The Texas Senate today approved a revised version of House Bill 46, a measure that would expand the state’s medical cannabis compassionate use program.
Despite having already been approved by the full House of Representatives, the Senate made key changes to the bill, meaning it must now return to the House for a concurrence vote before being sent to Governor Greg Abbott.
The updated legislation would increase the number of licenses for medical cannabis dispensing organizations involved in the Texas Compassionate Use Program (TCUP) from the current three to 12, while also allowing for the establishment of satellite locations with overnight storage capabilities. It introduces an expedited 90-day approval process for these satellite sites, aimed at improving patient access.
In terms of qualifying conditions, the Senate-passed version adds chronic pain, hospice care, and terminal illness—a significant expansion over current law, but more limited than the broader list approved by the House. The bill’s sponsor said that with the addition of chronic pain, it’s possible that every veteran in the state would have the ability to join TCUP if they choose.
HB 46 also mandates that the Department of Public Safety ensure license distribution across different regions, minimizing travel distances for patients statewide.
Additionally, the measure introduces expanded product options, including a new metered-dose inhalation delivery system, offering patients alternative dosing methods.
Although Texas’ Compassionate-Use Program has grown since its inception in 2015, advocates have long called for broader reforms. The changes in HB 46 represent the most significant proposed update to the program in years and would mark a notable step toward increased access—pending final approval from the House and signature by the governor.
