Does epilepsy and seizures qualify in Texas?
Yes. The Texas Compassionate Use Program (TCUP) lists Epilepsy as a qualifying condition. A Texas-licensed provider still has to evaluate you and agree that cannabis is appropriate.
About epilepsy and seizures
Epilepsy is a brain disorder that causes repeated seizures. Some forms, like Dravet syndrome and Lennox-Gastaut syndrome, don't respond well to standard medications.
Stronger evidence. The FDA has approved a prescription CBD medicine (Epidiolex) for seizures linked to Lennox-Gastaut syndrome, Dravet syndrome and tuberous sclerosis complex, based on controlled trials.
Symptoms Texas patients most often hope to ease:
- Seizures that continue despite trying two or more medicines
- Side effects such as tiredness and fogginess from seizure medicines
- Poor sleep that can make seizures more likely
- Anxiety about when the next seizure will happen
- Mood and behavior changes linked to epilepsy
Before you start. Never stop or lower your seizure medicines on your own, because this can trigger severe or prolonged seizures. CBD can raise levels of clobazam and increase liver enzyme problems with valproate, and it can raise levels of everolimus used in tuberous sclerosis complex.
Read more: medical marijuana for epilepsy and seizures.
What Texas allows
Texas does not issue medical marijuana cards. Instead, the Texas Compassionate Use Program, overseen by the Department of Public Safety, lets physicians registered in the Compassionate Use Registry of Texas (CURT) prescribe low-THC cannabis to permanent Texas residents with listed conditions. The patient does not register or pay the state; the doctor enters the prescription in CURT and a licensed dispensing organization fills it. House Bill 46, effective September 1, 2025, added chronic pain, traumatic brain injury, Crohn's and other IBD, and terminal illness or hospice and palliative care, redefined low-THC as up to 10 mg of THC per dose, and allowed vaporized products when medically necessary. Smoking remains prohibited.
Don't bring cannabis into Texas from another state — crossing state lines with it is a federal offense.
Other qualifying conditions in Texas
- ALS (Lou Gehrig's disease)
- Autism spectrum disorder
- Cancer
- Chronic pain
- Crohn's & IBD
- Multiple sclerosis
- PTSD
- Severe muscle spasms & spasticity
- Terminal illness & hospice
- Traumatic brain injury (TBI)
Epilepsy & seizures in nearby states
- Epilepsy & seizures in New Mexico
- Epilepsy & seizures in Oklahoma
- Epilepsy & seizures in Arkansas
- Epilepsy & seizures in Louisiana
Frequently asked questions
Do I need medical records for epilepsy and seizures?
Helpful records include: a neurologist's note confirming epilepsy and the seizure type or syndrome; EEG and MRI reports; a complete list of current and past seizure medicines, with doses and side effects. Many patients are still evaluated on their history alone, and your Texas provider will tell you if more is needed.
How long does certification take in Texas?
The provider visit takes about 15 minutes. No state card to wait for.
Sources
- H.B. 46 (89R) Enrolled Version - Texas Legislature Online
- H.B. 46 (89R) Bill Analysis - Texas Legislature Online
- Compassionate Use Program - Cannabis & the Law - Texas State Law Library
- Patients FAQ - Texas Department of Public Safety
- 89th Legislation - Texas Department of Public Safety
- National Academies — The Health Effects of Cannabis and Cannabinoids (2017)
This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.