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How to Get a Texas Medical Marijuana Card in 2022

Are you interested in getting a Medical Marijuana Card in Texas? You’ve come to the right place. We hope this article acts as a valuable guide to help you understand the process of applying for your MMJ Card and getting your medical cannabis certificate. We keep this information up to date to make sure it is accurate and makes your journey as simple as possible. Keep reading to find out more.

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Getting a Texas Medical Marijuana Card Online

As a telehealth platform helping people easily obtain their medical marijuana cards, Leafwell can help you quickly and securely get a Texas Medical Marijuana Certificate online (medical marijuana cards aren’t available in Texas). We’ve put together this valuable guide which will answer all your questions and help individuals living in Texas understand the importance of applying for their Texas MMJ certification/registration via the easy, HIPAA-compliant process offered by Leafwell’s telemedicine platform. You can meet with one of our physicians today:

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Who Can Apply?

To apply for a Medical Marijuana Card in Texas, you must be a legal resident of Texas.

Patients must be aged 18 or over in order to apply for a medical marijuana card for themselves. Minors can have a parent or legal guardian apply on their behalf.

There is no information on the Texas Compassionate Use Program website about a caregiver program. We are looking into this and will provide more information as soon as possible.

There is no registration fee or program to sign up to but your information will be retained in the compassionate use registry (called “CURT”) after your physician has entered this information, following your approval.

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What Does an MMJ Card Permit in Texas?

Please note that the Texas Compassionate Use Program is a Low-THC program. THC (tetrahydrocannabinol) is the psychoactive component of cannabis. Even though it has significant therapeutic uses, states like Texas have curtailed its use. Cannabidiol (CBD), which is non-intoxicating, is the compound that most states have opened up to somewhat.

As an MMJ Card holder in Texas, you are permitted to possess:

  • Any amount of low-THC, high-CBD oil
  • Low-THC is considered 1% THC (the old limit was 0.5%) or less for medical patients – anything above this is considered “marijuana” or “THC oil”
  • Products cannot be smoked, even if they are less than 1% THC

Marijuana is not recreationally legal in Texas and laws are very strict. For non-medical users, the maximum THC percentage is 0.3%.

How do I Apply?

With Leafwell, you can get registered for medical cannabis in Texas in 4 simple steps:

1. Register online with Leafwell

You can speak to a doctor and qualify for a Texas medical marijuana card online and complete your payment details. You are only billed if approved.

2. Attend your appointment and discuss with your physician why you would like an MMJ Card

The doctor will ask you questions based on your medical history and provide you with advice and guidance on whether medical marijuana is a good choice for you.

3. Our Physician will add you to CURT

After your call, our physician will complete some administrative tasks to add you to the Compassionate Use Registry (CUP) in Texas, aka CURT.

4. Buy medical, CBD-rich marijuana

Once your details are entered by our physician, your details will be validated by the state and you will be able to fulfil your prescription using your preferred dispensary. There is no physical card in Texas so you won’t need to wait for anything to be posted or emailed to you by Leafwell.

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What Does my Online Medical Marijuana Evaluation with Leafwell Include?

Your online medical marijuana evaluation with Leafwell is quick and easy. In order to get started, we’ll need you to provide us with some preliminary details as well as some medical records. These are all passed securely to one of our registered practitioners who can familiarize themselves with your application before your consultation.

The consultation itself is simple and secure, taking place on our bespoke telemedicine platform. You will meet with a Texas registered practitioner who has experience issuing certificates for medical marijuana to patients for a range of medical issues. The registered practitioner will speak with you about why you are applying and ask some questions with regards to your medical conditions and history.

At the end of the consultation, the registered practitioner will be able to make an informed decision about whether they recommend the use of medical cannabis based on the medical information they have obtained. If an application is successful, the registered practitioner will add your details to CURT.

If an application is unsuccessful, you will not be charged for the consultation.

Once you are in the system, the registration will last for one year.

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How Much Does a Medical Marijuana Card Cost in Texas?

Please note that Texas does not have a medical marijuana card system, so you will not receive anything from the state or Leafwell. The consulting physician instead enters you onto the Texas Compassionate Use Registry, which lasts one year and needs to be renewed every year.

The consultation with one of the Texas registered practitioners via Leafwell’s HIPAA compliant online consultation service is a flat fee of $199. However, if you do not qualify for an MMJ Card and our practitioner elects not to sign your certificate, you will not be charged.

There is no state fee for completing your medical marijuana application to the Texas state.

Insurance does not currently cover the cost of applying for an MMJ Card in Texas because cannabis is illegal at the federal level.

What Conditions Qualify for Medical Marijuana Registry in Texas?

According to Texas law in 2021, the following debilitating conditions may qualify you for a medical marijuana certification in Texas:

  • A seizure disorder
  • An incurable neurodegenerative disease
  • Cancer
  • Spasticity
  • Terminal cancer

Note that this list is up to date as of September 2021. Legislation or the Commissioner of Health may add additional conditions, at which time, Leafwell will update this list.

What Documents Do I Need to Apply for a Medical Cannabis Card?

In order to apply for your MMJ Card in Texas, you will need to show medical records which provide proof of your condition as well as your identification documents. You will also be asked to provide your Texas Driver’s License Number or Texas State ID number

Do I Need to Present my Medical Records to Leafwell?

Yes, our healthcare providers are legally required to see medical records. In order to responsibly sign a certificate which permits individuals to apply for an MMJ card, our registered practitioners must have a comprehensive understanding of your medical history.

This allows them to provide an accurate assessment to ensure that medical cannabis is a good option for each patient on a case-by-case basis.

How Does a Caregiver Apply for a Medical Marijuana Card?

There is no information on the CURT website about caregivers. However, patients under the age of 18, minors, can have their parent or legal guardian apply on their behalf, thereby effectively acting as their caregiver.

Can a Qualifying Patient Grow Cannabis in Texas?

No, it is illegal to cultivate marijuana in Texas.

Are my Details Kept Confidential When I Apply for a Medical Marijuana Card?

Yes. Leafwell is committed to protecting the privacy of our patients. Our online service is HIPAA compliant and our systems are designed to keep all of your confidential details safe.

Does Texas Have Medical Marijuana Reciprocity?

Some states accept out-of-state Medical Marijuana Cards. This is called reciprocity. The following states accept out-of-state medical cannabis cards:

  • Alaska ^
  • Arkansas *
  • California ^
  • Colorado ^
  • Hawaii *
  • Nevada
  • Oklahoma *
  • Oregon ^
  • Puerto Rico
  • Washington ^
  • Washington D.C.

States marked with * require visitors to complete a visiting patient application for the duration of their stay.

States marked with ^ have adult use programs but do not accept out of state cards.

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Getting a Medical Marijuana Card in Houston, San Antonio, Dallas and Austin

While Texas as a state has relatively severe charges in place for cannabis possession, several municipalities more lenient punishments:

  • El Paso – called for legalization in 2009 but this resolution was vetoed by mayor. In 2017, it adopted the First Chance Program and the cite-and-release policy in 2020
  • Austin – instituted cite-and-release for small possession amounts in 2009. It moved to eliminate penalties for up to 4 ounce possessions in 2020.
  • Harris – launched First Chance Intervention Program in 2014. This was followed by the Misdemeanor Marijuana Diversion Program in 2017
  • Dallas – adopted cite-and-release policy in 2017. This was expanded to announce that individuals caught in possession of misdemeanour amounts of cannabis would not be prosecuted for first-time offences and subsequent offences would lead to diversionary courses in 2019
  • Bexar County – adopted cite-and-release policy in 2017. In 2019, they expanded this program to stop prosecutions of less than one ounce of cannabis
  • Travis County – approved a diversion program in 2017

Regardless of where you are in Texas, you can get a medical marijuana card with Leafwell, MD and our network of state-licensed physicians. Wherever you are in Texas, if you hold an MMJ Card, you can easily find a dispensary where you can purchase the marijuana products you require. Check back here soon to find the details for our clinics in Texas.

Remember: you don’t have to visit a clinic in-person in order to qualify for a certificate and MMJ card in Texas – you can do it all online, with Leafwell!

History of Medical Marijuana Laws in Texas

Here is a brief overview of the history of medical marijuana laws and legislation in Texas:

  • 1931 – possession was banned statewide and possession of any amount was a felony offence which carried a potential prison sentence of anywhere from 2 years to lif
  • 1973 – penalties for cannabis offences are significantly reduced (possession of up to two ounces reduced to $1000 fine and a prison sentence of no more than 180 days)
  • 2015 – the Texas Compassionate Use Act is enacted. It required DPS to create a secure registry of physicians who treat epilepsy for the purpose of prescribing low-THC cannabis to their patients who have been diagnosed with intractable epilepsy
  • 2019 – bill approved by House of Representatives to reduce possession of up to one ounce from Class B to Class C misdemeanour but this was stopped by Lieutenant Governor Dan Patrick from reaching the Senate
  • 2019 – the qualifying conditions for eligible treatment expanded from epilepsy to include terminal cancer, autism, MS, ALS, seizure disorders and incurable neurological disorders

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Current Texas Medical Marijuana Laws

Possession of up to two ounces is currently a class B misdemeanour and carries up to 180 days in prison, a $2000 fine and the suspension of an individual’s driver’s license. However, many municipalities have more lenient penalties in place.

Useful Links

To find out more about getting a Medical Marijuana Card in Texas, get in touch with the expert Leafwell team today or use any of these verified resources below:

Texas Medical Marijuana

Eligible Texans have access to medical marijuana through the State’s compassionate use program (CUP) administered by the Texas Department of Public Safety (DPS). Texans with certain medical conditions may qualify. Learn more about its use and who can get a prescription.

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Medical marijuana

Texas’s Compassionate Use Program (CUP) allows certain physicians to prescribe low tetrahydrocannabinols (THC) cannabis for medical purposes.

Low-THC comes from the plant Cannabis Sativa L. All parts of the plant and any resulting compounds, salts, resins, oils and derivatives that contain no more than 0.5 % by weight of THC are considered Low-THC. Medical use of these substances is limited to swallowing, not smoking, the prescribed dose of low-THC.

Medical conditions

By law, CUP is limited to Texas patients with:

  • Epilepsy
  • Seizure disorders
  • Multiple sclerosis
  • Spasticity
  • Amyotrophic lateral sclerosis
  • Autism
  • Terminal cancer

Medical marijuana prescriptions

Patients may get Low-THC cannabis prescribed if:

  • The patient is a permanent resident of Texas
  • The patient has one of the medical conditions listed above
  • A CUP registered physician prescribes
  • That qualified physician decides the benefit outweighs the risk

There is no age limit for prescriptions. Patients under 18 may need a legal guardian.

Getting a prescription:

  • The physician will enter a prescription in the Compassionate Use Registry of Texas (CURT)
  • After, the patient or legal guardian can go to any licensed dispensary to get the prescription
  • The patient or legal guardian will need to provide ID and patient’s, last name, date of birth, and last five digits of their Social Security Number

CURT is an online system provided by DPS and used by Qualified physicians to input and manage low-THC prescriptions.

Dispensaries use the CURT system to search for the patient’s information before filling any related prescriptions.

Physician qualifications

A physician’s qualifications to prescribe low-THC is outlined in Section A169.002 of Senate Bill 339 (PDF).

Is Medical Marijuana Legal in Texas?

Medical marijuana IS legal in the state of Texas. Medical cannabis was first legalized by the Texas legislature in 2015, under the Compassionate Use Act, which allowed for the prescription of low dose THC to treat “intractable epilepsy”.

This law expanded over the past several years to include coverage for several other qualifying conditions.

Low dose THC can now be prescribed to treat Epilepsy, Seizure Disorder, Amyotrophic Lateral Sclerosis (ALS), Multiple Sclerosis (MS), other forms of muscle spasticity, Autism Spectrum disorders, Dementia (Vascular, Alzheimers disease, Picks Disease, Lewy body Dementia), Parkinson’s Disease, Chronic Traumatic Encephalopathy, Degenerative Neuropathy (like Diabetic Neuropathy), and a long list of progressive neurodegenerative disorders.

Here is a list of these conditions that qualify for treatment with medical marijuana in Texas at this time:

  • Epilepsy
  • Seizure Disorder
  • Spasticity
  • Amyotrophic Lateral Sclerosis (ALS)
  • Multiple Sclerosis (MS)
  • Terminal Cancer
  • Autism Spectrum disorders
  • Diabetic Neuropathy
  • Progressive Neurodegenerative Disorders
    • Vascular
    • Alzheimer’s
    • Picks
    • Lewy Body Dementia
    • Dementia
    • Parkinsons
    • Chronic Traumatic Encephalopathy – brain damage from repetitive head injury

    What is Low Dose THC?

    Low dose THC is a medical marijuana product that is restricted by weight and concentration to below 5% THC. This means that in Texas, the most common form of medical marijuana is sold as a tincture – an oil compound of two active ingredients: CBD and THC. Both of these ingredients are extracted from the cannabis plant. CBD is non-pschychogenic, meaning that it does not affect your ability to think or alter your emotional state. CBD is thought to have anti-inflammatory and neuroprotective effects in the body. This CBD works in conjunction with the THC, which is psycho-active, and can make people feel relaxed, sleepy, hungry, and less anxious. THC is also know to alleviate some types of pain that are less responsive to opiates. THC has bee show to be especially good at alleviating neuropathic pain. For seizure patients, THC works with the CBD to reduce seizure frequency and intensity for those seizure patients who respond well to it.

    Other forms of low dose THC are coming on the market in Texas, including an oral spray for people who don’t like to take sublingual medication. Surterra is set to announce the release of a low dose THC lozenge for patents to use as an alternative to tinctures.

    How Much THC is in a bottle of low dose THC tincture?

    The answer depends on what the patient is prescribed. A typical formula comes in a 4:1 ratio of CBD:THC. A dropper full of this medicine (equivalent to 1 ml) contains 4 mg of THC and 16 mg of CBD. For people familiar with gummy bears or edible products available in legalized marijuana states, a gummy bear usually contains either 5 or 10 mg of THC.

    A 30 ml bottle of 4:1 CBD:THC tincture contains a total of 120 mg THC.

    What Else Should You Know about Medical Marijuana in Texas?

    The first thing to know about medical marijuana is that the rules about what form it takes, how you are allowed to use it legally, and how you can actually get access to it varies across each state. This means that when you want to know the laws about marijuana, you need to look up the rules for the state where you live (or the state that you choose to visit).

    This brings me to lesson number one: Marijuana is Federally Illegal . Period.

    However, each state has the authority to designate its own cannabis laws, allowing for legal use within the states’ jurisdiction. Some states like Colorado, Washington, and California have made marijuana legal for recreational use. Other states have chosen to keep cannabis legalized for medical use, with access granted to qualifying patients who consult with certified doctors in the state. Once again, each state determines what medical conditions are legal for treatment with medical marijuana. Each state also determines if medical marijuana is accessed by a medical card or by written prescriptions. Finally, the route of administration is also dictated by state law – meaning some states allow for patients using medical marijuana to choose how they want take the dose – by vaping, smoking flowers, using edibles, or using sublingual tinctures.

    Lesson number two: If You Want to Know About Legal Use of Marijuana, Read the Rules for Your State. It is easy to get lost in all of the different regulations. Here is are some links to look up the laws for Texas and other states:

    Here is a List of Conditions That Do Not Qualify for Treatment with Medical Marijuana in Texas:

    • Anxiety
    • PTSD
    • Depression
    • Insomnia
    • Chronic Pain
    • Fibromyalgia
    • Autoimmune Disorders
    • Irritable Bowel Syndrome
    • Glaucoma

    At Compassionate Telemedicine, we want to promote awareness about the Medical Marijuana Program in Texas. We also want to encourage other people to get involved in changing the laws in our state, so that more people can have access to this medication.

    Please use the link below to send a letter to your legislators, supporting your desire to see increased access to medical marijuana for people in need.

    Urge your state legislators to support a compassionate medical marijuana program!