegal in Texas and no adult-use legislation has passed.

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Content reviewed by Dr. Gavin Moreland
Last updated: Sept 22, 2026