Texas

Physician qualifications are outlined in Texas Occupations Code Sec. §169.002. To prescribe low-THC cannabis through the Texas Compassionate Use Program, a physician must have proof of one or more board certifications in a medical specialty relevant to the treatment of the patient’s particular medical condition by a specialty board approved by the American Board of Medical Specialties or the Bureau of Osteopathic Specialists.

Physicians who want to prescribe low-THC cannabis through the Texas Compassionate Use Program must register in the Compassionate Use Registry of Texas, or CURT. To begin, physicians should use the physician registration link on the Texas Department of Public Safety Compassionate Use Program webpage.

After submitting their full name and email address, physicians will receive an email with a link to the CURT registration wizard. The registration process asks for the physician’s contact information, driver's license information, Texas Medical Board license number, qualifying board certification information, clinic address, and required attestations.

After the registration is submitted, the physician receives a tracking number, and the application is reviewed to verify the physician’s qualifications. This process may take up to 10 business days. If approved, the physician will receive an email with a link to create a CURT username and password.

• Epilepsy or other seizure disorders 
• Multiple sclerosis (MS) or spasticity 
• Amyotrophic lateral sclerosis (ALS) 
• Autism spectrum disorder 
• Cancer (any stage; no longer limited to terminal cases) 
• Incurable neurodegenerative diseases, including but not limited to:
• Alzheimer’s, Parkinson’s, Huntington’s, and other progressive neurological disorders 
• Post‑traumatic stress disorder (PTSD) 
• Chronic pain (added by HB 46; defined as severe continuous or intermittent pain lasting >90 days) 
• Traumatic brain injury (TBI) 
• Crohn’s disease or other inflammatory bowel diseases (IBD) 
• Terminal illness or patients receiving hospice or palliative care 
• Conditions included in approved state research programs

Once the CURT account is active, the physician can log in to DPS as a prescriber for the specific patient information, including:

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

Physicians are also required to maintain a patient treatment plan that tracks:

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

No renewal required; prescription must be current. 

Medical professionals have a legal right to recommend cannabis as a treatment in any state, as protected by the Medical Marijuana and Cannabidiol Research Expansion Act (Title III section 301) which became law on December 2, 2022, and the First Amendment (established by a 2004 United States Supreme Court decision to uphold earlier federal court rulings that doctors, and their patients have a fundamental Constitutional right to freely discuss treatment options).

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