The Texas Department of Public Safety publishes the controlling patient-facing eligibility list. A diagnosis on that list makes a person potentially eligible, not automatically approved. The registered physician makes the individual decision.
Approved condition categories
As of July 30, 2026, Texas DPS lists these categories for the Compassionate Use Program:1
- Amyotrophic lateral sclerosis, or ALS
- Autism
- Cancer
- Crohn’s disease or other inflammatory bowel disease
- A condition that causes chronic pain
- Epilepsy
- An incurable neurodegenerative disease
- Multiple sclerosis
- Post-traumatic stress disorder, or PTSD
- A seizure disorder
- Spasticity
- A terminal illness or a condition receiving hospice or palliative care
- Traumatic brain injury
- A condition approved under a qualifying research program
Patients do not register themselves with DPS or pay a state registration fee. If approved, the participating physician enters the prescription in CURT, where a licensed dispensing organization can verify it.2
Condition guides built around the diagnosis
Three eligibility details that are easy to misstate
Chronic pain has a legal definition
HB 46 defines chronic pain using cause, severity, duration beyond 90 days, prior non-chronic pain treatment, and whether THC is a viable treatment. The final enrolled law does not say that a patient must use opioids first.3
Peripheral neuropathy is not one blanket listing
Some specifically named hereditary or pediatric-onset peripheral neuropathies appear within the state’s rule for incurable neurodegenerative diseases. Other neuropathic pain may be evaluated through the chronic-pain category. A generic online list should not promise that every peripheral neuropathy diagnosis qualifies automatically.4
Cerebral palsy and broad “other dementia” wording need care
Cerebral palsy is not a stand-alone condition named in the DPS patient list, though a patient may qualify through diagnosed spasticity or another listed condition. Alzheimer’s disease, vascular dementia, dementia with Lewy bodies, and certain other neurodegenerative diagnoses appear in the administrative rule, but “any dementia” is too broad.4
What the physician must decide
The physician confirms the diagnosis and determines whether the risk of low-THC cannabis is reasonable in light of the potential benefit. That requires more than checking a condition box. Medications, pregnancy, cardiovascular history, psychosis risk, substance-use history, age, driving, work, falls, and the treatment goal can all matter.
A noncommercial way to find a physician
Texas DPS provides a public search for participating CURT physicians. It is the best starting point for verifying whether a clinician is registered. CannaWize’s Texas prescription guide explains the steps after a patient chooses a physician.
Clear answers
Frequently Asked Questions
What conditions qualify for medical cannabis in Texas?
Texas lists ALS, autism, cancer, Crohn’s disease or other IBD, a condition causing chronic pain, epilepsy, an incurable neurodegenerative disease, multiple sclerosis, PTSD, a seizure disorder, spasticity, terminal illness or hospice or palliative care, traumatic brain injury, and approved research-program conditions.
Does Texas issue a physical medical marijuana card?
No. A registered physician enters an approved prescription in CURT. Patients do not apply for or receive a physical state card.
Does a qualifying diagnosis guarantee approval?
No. The physician must determine that the potential benefit is reasonable in light of the risk for the individual patient.
Must a chronic pain patient try opioids first?
No. The final enrolled version of HB 46 does not include a prior-opioid requirement.