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HB 1146

Relating to the medical use of low-THC cannabis by patients with certain medical conditions.

89th Legislature (2025) Introduced by John Bryant and 6 co-sponsors

HB 1146 expands Texas's low-THC cannabis program to additional medical conditions, broadening patient access while maintaining strict THC concentration limits.

Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
#crimes--drugs(i0185) #health--otherdiseases&medicalconditions(i0383) #marihuana(s3105) #medicine&prescriptiondrugs(s7338) #mentalhealth&substanceabuse(i0019) #occupationalregulation--healthoccupations(i0540)
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Bill Summary · HB 1146

Legislative bill overview

HB 1146 expands Texas's Compassionate Use Program to allow patients with additional medical conditions to access low-THC cannabis (0.5% THC or less) for medical purposes. The bill broadens the list of qualifying conditions beyond the current limited set and adjusts regulatory frameworks governing how patients can obtain and use this medication.

Why is this important

Texas currently has one of the most restrictive medical cannabis programs in the nation, limiting access to only a handful of conditions. Expanding the program could provide treatment options for patients with chronic pain, PTSD, seizure disorders, and other conditions while maintaining strict THC limits to minimize intoxication risks. This reflects ongoing national trends toward medical cannabis access while balancing public health concerns.

Potential points of contention

  • Scope of conditions: Disagreement over which conditions qualify—patient advocates may seek broader access while opponents worry about mission creep or unclear medical evidence for certain conditions
  • Regulatory oversight: Questions about whether current oversight mechanisms adequately prevent misuse or if expanded access requires stricter controls
  • Federal-state conflict: Texas law conflicts with federal prohibition, creating banking, research, and legal complications that remain unresolved

Compiled from official sources — confirm details with the bill’s official record.

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