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Texas Medical Marijuana Qualifying Conditions

Texas's Compassionate Use Program under Tex. Occ. Code ss 169.003 covers epilepsy, seizure disorders, multiple sclerosis, spasticity, ALS, autism, all forms of cancer, any incurable neurodegenerative disease (including Parkinson's, Alzheimer's, and Huntington's), PTSD, conditions that cause chronic pain, traumatic brain injury, Crohn's disease and other inflammatory bowel disease, terminal illness, and conditions for which a patient is receiving hospice or palliative care.

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Texas Qualifying Conditions: Detailed Guide

What conditions qualify for medical marijuana in Texas?

Texas approves medical marijuana (low-THC cannabis) for 9 qualifying conditions including epilepsy, PTSD, cancer, multiple sclerosis, autism, and anxiety. The Texas Compassionate Use Program (TCUP) has expanded significantly since 2015 and now serves over 100,000 patients. MMJ.com offers telehealth evaluations for $149.99 with same-day certification.## What is the complete list of Texas qualifying conditions?

The Texas Compassionate Use Program (TCUP) recognizes the following qualifying conditions for 2026:

Neurological Conditions

  • [Epilepsy and Seizure Disorders](/texas-medical-marijuana-card/qualifying-conditions/epilepsy/) (including refractory epilepsy)
  • Multiple Sclerosis (MS)
  • Amyotrophic Lateral Sclerosis (ALS)
  • Spasticity Disorders (from brain injuries or disease)
  • Tourette Syndrome

Mental Health Conditions

  • Post-Traumatic Stress Disorder (PTSD)
  • Anxiety Disorders (patient must be actively treated by a licensed mental health professional)

Developmental Conditions

Cancer

  • Cancer (all cancer patients now qualify, previously limited to terminal diagnosis)

Note: Texas has one of the more restrictive qualifying conditions lists compared to other states. Conditions like chronic pain, migraines, and glaucoma do not currently qualify.

About the Qualifying Medical Conditions

Below is information about each qualifying condition and the research that informed Texas' decision to include it in the Compassionate Use Program.

Epilepsy and Seizure Disorders

Epilepsy and seizure disorders are approved qualifying conditions under the Texas Compassionate Use Program. Texas originally created TCUP based on clinical trial research examining CBD in patients with treatment-resistant epilepsy.

PTSD

PTSD is an approved qualifying condition under the Texas Compassionate Use Program. Texas included this condition based on research examining cannabinoid use among patients with PTSD.

Anxiety Disorders

Anxiety disorders are approved qualifying conditions under the Texas Compassionate Use Program, with the requirement that patients must be actively treated by a licensed mental health professional. Texas included this condition based on research examining cannabinoid use in patients with anxiety disorders.

Multiple Sclerosis

MS is an approved qualifying condition under the Texas Compassionate Use Program. Texas included this condition based on clinical research examining cannabinoid use in patients with MS-related spasticity.

Cancer

Cancer is an approved qualifying condition under the Texas Compassionate Use Program. Texas included this condition based on research examining cannabinoid use among cancer patients experiencing treatment-related symptoms.

Autism Spectrum Disorder

Autism Spectrum Disorder is an approved qualifying condition under the Texas Compassionate Use Program. Texas included this condition based on research examining cannabis use among patients with autism spectrum disorder.

ALS

ALS is an approved qualifying condition under the Texas Compassionate Use Program. Texas included this condition based on research surveying ALS patients about symptom management.

Tourette Syndrome

Tourette Syndrome is an approved qualifying condition under the Texas Compassionate Use Program. Texas included this condition based on research examining THC use in patients with Tourette's.

Spasticity Disorders

Spasticity disorders from brain injuries or disease are approved qualifying conditions under the Texas Compassionate Use Program as determined by the Texas Legislature.

What conditions might be added in the future?

Texas legislators continue to discuss expanding TCUP. Conditions under consideration include:

  • Chronic pain
  • Traumatic brain injury (TBI)
  • Glaucoma
  • Crohn's disease
  • Sickle cell disease

Medical Disclaimer

This page provides information about Texas' qualifying conditions for the Compassionate Use Program. The inclusion of a condition in Texas' program does not constitute medical advice or a guarantee of therapeutic benefit. Individual results vary. Potential side effects may include dizziness, sedation, and cognitive changes. Always consult a healthcare provider before starting treatment.

Reviewed by MMJ.com Medical Advisory Team Last Updated: December 17, 2025

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FAQ

Common Questions About Texas Qualifying Conditions

What conditions qualify for the Texas Compassionate Use Program?

The Texas Compassionate Use Program under Tex. Occ. Code ss 169.003 covers: epilepsy, a seizure disorder, multiple sclerosis, spasticity, amyotrophic lateral sclerosis (ALS), autism, cancer (all forms), an incurable neurodegenerative disease (such as Parkinson's, Alzheimer's, Huntington's, or Lewy body dementia), post-traumatic stress disorder (PTSD), a condition that causes chronic pain, traumatic brain injury, Crohn's disease or other inflammatory bowel disease, a terminal illness, or a condition for which a patient is receiving hospice or palliative care.

Why is the Texas program called the Compassionate Use Program?

Tex. Occ. Code ss 169 created the Compassionate Use Program (CUP) as a narrow exception to Texas's otherwise strict cannabis prohibition. The CUP is administered by the Texas Department of Public Safety (DPS) Compassionate Use Registry of Texas (CURT). Products are limited to low-THC formulations (raised by HB 46/2023 from 1% to 5% THC by weight) dispensed only by three state-licensed dispensing organizations. Smokable flower is NOT authorized.

Does chronic pain qualify in Texas?

Yes. 'A condition that causes chronic pain' was added to Tex. Occ. Code ss 169.003 by HB 1535 (2021). The certifying Texas physician documents the underlying medical condition producing the chronic pain and prescribes low-THC cannabis through the CURT registry. The chronic-pain qualifier requires a documented underlying condition; freestanding pain without a documented etiology may not satisfy the standard.

Does anxiety qualify for a Texas Compassionate Use prescription?

Anxiety is NOT a standalone qualifying condition under Tex. Occ. Code ss 169.003. The Texas program does not include anxiety, depression, or other mood disorders as named conditions. Patients with PTSD (a listed condition) may qualify under that diagnosis; documentation of the PTSD diagnosis from a mental-health provider or VA record is required.

Does PTSD qualify in Texas?

Yes. PTSD was added to Tex. Occ. Code ss 169.003 by HB 1535 (2021). Common documentation sources include the Audie L. Murphy VA in San Antonio, the Michael E. DeBakey VA in Houston, the Dallas VA, the Olin E. Teague Veterans Center in Temple, and the El Paso VA. Texas-licensed physicians prescribe low-THC cannabis through the CURT registry for both service-connected and civilian PTSD.

Does autism qualify for a Texas Compassionate Use prescription?

Yes. Autism was added to Tex. Occ. Code ss 169.003 by HB 1535 (2021). Pediatric patients require parent or legal-guardian consent. A clinical autism diagnosis from a developmental pediatrician, psychiatrist, or psychologist supports the prescription; the product is dispensed by one of three Texas-licensed dispensing organizations.

What documentation do I need for a Texas Compassionate Use prescription?

Texas-licensed physicians registered with the Compassionate Use Registry of Texas (CURT) need medical records that document your diagnosis of one of the listed qualifying conditions. Acceptable records include notes from a primary care physician or specialist, hospital records, imaging or lab reports, pharmacy records, and VA records. MMJ.com's Texas-licensed physicians review uploaded records during the telehealth visit and submit the prescription to CURT for fulfillment by a state-licensed dispensing organization.

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Editorial oversight by: John Progar, CEO & FounderLast Verified: May 2026

Last Updated: December 17, 2025