Table of Contents
What’s in the Bill?
More Conditions Covered
Patients with the following conditions will become eligible for medical cannabis:
- Chronic pain
- Traumatic brain injury
- Crohn’s disease
- Irritable Bowel Syndrome (IBS)
- Terminal illnesses
- Plus, authority granted to expand the list in the future
No More Opioid Prerequisite
Earlier proposals required patients to first try opioids for 90 days. That requirement is now gone. Chronic pain patients must simply have been under treatment for at least 90 days.
Dispensary Access Grows
The number of licensed dispensaries will increase from 3 to 15, ensuring at least one in each Texas public health region.
New Product Options
Cannabis products may now be offered in new forms, including:
- Patches
- Lotions
- Vaping devices
- Suppositories
- Inhaled aerosols (if medically necessary)
- Inhalers
- Nebulizers
Larger Prescriptions, Clear Limits
- Physicians can prescribe up to a 90-day supply of low-THC cannabis.
- Each unit dose is capped at 10 milligrams of THC to maintain safety and consistency.
When Does It Take Effect?
HB 46 will go into effect September 1, 2025. Regulatory agencies must finalize rules by October 1, 2025.
