Tracker category
Medical program: tracker entries
The Texas Compassionate Use Program is the state's medical cannabis program. It started in 2015 for intractable epilepsy and has been widened three times since, most recently by HB 46 in 2025. The Department of Public Safety licenses the dispensing organizations and runs the registry where doctors enter prescriptions.
Entries here cover new qualifying conditions, changes to the THC limits, and DPS licensing decisions. For the full picture of who qualifies and how it works, read the Texas medical program guide.
- PendingMedical program
DPS corrects its scoring and updates the list of conditional medical cannabis licensees
The Texas Department of Public Safety re-ran its scoring for the 12 new Compassionate Use Program licenses, changing which companies hold conditional licenses.
Read the detailsHB 46 (2025) told DPS to license 12 more dispensing organizations, nine by December 1, 2025 and three more by April 1, 2026, for a total of 15. DPS ran the selection in two phases and named conditional licensees in each.
On May 8, 2026, DPS announced it had corrected its tabulation method. Three companies that had been conditionally awarded licenses were moved to the eligibility list, and others were moved up. DPS stresses that a conditional license is not permission to grow, make or sell anything. Each company still has to clear due diligence before getting a final license, and once licensed it has 24 months to start dispensing. This one stays Pending until DPS reports final licenses.
- PendingMedical program
DPS names the first nine conditional medical cannabis licensees
Phase I of the Compassionate Use Program expansion picked nine companies for conditional licenses, subject to more due diligence.
Read the detailsHB 46 required DPS to license nine new dispensing organizations by December 1, 2025. DPS announced nine businesses for Phase I, each assigned to a public health region, and said three more would follow in Phase II by April 1, 2026. Phase II started on April 2, 2026, and the list was later revised (see the May 8, 2026 entry). Conditional licensees cannot grow or sell anything until DPS issues a final license.
- In effectMedical program
HB 46 signed, the biggest expansion of the Compassionate Use Program so far
HB 46 added chronic pain, traumatic brain injury, Crohn's and other inflammatory bowel disease, and terminal illness or hospice care as qualifying conditions, and grew the program to 15 licensed dispensing organizations. It took effect September 1, 2025.
Read the detailsKey changes in the enrolled bill: low-THC cannabis is now defined as no more than 10 milligrams of THC per dosage unit (replacing the old 1 percent by weight cap); a package or inhalation device can hold no more than one gram of THC; doctors can prescribe pulmonary inhalation (an aerosol or vapor, not smoking) when medically necessary; prescriptions cover a 90-day supply with up to four refills; DPS must issue 15 licenses in total; licensees may run approved satellite locations; and cities and counties cannot ban activity the program authorizes. Smoking is still not a permitted medical use, and patients must be permanent Texas residents.
- In effectMedical program
HB 1535 adds PTSD and all cancers to the Compassionate Use Program
HB 1535 opened the program to patients with any cancer (not only terminal cancer) and post-traumatic stress disorder, and raised the THC cap from 0.5 percent to 1 percent by weight.
Read the detailsHB 1535 also created a path for approved research programs through institutional review boards. The 1 percent cap it set was later replaced by HB 46's per-dose limit in 2025.
- In effectMedical program
HB 3703 widens the Compassionate Use Program beyond epilepsy
HB 3703 added seizure disorders, multiple sclerosis, spasticity, ALS, autism, terminal cancer and incurable neurodegenerative diseases as qualifying conditions.
Read the detailsBefore HB 3703 only intractable epilepsy qualified, and two specialists had to sign off. The 2019 law expanded the list of conditions and the kinds of physicians who could prescribe. It took effect when signed in June 2019.
- In effectMedical program
SB 339 creates the Texas Compassionate Use Program
The Texas Compassionate Use Act allowed low-THC, high-CBD cannabis oil by prescription for intractable epilepsy, dispensed by state-licensed organizations.
Read the detailsSB 339 set up the physician registry run by DPS and required DPS to license at least three dispensing organizations. The original cap was 0.5 percent THC. Every expansion since (2019, 2021, 2025) has built on this framework rather than replacing it.
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