HB 46 Texas House · 89th Legislature (2025)

Relating to the medical use of low-THC cannabis under and the administration of the Texas Compassionate-Use Program; requiring registration.

HB 46 modifies Texas' Compassionate-Use Program by requiring dispensing organizations to register certain personnel. The bill mandates that directors, owners, managers, and employees of these organizations must register with the state department, adding this as a requirement for licensing. It specifically amends the Health and Safety Code to include registration as a condition for operating a dispensing organization under the program. The law, signed by the governor on June 20, 2025, takes effect September 1, 2025.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Mar 2025

Committee Review

Jun 2025

House Passage

Jun 2025

Senate Passage

Jun 2025

Signed into Law

Jun 2025

Introduced Mar 14, 2025 Signed Jun 20, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 5 edits · Jun 20, 2025

MODERATE

This bill enrolls the final version of HB 46, which establishes a comprehensive regulatory framework for the medical use of low-THC cannabis in Texas. The changes primarily involve formatting adjustments to align with official legislative standards, adding certification language confirming the bill passed both houses and was approved by the Governor, and incorporating specific provisions for dispensing organization licensing, patient eligibility, and operational requirements.

Scope change

The bill's scope remains focused on regulating low-THC cannabis for medical use under the Texas Compassionate-Use Program, with no substantive changes to the underlying policy or applicability.

TECHNICAL

Formatting and structural changes were made to convert the bill from an 'Engrossed' version to an 'Enrolled' version, including removing draft markup indicators and adding official legislative certification language.

TIMELINE

Added specific implementation deadlines, including a requirement for the Department of Public Safety to adopt rules by October 1, 2025, and to license at least nine new dispensing organizations by December 1, 2025.

REQUIREMENT

Added new requirements for dispensing organizations to begin operations within 24 months of licensing and to maintain operations throughout the license term, with provisions for license revocation if these requirements are not met.

ELIGIBILITY

Added specific medical conditions eligible for low-THC cannabis treatment, including autism, cancer, and post-traumatic stress disorder, and established a process for physicians to request approval for additional medical conditions.

ENFORCEMENT

Added provisions requiring dispensing organizations to maintain accountability for raw materials and finished products to prevent unlawful access or diversion, and established rules for monitoring compliance with dispensing requirements.

Introduced → Engrossed · 8 edits · May 27, 2025

MODERATE

This bill significantly expands the Texas Compassionate-Use Program by increasing the number of dispensing organization licenses from 11 to 15, adding new eligibility criteria for applicants, and introducing a competitive evaluation process for initial licenses. The bill also expands medical conditions for which low-THC cannabis can be prescribed, clarifies rules for satellite locations, and adds provisions for pulmonary inhalation of low-THC cannabis for specific medical needs.

Scope change

The bill expands the scope of the program by increasing the number of available licenses and adding new medical conditions for prescription eligibility, while also clarifying rules for satellite storage locations and inhalation administration.

REQUIREMENT

Increased the number of dispensing organization licenses from 11 to 15 to ensure adequate access to low-THC cannabis.

Added new provisions allowing pulmonary inhalation of low-THC cannabis with higher THC concentrations for patients with specific medical needs.

Added prescription monitoring requirements to track low-THC cannabis prescriptions through the Texas State Board of Pharmacy.

ELIGIBILITY

Added new eligibility criteria requiring applicants to demonstrate technical ability to cultivate, financial ability to maintain operations for two years, and ability to maintain accountability for raw materials and finished products.

Expanded the list of qualifying medical conditions for low-THC cannabis prescription to include additional conditions like glaucoma, traumatic brain injury, and spinal neuropathy.

TIMELINE

Established specific timelines for satellite location approvals (180 days) and license issuance deadlines (December 1, 2025 and April 1, 2026).

DEFINITION

Added definitions for 'phytocannabinoid' and 'veteran' to clarify eligibility and product standards.

ENFORCEMENT

Modified hearing rights for license denials, removing hearing entitlement for applicants who have never held a license before.

Floor votes · House May 13, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jun 20, 2025

Signed into law

Signed by the Governor

executive

Jun 2, 2025

Upper · Passed

Signed in the Senate

upper

Jun 2, 2025

Lower · Passed

Signed in the House

lower

Jun 1, 2025

Lower · Passed

House adopts conference committee report

lower

Jun 1, 2025

Upper · Passed

Senate adopts conference committee report

upper

May 30, 2025

Upper · Passed

House requests conference committee-reported

upper

May 30, 2025

Lower · Passed

House requests conference committee

lower

May 30, 2025

Introduced

House refuses to concur in Senate amendments

lower

May 29, 2025

Introduced

Senate Amendments Analysis distributed

lower

May 29, 2025

Introduced

Senate Amendments distributed

lower

May 28, 2025

Lower · Passed

Senate passage as amended reported

lower

May 27, 2025

Upper · Passed

Passed

upper

May 27, 2025

Upper · Passed

Passed to 3rd reading as amended

upper

May 27, 2025

Upper · Passed

Amended

upper

May 27, 2025

Introduced

Amendment(s) offered

upper

May 26, 2025

Upper · Passed

Committee report printed and distributed

upper

May 26, 2025

Upper · Passed

Reported favorably as substituted

upper

May 23, 2025

Upper · Passed

Vote taken in committee

upper

May 19, 2025

Upper · Passed

Left pending in committee

upper

May 19, 2025

Upper · Passed

Testimony taken in committee

upper

May 14, 2025

Committee

Referred to State Affairs

upper

May 14, 2025

Introduced

Read first time

upper

May 14, 2025

Introduced

Received from the House

upper

May 13, 2025

Lower · Passed

Passed

lower

May 12, 2025

Lower · Passed

Passed to engrossment as amended

lower

May 12, 2025

Lower · Passed

Amended

lower

May 10, 2025

Lower · Passed

Committee report sent to Calendars

lower

May 9, 2025

Lower · Passed

Committee report distributed

lower

May 1, 2025

Lower · Passed

Reported favorably as substituted

lower

Apr 14, 2025

Lower · Passed

Left pending in committee

lower

Apr 14, 2025

Lower · Passed

Testimony taken/registration(s) recorded in committee

lower

Mar 14, 2025

Committee

Referred to s/c on Dis Prev & Women's & Children's Health by Speaker

lower

Mar 14, 2025

Introduced

Read first time

lower

5 primary · 21 co-sponsors