Recommending Cannabis in Texas

Please note that because Texas's law contains language which refers to prescriptions the following may be ruled invalid. This could also be especially problematic for physicians who may jeopardize their ability to prescribe FDA approved drugs by participating. The term prescription is used below for clarity but should be differentiated from the federal drug prescription system.

A physician who wishes to prescribe low-THC cannabis under SB 399 must meet the following requirements:

  • Are licensed to practice medicine in the state of Texas
  • Dedicates a "significant portion" of their clinical practice to evaluate and treat epilepsy
  • Is certified by either
    1. the American Board of Psychiatry and Neurology in:
      • epilepsy
      • neurology
      • neurology with special qualification in child neurology
    2. or neurophysiology by:
      • the American Board of Pyschiatry and Neurology
      • the American Board of Clinical Neurophysiology

The physician then registers with the Department of Public Safety as a prescriber for their specific patient. That information bust include:

  • the Physician's name
  • the patient's name and date of birth
  • the prescribed dosage
  • the means of administration
  • a total amount of low-THC cannabis to fill the prescription

The physician is also required to maintain a patient treatment plan which tracks

  • dosage, means of administration and duration of treatment
  • plan for monitoring symptoms
  • plan for monitoring indicators of tolerance or reaction to cannabis

Low-THC cannabis may only be prescribed for patients who are:

  • permenent residents
  • diagnosed with intractable epilepsy
  • determined by the physician that the risk of the medical use of low-THC cannabis is reasonable to it's potential benefit
  • a second physician concurs with the determination