Get a Texas
Medical Marijuana Card

Next steps after approval

After you’ve spoken to a Leafwell physician and been approved under the Texas Compassionate Use 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 Texas prescription

Texas does not issue a card, so “renewing your Texas medical marijuana card” means getting a new prescription entered into CURT once your refills run out. Here’s how to renew:

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, HB 3703 expanded the program beyond intractable epilepsy to all forms of epilepsy, seizure disorders, multiple sclerosis, spasticity, ALS, autism, terminal cancer and incurable neurodegenerative diseases. In 2021, HB 1535 added PTSD and extended eligibility from terminal cancer to all cancers. On September 1, 2025, HB 46 added chronic pain, Crohn’s disease and other inflammatory bowel diseases, traumatic brain injury, and terminal illness or conditions treated with hospice or palliative care.

HB 46 also raised the cap from 3 to 15 licensed dispensing organizations and authorized satellite storage locations. Three dispensing organizations are licensed and dispensing — Fluent, Texas Original and goodblend. The Department of Public Safety has conditionally selected 12 more, but none can dispense until DPS issues a final license; as of October 2026 the three above are still the only active licensees, 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, Delta-8 and hemp THC: Hemp-derived CBD products can be bought in Texas without a prescription, but only by adults 21 and older, and only if the product contains no more than 0.3% delta-9 THC and THCA combined by dry weight (Texas Department of State Health Services rules effective March 31, 2026). Delta-8 THC is not legal in Texas: the department classifies delta-8 and certain other tetrahydrocannabinols as Schedule I controlled substances, and those restrictions have been in force since July 31, 2026, after the Texas Supreme Court upheld the department’s scheduling authority. Federal law tightens further on December 11, 2026, when finished hemp products will be limited to 0.4 milligrams of total THC per container — many full-spectrum CBD products will no longer qualify as hemp.
• Cultivation is Illegal: Since cannabis flower is not legal for medical patients, card holders cannot legally grow marijuana in Texas.

Caregivers and legal guardians

Texas does not have a caregiver registration. The Compassionate Use Program recognizes legal guardians: DPS lists only the patient or the patient’s legal guardian as able to pick up a prescription from a dispensing organization.

What the physician records in CURT:

• The legal guardian’s name and the last five digits of their Social Security number.

What to bring to the dispensary:

• The legal guardian’s photo ID.
• The patient’s last name, date of birth and the last five digits of the patient’s Social Security number.

Booking with Leafwell: give us your legal guardian’s full name and the last five digits of their Social Security number so your physician can record them in CURT. The patient must be a permanent Texas resident.

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

Texas sets no minimum age for the Compassionate Use Program, so patients under 18 with a qualifying condition can be prescribed low-THC cannabis. DPS notes that patients under 18 may require a legal guardian.

To register a minor, the physician enters the prescription and the legal guardian’s details in CURT. The legal guardian’s full name and the last five (5) digits of their Social Security number are required.