Texas 2025 - 89th Regular

Texas Senate Bill SB734 Compare Versions

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11 89R4874 LHC-D
22 By: Menéndez S.B. No. 734
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to authorizing the possession, use, cultivation,
1010 distribution, delivery, sale, and research of medical cannabis for
1111 medical use by patients with certain medical conditions and the
1212 licensing of medical cannabis organizations; authorizing a fee.
1313 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1414 ARTICLE 1. CHANGES TO TEXAS COMPASSIONATE USE PROGRAM
1515 SECTION 1.01. Section 487.001, Health and Safety Code, is
1616 amended to read as follows:
1717 Sec. 487.001. DEFINITIONS. In this chapter:
1818 (1) "Caregiver" means a person who has a significant
1919 responsibility for managing the well-being of a registered patient.
2020 A caregiver may be either an individual or an organization or other
2121 entity, including a long-term care facility, other health care
2222 organization, or public institution.
2323 (2) "Department" means the Department of Public
2424 Safety.
2525 (3) [(2)] "Director" means the public safety director
2626 of the department.
2727 [(3) "Dispensing organization" means an organization
2828 licensed by the department to cultivate, process, and dispense
2929 low-THC cannabis to a patient for whom low-THC cannabis is
3030 prescribed under Chapter 169, Occupations Code.]
3131 (4) "Medical [Low-THC] cannabis" has the meaning
3232 assigned by Section 169.001, Occupations Code.
3333 (5) "Medical cannabis organization" means any
3434 organization that cultivates, processes, manufactures,
3535 distributes, researches, tests, dispenses, or conducts other
3636 business regarding medical cannabis as authorized by a license
3737 issued by the department under this chapter.
3838 (6) "Medical cannabis product" means a product, other
3939 than cannabis itself, which contains or is derived from cannabis.
4040 The term does not include a product derived from hemp, as defined by
4141 Section 121.001, Agriculture Code, or a consumable hemp product, as
4242 defined by Section 443.001 of this code.
4343 (7) "Medical use" has the meaning assigned by Section
4444 169.001, Occupations Code.
4545 SECTION 1.02. Subchapter A, Chapter 487, Health and Safety
4646 Code, is amended by adding Section 487.002 to read as follows:
4747 Sec. 487.002. ALLOWABLE AMOUNT OF MEDICAL CANNABIS. The
4848 allowable amount of medical cannabis for a person for whom medical
4949 use is recommended under Chapter 169, Occupations Code, is an
5050 amount of cannabis in any form approved by the physician possessed
5151 by a qualified patient or collectively possessed by a qualified
5252 patient and the qualified patient's caregiver that is:
5353 (1) not more than reasonably necessary to ensure the
5454 uninterrupted availability of cannabis for a period of three months
5555 based on the individual patient's recommended amount of medical
5656 cannabis; and
5757 (2) obtained solely from a medical cannabis
5858 organization.
5959 SECTION 1.03. Chapter 487, Health and Safety Code, is
6060 amended by adding Subchapter A-1 to read as follows:
6161 SUBCHAPTER A-1. PROTECTIONS RELATED TO MEDICAL USE OF CANNABIS
6262 Sec. 487.021. PROTECTION FROM LEGAL ACTION. (a) This
6363 section applies to a person who is:
6464 (1) a patient for whom medical use is recommended
6565 under Chapter 169, Occupations Code, or the parent, legal guardian,
6666 or caregiver of a patient;
6767 (2) a medical cannabis organization;
6868 (3) a director, manager, or employee of a medical
6969 cannabis organization who is registered with the department under
7070 Section 487.053; or
7171 (4) a person participating as a researcher or patient
7272 in an approved research program under Subchapter G, Chapter 481.
7373 (b) Notwithstanding any other law, a person described by
7474 Subsection (a) is not subject to arrest, prosecution, or penalty in
7575 any manner, or denial of any right or privilege, including any civil
7676 penalty or disciplinary action by a court or occupational or
7777 professional licensing board or bureau, for conduct involving
7878 medical use that is authorized under this chapter, Subchapter G,
7979 Chapter 481, of this code, Chapter 169, Occupations Code, or
8080 department rule.
8181 Sec. 487.022. NO PRESUMPTION OF CHILD ABUSE, NEGLECT, OR
8282 ENDANGERMENT. A person described by Section 487.021(a) may not be
8383 presumed to have engaged in conduct constituting child abuse,
8484 neglect, or endangerment solely because the person engaged in
8585 conduct involving medical use that is authorized under this
8686 chapter, Subchapter G, Chapter 481, of this code, Chapter 169,
8787 Occupations Code, or department rule.
8888 Sec. 487.023. NO DENIAL OF PARENTAL RIGHTS. The fact that a
8989 person described by Section 487.021(a) engages in conduct
9090 authorized under this chapter, Subchapter G, Chapter 481, of this
9191 code, Chapter 169, Occupations Code, or department rule, does not
9292 in itself constitute grounds for denying, limiting, or restricting
9393 conservatorship or possession of or access to a child under Title 5,
9494 Family Code.
9595 Sec. 487.024. NO SEIZURE OR FORFEITURE. Property used in
9696 the cultivation, research, testing, processing, distribution,
9797 transportation, and delivery of medical cannabis for medical use
9898 that is authorized under this chapter, Subchapter G, Chapter 481,
9999 of this code, Chapter 169, Occupations Code, or department rule, is
100100 not contraband for purposes of Chapter 59, Code of Criminal
101101 Procedure, and is not subject to seizure or forfeiture under that
102102 chapter or other law solely for the use of the property in those
103103 authorized activities.
104104 Sec. 487.025. NO PROSECUTION FOR PROVISION OF
105105 PARAPHERNALIA. A person is not subject to arrest, prosecution, or
106106 the imposition of any sentence or penalty for the delivery,
107107 possession with intent to deliver, or manufacture of any item that
108108 meets the definition of drug paraphernalia, as defined by Section
109109 481.002, if that item is delivered, possessed with intent to
110110 deliver, or manufactured for the sole purpose of providing that
111111 item to:
112112 (1) a patient for whom medical use is recommended
113113 under Chapter 169, Occupations Code, or the parent, legal guardian,
114114 or caregiver of a patient;
115115 (2) a medical cannabis organization;
116116 (3) a director, manager, or employee of a medical
117117 cannabis organization who is registered with the department under
118118 Section 487.053; or
119119 (4) a person participating as a researcher or patient
120120 in an approved research program under Subchapter G, Chapter 481.
121121 Sec. 487.026. NO PUNISHMENT FOR STUDENT PATIENTS AND THEIR
122122 CAREGIVERS. Notwithstanding any other law:
123123 (1) a student enrolled in any school, junior college,
124124 college, university, or other educational institution for whom
125125 medical cannabis was recommended under Chapter 169, Occupations
126126 Code, may not be subject to suspension, expulsion, placement in a
127127 disciplinary alternative education program, or any other form of
128128 discipline solely because the student possessed, used, or received
129129 a valid recommendation for medical cannabis; and
130130 (2) a health care professional providing services at
131131 any school, junior college, college, university, or other
132132 educational institution may not be subject to any discipline solely
133133 for assisting a student in the administration of medical cannabis.
134134 SECTION 1.04. Section 487.052, Health and Safety Code, is
135135 amended to read as follows:
136136 Sec. 487.052. RULES; FEES. (a) The director shall adopt
137137 any rules necessary for the administration and enforcement of this
138138 chapter.
139139 (b) The director shall adopt [, including] rules imposing
140140 reasonable fees under this chapter in amounts sufficient to cover
141141 the cost of administering this chapter. The department shall also
142142 use revenue from fees to establish a cannabis testing and quality
143143 control fund for the purpose of assisting law enforcement,
144144 including accredited crime laboratories, to purchase instruments,
145145 establish methods, and obtain resources needed to conduct forensic
146146 analysis necessary to enforce this subtitle and to protect the
147147 health and safety of medical cannabis patients and the public.
148148 (c) The fees adopted under Subsection (b) may not exceed:
149149 (1) $5,000 for application fees;
150150 (2) $100 for registration fees under Subchapter D; and
151151 (3) reasonable amounts for the issuance or renewal of
152152 each class of license.
153153 (d) The director may not adopt rules establishing a total
154154 limit on the number of medical cannabis organization licenses by
155155 class that may be granted nor set the price of or production
156156 quantity of medical cannabis.
157157 SECTION 1.05. Subchapter B, Chapter 487, Health and Safety
158158 Code, is amended by adding Sections 487.0521 and 487.0522 to read as
159159 follows:
160160 Sec. 487.0521. SAFETY. (a) The director by rule shall
161161 adopt packaging and labeling requirements for medical cannabis to
162162 ensure patients are informed and protected. In adopting packaging
163163 and labeling requirements, the director shall ensure that:
164164 (1) each medical cannabis package is labeled with the
165165 cannabinoid potency and terpenes profile of medical cannabis or
166166 medical cannabis product as determined by an independent testing
167167 laboratory;
168168 (2) each medical cannabis product and medical cannabis
169169 package is labeled with the required warnings as determined by the
170170 department; and
171171 (3) the packaging and label of medical cannabis or a
172172 medical cannabis product:
173173 (A) do not contain any false or misleading
174174 statements; and
175175 (B) are not designed to appeal to children.
176176 (b) The director shall adopt necessary rules to allow the
177177 department to monitor the safety and efficacy of medical cannabis
178178 or medical cannabis products, including rules:
179179 (1) requiring accurate reporting to consumers
180180 regarding the content of medical cannabis or medical cannabis
181181 products;
182182 (2) providing for random testing by the department or
183183 the department's designee to ensure compliance with labeling and
184184 reporting requirements; and
185185 (3) providing for health and safety regulations and
186186 standards for the manufacture and cultivation of medical cannabis
187187 and medical cannabis products.
188188 (c) The director may collect data from medical cannabis
189189 organizations and health care providers as necessary to enable the
190190 department to monitor the safety and efficacy of medical cannabis.
191191 The director may adopt rules for the data collection under this
192192 subsection.
193193 Sec. 487.0522. MEDICAL CANNABIS INVENTORY SYSTEM. (a) The
194194 department shall establish and maintain a medical cannabis
195195 inventory system that oversees the tracking, tracing, testing, and
196196 quality control and quality assurance certification of medical
197197 cannabis and medical cannabis products.
198198 (b) The department may contract with other entities to
199199 establish and maintain all or part of the medical cannabis
200200 inventory system on behalf of the department.
201201 (c) A medical cannabis organization shall use the medical
202202 cannabis inventory system approved by the department to keep
203203 records throughout the cannabis supply chain, including for every
204204 transaction between license holders and between license holders and
205205 patients. A medical cannabis organization may additionally use its
206206 own system for keeping records under this chapter provided the
207207 organization's system can integrate with the department's medical
208208 cannabis inventory system as required under this chapter and rules
209209 adopted under this chapter.
210210 (d) The records in the medical cannabis inventory system
211211 must include for each transaction:
212212 (1) the name, license number, and assigned
213213 identification number of the license holder that cultivated,
214214 manufactured, tested, or sold the product;
215215 (2) the address and phone number of the license holder
216216 that cultivated, manufactured, tested, or sold the product;
217217 (3) the type and weight of medical cannabis or medical
218218 cannabis product transferred or received during the transaction;
219219 (4) the batch number of the medical cannabis or
220220 medical cannabis product used;
221221 (5) the date of the transaction;
222222 (6) the total spent in dollars; and
223223 (7) any additional information the department
224224 requires.
225225 (e) The records in the medical cannabis inventory system
226226 must include for each license holder:
227227 (1) the amount of any medical cannabis waste, in
228228 pounds;
229229 (2) all point-of-sale records; and
230230 (3) any additional information the department
231231 requires.
232232 (f) Notwithstanding Subsection (c), before the department
233233 establishes the medical cannabis inventory system described by that
234234 subsection, each license holder shall use its own inventory system
235235 that meets the requirements of this section.
236236 (g) Each medical cannabis organization has a continuing
237237 responsibility to maintain records on site that are readily
238238 available to the department regardless of the functionality of the
239239 medical cannabis inventory system, including the criteria
240240 established by this section and any requirements established by
241241 rule.
242242 (h) The director shall adopt rules necessary for the
243243 implementation and enforcement of this section, including rules
244244 ensuring:
245245 (1) the department has 24-hour access to the medical
246246 cannabis inventory system; and
247247 (2) all inventory records containing patient
248248 information comply with Chapter 181 and the Health Insurance
249249 Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d
250250 et seq.).
251251 SECTION 1.06. The heading to Section 487.053, Health and
252252 Safety Code, is amended to read as follows:
253253 Sec. 487.053. LICENSING OF MEDICAL CANNABIS [DISPENSING]
254254 ORGANIZATIONS AND REGISTRATION OF CERTAIN ASSOCIATED INDIVIDUALS.
255255 SECTION 1.07. Section 487.053(a), Health and Safety Code,
256256 is amended to read as follows:
257257 (a) The department shall:
258258 (1) issue or renew a license under Subchapter C to
259259 operate as a medical cannabis [dispensing] organization to each
260260 applicant who satisfies the requirements established under this
261261 chapter for licensure under that class of medical cannabis
262262 organization; [and]
263263 (2) register directors, managers, and employees under
264264 Subchapter D of each medical cannabis [dispensing] organization;
265265 (3) issue a permit for an additional location to a
266266 dispensing cannabis organization license holder on application if
267267 the license holder is in compliance with all eligibility
268268 requirements and the proposed location complies with any local
269269 zoning requirements and will assist with ensuring reasonable
270270 statewide access;
271271 (4) to ensure reasonable statewide access, issue not
272272 fewer than the following number of licenses or permits, as
273273 applicable, for each type of medical cannabis organization provided
274274 the department receives an adequate number of qualified
275275 applications:
276276 (A) dispensing cannabis organization licenses or
277277 permits for an additional location for a dispensing cannabis
278278 organization license holder, as applicable, based on population
279279 within each of the 11 public health regions established by the
280280 Health and Human Services Commission, as follows:
281281 (i) 9 in public health region 1;
282282 (ii) 6 in public health region 2;
283283 (iii) 82 in public health region 3;
284284 (iv) 12 in public health region 4;
285285 (v) 8 in public health region 5;
286286 (vi) 75 in public health region 6;
287287 (vii) 37 in public health region 7;
288288 (viii) 31 in public health region 8;
289289 (ix) 7 in public health region 9;
290290 (x) 9 in public health region 10; and
291291 (xi) 24 in public health region 11;
292292 (B) one cultivation cannabis organization
293293 license for every four dispensing cannabis organization licenses;
294294 (C) one processing cannabis organization license
295295 for every three dispensing cannabis organization licenses; and
296296 (D) the number of independent testing cannabis
297297 organization licenses necessary to meet demand;
298298 (5) when the number of registered medical cannabis
299299 patients reaches 100,000, issue not fewer than 24 additional
300300 dispensing cannabis organization licenses or location permits, as
301301 applicable, and the appropriate number of other medical cannabis
302302 organization license types as prescribed by Subdivision (4); and
303303 (6) for each additional 100,000 registered medical
304304 cannabis patients beyond the first 100,000 patients described by
305305 Subdivision (5), issue not fewer than 24 additional dispensing
306306 cannabis organization licenses or location permits, as applicable,
307307 and the appropriate number of other medical cannabis organization
308308 license types as prescribed by Subdivision (4).
309309 SECTION 1.08. Section 487.054, Health and Safety Code, is
310310 amended to read as follows:
311311 Sec. 487.054. COMPASSIONATE-USE REGISTRY. (a) The
312312 department shall establish and maintain a secure online
313313 compassionate-use registry that contains:
314314 (1) the name of each physician who registers as a
315315 physician recommending medical cannabis and for each patient for
316316 whom the physician has registered:
317317 (A) [the prescriber for a patient under Section
318318 169.004, Occupations Code,] the patient's name, and any caregivers'
319319 names, if applicable;
320320 (B) the patient's [and] date of birth;
321321 (C) the nature of the patient's eligible medical
322322 condition;
323323 (D) [of the patient,] the dosage recommended;
324324 (E) [prescribed,] the means of administration
325325 ordered; [,] and
326326 (F) the total amount of medical [low-THC]
327327 cannabis required to fill the patient's recommendation
328328 [prescription]; and
329329 (2) a record of each amount of medical [low-THC]
330330 cannabis dispensed by a medical cannabis [dispensing] organization
331331 to a patient under a recommendation [prescription].
332332 (b) The department shall ensure the registry:
333333 (1) is designed to prevent more than one qualified
334334 physician from registering as the recommending physician
335335 [prescriber] for a single patient;
336336 (2) is accessible to law enforcement agencies and
337337 medical cannabis [dispensing] organizations licensed to dispense
338338 medical cannabis for the purpose of verifying whether a patient is
339339 one for whom medical [low-THC] cannabis is recommended [prescribed]
340340 and whether the patient's recommendations [prescriptions] have
341341 been filled; [and]
342342 (3) allows a physician [qualified to prescribe low-THC
343343 cannabis under Section 169.002, Occupations Code,] to input safety
344344 and efficacy data derived from the treatment of patients for whom
345345 medical [low-THC] cannabis is recommended [prescribed] under
346346 Chapter 169, Occupations Code, including any severe adverse effects
347347 due to the medical use of medical cannabis; and
348348 (4) ensures that all application records and
349349 information are sealed to protect the privacy of patients.
350350 (c) The handling of any records maintained in the registry
351351 must comply with all relevant state and federal privacy laws,
352352 including Chapter 181.
353353 SECTION 1.09. Subchapter B, Chapter 487, Health and Safety
354354 Code, is amended by adding Section 487.055 to read as follows:
355355 Sec. 487.055. DESIGNATION OF CAREGIVER. (a) A patient
356356 listed in the compassionate-use registry may designate a caregiver.
357357 A caregiver designated under this subsection may be either an
358358 individual or an organization or other entity, including a
359359 long-term care facility, other health care organization, or public
360360 institution.
361361 (b) The department shall develop a form for a patient listed
362362 in the registry to designate a caregiver under Subsection (a). The
363363 form must require the patient to provide the full name, home
364364 address, and date of birth of the patient's caregiver or, in the
365365 case of a caregiver that is an entity, the entity's name and
366366 address.
367367 (c) A caregiver may possess medical cannabis and medical
368368 cannabis products up to the sum of the possession limits for all
369369 patients under the caregiver's care.
370370 (d) The director shall adopt rules necessary to implement
371371 this section, including rules to provide identification cards for
372372 designated caregivers.
373373 SECTION 1.10. The heading to Subchapter C, Chapter 487,
374374 Health and Safety Code, is amended to read as follows:
375375 SUBCHAPTER C. LICENSE TO OPERATE AS MEDICAL CANNABIS [DISPENSING]
376376 ORGANIZATION
377377 SECTION 1.11. Section 487.101, Health and Safety Code, is
378378 amended to read as follows:
379379 Sec. 487.101. LICENSE REQUIRED. (a) A license issued by
380380 the department under this chapter is required to operate a medical
381381 cannabis [dispensing] organization.
382382 (b) The director by rule shall adopt application and
383383 licensing requirements and privileges of each medical cannabis
384384 organization license type.
385385 (c) Medical cannabis organization license types shall
386386 include the following:
387387 (1) a cultivating cannabis organization that
388388 cultivates medical cannabis for sale and distribution to other
389389 medical cannabis organizations and may process and package medical
390390 cannabis for individual sale so long as the cannabis is not
391391 subjected to any chemical alteration;
392392 (2) a processing cannabis organization that extracts
393393 medical cannabis and manufactures, prepares, and packages medical
394394 cannabis products for sale and distribution to other medical
395395 cannabis organizations;
396396 (3) a dispensing cannabis organization that sells
397397 medical cannabis and medical cannabis products to patients;
398398 (4) an independent testing cannabis organization that
399399 tests medical cannabis and medical cannabis products for potency,
400400 safety, and efficacy; and
401401 (5) any other class of medical cannabis organization
402402 that the department finds warranted to safely and securely ensure
403403 reasonable statewide access of medical cannabis for medical use.
404404 SECTION 1.12. Section 487.102, Health and Safety Code, is
405405 amended to read as follows:
406406 Sec. 487.102. ELIGIBILITY FOR LICENSE. An applicant for a
407407 license to operate as a medical cannabis [dispensing] organization
408408 is eligible for the license if:
409409 (1) as determined by the department, the applicant
410410 possesses:
411411 (A) the technical and technological ability
412412 appropriate for that class of license [to cultivate and produce
413413 low-THC cannabis];
414414 (B) the ability to secure:
415415 (i) the resources and personnel necessary
416416 to operate as a medical cannabis [dispensing] organization; and
417417 (ii) for distribution or
418418 dispensing premises reasonably located to allow patients listed on
419419 the compassionate-use registry access to the organization through
420420 existing infrastructure;
421421 (C) the ability to maintain accountability for
422422 the raw materials, the finished product, and any by-products used
423423 or produced in the cultivation or production of medical [low-THC]
424424 cannabis to prevent unlawful access to or unlawful diversion or
425425 possession of those materials, products, or by-products; [and]
426426 (D) the financial ability to maintain operations
427427 for not less than two years from the date of application; and
428428 (E) any specific qualifications for licensure
429429 for each class of license the department requires by rule under this
430430 chapter that are demonstrably related to the operations authorized
431431 and duties imposed under that class of license to safely and
432432 securely provide medical cannabis for medical use to patients;
433433 (2) each director, manager, or employee of the
434434 applicant is registered under Subchapter D; and
435435 (3) the applicant satisfies any additional criteria
436436 determined by the director to be necessary to safely implement this
437437 chapter.
438438 SECTION 1.13. Subchapter C, Chapter 487, Health and Safety
439439 Code, is amended by adding Section 487.1021 to read as follows:
440440 Sec. 487.1021. ELIGIBILITY FOR LICENSE TO OPERATE AS AN
441441 INDEPENDENT CANNABIS TESTING ORGANIZATION. In addition to the
442442 criteria described by Section 487.102, an applicant for a license
443443 to operate as an independent cannabis testing organization is
444444 eligible for the license if the applicant:
445445 (1) submits proof of accreditation by an independent
446446 accreditation body in accordance with the International
447447 Organization for Standardization ISO/IEC 17025 or a comparable or
448448 successor standard designated by department rule;
449449 (2) submits proof that it does not share ownership
450450 interest or joint management with any medical cannabis organization
451451 whose product the applicant may test except for less than 10 percent
452452 ownership in a publicly traded company; and
453453 (3) satisfies any additional criteria determined by
454454 the department to be necessary for the operation of a cannabis
455455 testing facility.
456456 SECTION 1.14. Section 487.103(a), Health and Safety Code,
457457 is amended to read as follows:
458458 (a) A person may apply for an initial or renewal license to
459459 operate as a medical cannabis [dispensing] organization by
460460 submitting a form prescribed by the department along with the
461461 application fee in an amount set by the director for that class of
462462 license.
463463 SECTION 1.15. Section 487.104(a), Health and Safety Code,
464464 is amended to read as follows:
465465 (a) The department shall issue or renew a license to operate
466466 as a medical cannabis [dispensing] organization [only] if:
467467 (1) the department determines the applicant meets the
468468 eligibility requirements described by Section 487.102 or 487.1021,
469469 as applicable; and
470470 (2) issuance or renewal of the license would assist
471471 [is necessary to ensure] reasonable statewide access to, and the
472472 availability of, medical [low-THC] cannabis for patients
473473 registered in the compassionate-use registry and for whom medical
474474 [low-THC] cannabis is recommended [prescribed] under Chapter 169,
475475 Occupations Code.
476476 SECTION 1.16. Sections 487.105(a) and (b), Health and
477477 Safety Code, are amended to read as follows:
478478 (a) An applicant for the issuance or renewal of a license
479479 under this subchapter [to operate as a dispensing organization]
480480 shall provide the department with the applicant's name and the name
481481 of each of the applicant's directors, managers, and employees.
482482 (b) Before a medical cannabis [dispensing] organization
483483 license holder [licensee] hires a manager or employee for the
484484 organization, the license holder [licensee] must provide the
485485 department with the name of the prospective manager or employee.
486486 The license holder [licensee] may not transfer the license to
487487 another person before that prospective applicant and the
488488 applicant's directors, managers, and employees pass a criminal
489489 history background check and any other requirements established by
490490 the director by rule, and are registered as required by Subchapter
491491 D.
492492 SECTION 1.17. Section 487.106, Health and Safety Code, is
493493 amended to read as follows:
494494 Sec. 487.106. DUTY TO MAINTAIN ELIGIBILITY. (a) Each
495495 license holder under this subchapter [A dispensing organization]
496496 must maintain compliance at all times with the eligibility
497497 requirements described by Section 487.102 or 487.1021, as
498498 applicable.
499499 (b) On request of the department, a license holder must
500500 provide to the department a reasonably sized sample suitable for
501501 testing of medical cannabis.
502502 SECTION 1.18. Section 487.107, Health and Safety Code, is
503503 amended to read as follows:
504504 Sec. 487.107. DUTIES RELATING TO DISPENSING MEDICAL
505505 CANNABIS [PRESCRIPTION]. (a) Before dispensing medical [low-THC]
506506 cannabis to a person for whom the medical [low-THC] cannabis is
507507 recommended [prescribed] under Chapter 169, Occupations Code, the
508508 medical cannabis [dispensing] organization must verify that the
509509 recommendation [prescription] presented:
510510 (1) is for a person listed as a patient in the
511511 compassionate-use registry;
512512 (2) matches the entry in the compassionate-use
513513 registry with respect to the total amount of medical [low-THC]
514514 cannabis required to fill the recommendation [prescription]; and
515515 (3) has not previously been filled by a medical
516516 cannabis [dispensing] organization as indicated by an entry in the
517517 compassionate-use registry.
518518 (b) After dispensing medical [low-THC] cannabis to a
519519 patient for whom the medical [low-THC] cannabis is recommended
520520 [prescribed] under Chapter 169, Occupations Code, the medical
521521 cannabis [dispensing] organization shall record in the
522522 compassionate-use registry the form and quantity of medical
523523 [low-THC] cannabis dispensed and the date and time of dispensation.
524524 SECTION 1.19. Sections 487.108(a), (b), and (c), Health and
525525 Safety Code, are amended to read as follows:
526526 (a) The department may at any time suspend or revoke a
527527 license issued under this subchapter [chapter] if the department
528528 determines that the license holder [licensee] has not maintained
529529 the eligibility requirements described by Section 487.102 or
530530 487.1021, as applicable, or has failed to comply with a duty imposed
531531 under this chapter.
532532 (b) The director shall give written notice to the license
533533 holder [dispensing organization] of a license suspension or
534534 revocation under this section and the grounds for the suspension or
535535 revocation. The notice must be sent by certified mail, return
536536 receipt requested.
537537 (c) After suspending or revoking a license issued under this
538538 subchapter [chapter], the director may seize or place under seal
539539 all medical [low-THC] cannabis and drug paraphernalia owned or
540540 possessed by the license holder [dispensing organization]. If the
541541 director orders the revocation of the license, a disposition may
542542 not be made of the seized or sealed medical [low-THC] cannabis or
543543 drug paraphernalia until the time for administrative appeal of the
544544 order has elapsed or until all appeals have been concluded. When a
545545 revocation order becomes final, all medical [low-THC] cannabis and
546546 drug paraphernalia may be forfeited to the state as provided under
547547 Subchapter E, Chapter 481.
548548 SECTION 1.20. Section 487.151(a), Health and Safety Code,
549549 is amended to read as follows:
550550 (a) An individual who is a director, manager, or employee of
551551 a license holder under Subchapter C [dispensing organization] must
552552 apply for and obtain a registration under this section.
553553 SECTION 1.21. Section 487.201, Health and Safety Code, is
554554 amended to read as follows:
555555 Sec. 487.201. COUNTIES AND MUNICIPALITIES MAY NOT PROHIBIT
556556 MEDICAL [LOW-THC] CANNABIS. A municipality, county, or other
557557 political subdivision may not enact, adopt, or enforce a rule,
558558 ordinance, order, resolution, or other regulation that prohibits
559559 the cultivation, production, dispensing, researching, testing, or
560560 possession of medical [low-THC] cannabis, as authorized by this
561561 chapter.
562562 SECTION 1.22. Subchapter F, Chapter 487, Health and Safety
563563 Code, is repealed.
564564 ARTICLE 2. RECOMMENDATION OF MEDICAL CANNABIS BY PHYSICIAN
565565 SECTION 2.01. The heading to Chapter 169, Occupations Code,
566566 is amended to read as follows:
567567 CHAPTER 169. AUTHORITY TO RECOMMEND MEDICAL [PRESCRIBE LOW-THC]
568568 CANNABIS TO CERTAIN PATIENTS FOR COMPASSIONATE USE
569569 SECTION 2.02. Section 169.001, Occupations Code, is amended
570570 to read as follows:
571571 Sec. 169.001. DEFINITIONS. In this chapter:
572572 (1) "Department" means the Department of Public
573573 Safety.
574574 (2) [(1-a) "Incurable neurodegenerative disease"
575575 means a disease designated as an incurable neurodegenerative
576576 disease by rule of the executive commissioner of the Health and
577577 Human Services Commission, adopted in consultation with the
578578 National Institutes of Health.
579579 [(3)] "Medical [Low-THC] cannabis" means the plant
580580 Cannabis sativa L., and any part of that plant or any compound,
581581 manufacture, salt, derivative, mixture, preparation, resin, or oil
582582 of that plant. The term does not include hemp, as defined by
583583 Section 121.001, Agriculture Code, or a consumable hemp product, as
584584 defined by Section 443.001, Health and Safety Code [that contains
585585 not more than one percent by weight of tetrahydrocannabinols].
586586 (3) [(4)] "Medical use" means the administration of
587587 medical cannabis to a registered patient for treatment of an
588588 eligible medical condition or symptoms as recommended by a
589589 physician [ingestion by a means of administration other than by
590590 smoking of a prescribed amount of low-THC cannabis by a person for
591591 whom low-THC cannabis is prescribed] under this chapter.
592592 (4) "Severe adverse event" means an adverse event
593593 that:
594594 (A) results in death;
595595 (B) results in an illness requiring
596596 hospitalization;
597597 (C) is considered life-threatening; or
598598 (D) results in a persistent or significant
599599 disability, incapacity, or medically important condition.
600600 [(5) "Smoking" means burning or igniting a substance
601601 and inhaling the smoke.]
602602 SECTION 2.03. Chapter 169, Occupations Code, is amended by
603603 adding Section 169.0012 to read as follows:
604604 Sec. 169.0012. BONA FIDE PHYSICIAN-PATIENT RELATIONSHIP.
605605 For purposes of this chapter, a bona fide physician-patient
606606 relationship exists when there is a treatment or counseling
607607 relationship between a physician and patient in which all of the
608608 following are present:
609609 (1) the physician has reviewed the patient's relevant
610610 medical records and completed a full assessment of the patient's
611611 medical history and current medical condition, including a relevant
612612 medical evaluation of the patient;
613613 (2) the physician has created and continues to
614614 maintain records of the patient's condition in accordance with
615615 medically accepted standards;
616616 (3) the physician has a reasonable expectation that
617617 the physician will provide follow-up care to the patient to monitor
618618 the efficacy of the use of medical cannabis as a treatment of the
619619 patient's medical condition; and
620620 (4) if the patient has given permission, the physician
621621 has notified the patient's primary care physician of the patient's
622622 medical condition and certification for the medical use of medical
623623 cannabis to treat that condition.
624624 SECTION 2.04. Section 169.002, Occupations Code, is amended
625625 to read as follows:
626626 Sec. 169.002. PHYSICIAN QUALIFIED TO RECOMMEND MEDICAL
627627 [PRESCRIBE LOW-THC] CANNABIS [TO PATIENTS WITH CERTAIN MEDICAL
628628 CONDITIONS]. (a) Only a physician qualified with respect to a
629629 patient's particular medical condition [as provided by this
630630 section] may recommend medical [prescribe low-THC] cannabis in
631631 accordance with this chapter to treat the applicable medical
632632 condition.
633633 (b) A physician is qualified to recommend medical
634634 [prescribe low-THC] cannabis with respect to a patient's particular
635635 medical condition if the physician:
636636 (1) is licensed under this subtitle;
637637 (2) has a bona fide physician-patient relationship
638638 with the patient [is board certified in a medical specialty
639639 relevant to the treatment of the patient's particular medical
640640 condition by a specialty board approved by the American Board of
641641 Medical Specialties or the Bureau of Osteopathic Specialists]; and
642642 (3) dedicates a significant portion of clinical
643643 practice to the evaluation and treatment of the patient's
644644 particular medical condition.
645645 [(c) A physician is qualified to prescribe low-THC cannabis
646646 for the treatment of a patient with a medical condition approved by
647647 rule of the executive commissioner of the Health and Human Services
648648 Commission for treatment in an approved research program conducted
649649 under Subchapter F, Chapter 487, Health and Safety Code, if the
650650 physician is:
651651 [(1) licensed under this subtitle; and
652652 [(2) certified by a compassionate-use institutional
653653 review board created under Section 487.253, Health and Safety Code,
654654 that oversees patient treatment undertaken as part of that approved
655655 research program.]
656656 SECTION 2.05. Section 169.003, Occupations Code, is amended
657657 to read as follows:
658658 Sec. 169.003. RECOMMENDATION [PRESCRIPTION] OF MEDICAL
659659 [LOW-THC] CANNABIS. A physician described by Section 169.002 may
660660 recommend medical [prescribe low-THC] cannabis to a patient if:
661661 (1) the patient is a permanent resident of the state;
662662 (2) the physician complies with the registration
663663 requirements of Section 169.004; and
664664 (3) the physician certifies to the department that:
665665 (A) there is a bona fide physician-patient
666666 relationship;
667667 (B) the patient has a diagnosis or symptoms such
668668 that, in the physician's professional judgment and review of past
669669 treatments, the patient is likely to receive therapeutic or
670670 palliative benefit from medical cannabis [is diagnosed with:
671671 [(i) epilepsy;
672672 [(ii) a seizure disorder;
673673 [(iii) multiple sclerosis;
674674 [(iv) spasticity;
675675 [(v) amyotrophic lateral sclerosis;
676676 [(vi) autism;
677677 [(vii) cancer;
678678 [(viii) an incurable neurodegenerative
679679 disease;
680680 [(ix) post-traumatic stress disorder; or
681681 [(x) a medical condition that is approved
682682 for a research program under Subchapter F, Chapter 487, Health and
683683 Safety Code, and for which the patient is receiving treatment under
684684 that program]; and
685685 (C) [(B)] the physician determines the risk of
686686 the medical use of medical [low-THC] cannabis by the patient is
687687 reasonable in light of the potential benefit for the patient.
688688 SECTION 2.06. The heading to Section 169.004, Occupations
689689 Code, is amended to read as follows:
690690 Sec. 169.004. MEDICAL [LOW-THC] CANNABIS RECOMMENDATION
691691 [PRESCRIBER] REGISTRATION.
692692 SECTION 2.07. Section 169.004(a), Occupations Code, is
693693 amended to read as follows:
694694 (a) Before a physician [qualified to prescribe low-THC
695695 cannabis under Section 169.002] may recommend [prescribe] or renew
696696 a recommendation [prescription] for medical [low-THC] cannabis for
697697 a patient under this chapter, the physician must register [as the
698698 prescriber for that patient] in the compassionate-use registry
699699 maintained by the department under Section 487.054, Health and
700700 Safety Code. The physician's registration must indicate:
701701 (1) the physician's name; and
702702 (2) for each patient:
703703 (A) the patient's name and date of birth;
704704 (B) the nature of the patient's diagnosis or
705705 symptom being treated by medical cannabis;
706706 (C) [(3)] the dosage recommended for [prescribed
707707 to] the patient;
708708 (D) [(4)] the means of administration ordered
709709 for the patient;
710710 (E) [and
711711 [(5)] the total amount of medical [low-THC] cannabis
712712 required to fill the patient's recommendation; and
713713 (F) any severe adverse events the patient may
714714 experience due to the medical use of medical cannabis
715715 [prescription].
716716 SECTION 2.08. Section 169.005, Occupations Code, is amended
717717 to read as follows:
718718 Sec. 169.005. PATIENT TREATMENT PLAN. A physician
719719 described by Section 169.002 who recommends medical [prescribes
720720 low-THC] cannabis for a patient's medical use under this chapter
721721 must maintain a patient treatment plan that indicates:
722722 (1) the dosage, means of administration, and planned
723723 duration of treatment for the medical [low-THC] cannabis;
724724 (2) a plan for monitoring the patient's symptoms; and
725725 (3) a plan for monitoring indicators of tolerance or
726726 reaction to medical [low-THC] cannabis.
727727 SECTION 2.09. Section 169.0011, Occupations Code, is
728728 repealed.
729729 ARTICLE 3. CONFORMING AMENDMENTS
730730 SECTION 3.01. Section 161.001(c), Family Code, is amended
731731 to read as follows:
732732 (c) Evidence of one or more of the following does not
733733 constitute clear and convincing evidence sufficient for a court to
734734 make a finding under Subsection (b) and order termination of the
735735 parent-child relationship:
736736 (1) the parent homeschooled the child;
737737 (2) the parent is economically disadvantaged;
738738 (3) the parent has been charged with a nonviolent
739739 misdemeanor offense other than:
740740 (A) an offense under Title 5, Penal Code;
741741 (B) an offense under Title 6, Penal Code; or
742742 (C) an offense that involves family violence, as
743743 defined by Section 71.004 of this code;
744744 (4) the parent provided or administered medical
745745 [low-THC] cannabis to a child for whom the medical [low-THC]
746746 cannabis was recommended [prescribed] under Chapter 169,
747747 Occupations Code;
748748 (5) the parent declined immunization for the child for
749749 reasons of conscience, including a religious belief;
750750 (6) the parent sought an opinion from more than one
751751 medical provider relating to the child's medical care, transferred
752752 the child's medical care to a new medical provider, or transferred
753753 the child to another health care facility; or
754754 (7) the parent allowed the child to engage in
755755 independent activities that are appropriate and typical for the
756756 child's level of maturity, physical condition, developmental
757757 abilities, or culture.
758758 SECTION 3.02. Section 262.116(a), Family Code, is amended
759759 to read as follows:
760760 (a) The Department of Family and Protective Services may not
761761 take possession of a child under this subchapter based on evidence
762762 that the parent:
763763 (1) homeschooled the child;
764764 (2) is economically disadvantaged;
765765 (3) has been charged with a nonviolent misdemeanor
766766 offense other than:
767767 (A) an offense under Title 5, Penal Code;
768768 (B) an offense under Title 6, Penal Code; or
769769 (C) an offense that involves family violence, as
770770 defined by Section 71.004 of this code;
771771 (4) provided or administered medical [low-THC]
772772 cannabis to a child for whom the medical [low-THC] cannabis was
773773 recommended [prescribed] under Chapter 169, Occupations Code;
774774 (5) declined immunization for the child for reasons of
775775 conscience, including a religious belief;
776776 (6) sought an opinion from more than one medical
777777 provider relating to the child's medical care, transferred the
778778 child's medical care to a new medical provider, or transferred the
779779 child to another health care facility;
780780 (7) allowed the child to engage in independent
781781 activities that are appropriate and typical for the child's level
782782 of maturity, physical condition, developmental abilities, or
783783 culture; or
784784 (8) tested positive for marihuana, unless the
785785 department has evidence that the parent's use of marihuana has
786786 caused significant impairment to the child's physical or mental
787787 health or emotional development.
788788 SECTION 3.03. Section 411.0891(a), Government Code, is
789789 amended to read as follows:
790790 (a) The department may obtain as provided by Subsection
791791 (a-1) criminal history record information that relates to a person
792792 who:
793793 (1) is an applicant for or holds a registration issued
794794 by the director under Subchapter C, Chapter 481, Health and Safety
795795 Code, that authorizes the person to manufacture, distribute,
796796 analyze, or conduct research with a controlled substance;
797797 (2) is an applicant for or holds a registration issued
798798 by the department under Chapter 487, Health and Safety Code, to be a
799799 director, manager, or employee of a medical cannabis [dispensing]
800800 organization, as defined by Section 487.001, Health and Safety
801801 Code;
802802 (3) is an applicant for or holds an authorization
803803 issued by the department under Section 521.2476, Transportation
804804 Code, to do business in this state as a vendor of ignition interlock
805805 devices;
806806 (4) is an applicant for or holds certification by the
807807 department as an inspection station or an inspector under
808808 Subchapter G, Chapter 548, Transportation Code, holds an inspection
809809 station or inspector certificate issued under that subchapter, or
810810 is the owner of an inspection station operating under that chapter;
811811 (5) is an applicant for or holds a certificate of
812812 registration issued by the department under Chapter 1956,
813813 Occupations Code, to act as a metal recycling entity;
814814 (6) is an applicant for or holds a license to carry a
815815 handgun issued by the department under Subchapter H, or is an
816816 applicant for or holds a certification as an instructor issued by
817817 the department under this chapter;
818818 (7) is an applicant for or holds a Capitol access pass
819819 issued by the department under Section 411.0625; or
820820 (8) is an applicant for or holds a license or
821821 commission issued by the department under Chapter 1702, Occupations
822822 Code.
823823 SECTION 3.04. Section 443.202(a), Health and Safety Code,
824824 is amended to read as follows:
825825 (a) This section does not apply to medical [low-THC]
826826 cannabis regulated under Chapter 487.
827827 SECTION 3.05. Section 443.2025(a), Health and Safety Code,
828828 is amended to read as follows:
829829 (a) This section does not apply to medical [low-THC]
830830 cannabis regulated under Chapter 487.
831831 SECTION 3.06. Section 481.062(a), Health and Safety Code,
832832 is amended to read as follows:
833833 (a) The following persons may possess a controlled
834834 substance under this chapter without registering with the Federal
835835 Drug Enforcement Administration:
836836 (1) an agent or employee of a manufacturer,
837837 distributor, analyzer, or dispenser of the controlled substance who
838838 is registered with the Federal Drug Enforcement Administration and
839839 acting in the usual course of business or employment;
840840 (2) a common or contract carrier, a warehouseman, or
841841 an employee of a carrier or warehouseman whose possession of the
842842 controlled substance is in the usual course of business or
843843 employment;
844844 (3) an ultimate user or a person in possession of the
845845 controlled substance under a lawful order of a practitioner or in
846846 lawful possession of the controlled substance if it is listed in
847847 Schedule V;
848848 (4) an officer or employee of this state, another
849849 state, a political subdivision of this state or another state, or
850850 the United States who is lawfully engaged in the enforcement of a
851851 law relating to a controlled substance or drug or to a customs law
852852 and authorized to possess the controlled substance in the discharge
853853 of the person's official duties;
854854 (5) if the substance is tetrahydrocannabinol or one of
855855 its derivatives:
856856 (A) a Department of State Health Services
857857 official, a medical school researcher, or a research program
858858 participant possessing the substance as authorized under
859859 Subchapter G; or
860860 (B) a practitioner or an ultimate user possessing
861861 the substance as a participant in a federally approved therapeutic
862862 research program that the commissioner has reviewed and found, in
863863 writing, to contain a medically responsible research protocol; or
864864 (6) a medical cannabis [dispensing] organization
865865 licensed under Subchapter C, Chapter 487, that possesses medical
866866 [low-THC] cannabis.
867867 SECTION 3.07. Sections 481.111(e) and (f), Health and
868868 Safety Code, are amended to read as follows:
869869 (e) Sections 481.120, 481.121, 481.122, and 481.125 do not
870870 apply to a person who engages in the acquisition, possession,
871871 production, cultivation, delivery, or disposal of a raw material
872872 used in or by-product created by the production or cultivation of
873873 medical [low-THC] cannabis if the person:
874874 (1) for an offense involving possession only of
875875 marihuana or drug paraphernalia:
876876 (A) [,] is a patient for whom medical [low-THC]
877877 cannabis is recommended [prescribed] under Chapter 169,
878878 Occupations Code, or the patient's parent, legal guardian, or
879879 caregiver;[,] and
880880 (B) [the person] possesses medical [low-THC]
881881 cannabis obtained under a valid recommendation [prescription] from
882882 a medical cannabis [dispensing] organization; or
883883 (2) is a director, manager, or employee of a medical
884884 cannabis [dispensing] organization and the person, solely in
885885 performing the person's regular duties at the organization,
886886 acquires, possesses, produces, cultivates, dispenses, or disposes
887887 of:
888888 (A) in reasonable quantities, any medical
889889 [low-THC] cannabis or raw materials used in or by-products created
890890 by the production or cultivation of medical [low-THC] cannabis; or
891891 (B) any drug paraphernalia used in the
892892 acquisition, possession, production, cultivation, delivery, or
893893 disposal of medical [low-THC] cannabis.
894894 (f) For purposes of Subsection (e):
895895 (1) ["Dispensing organization" has the meaning
896896 assigned by Section 487.001.
897897 [(2)] "Medical [Low-THC] cannabis" has the meaning
898898 assigned by Section 169.001, Occupations Code.
899899 (2) "Medical cannabis organization" has the meaning
900900 assigned by Section 487.001.
901901 SECTION 3.08. Section 490.001(3), Health and Safety Code,
902902 is amended to read as follows:
903903 (3) "Investigational drug, biological product, or
904904 device" means a drug, biological product, or device that has
905905 successfully completed phase one of a clinical trial but the United
906906 States Food and Drug Administration or its international equivalent
907907 has not yet approved for general use and that remains under
908908 investigation in the clinical trial. The term does not include
909909 medical [low-THC] cannabis, as defined by Section 169.001,
910910 Occupations Code, or a product containing marihuana, as defined by
911911 Section 481.002, regardless of whether the cannabis or product
912912 successfully completed phase one of a clinical trial.
913913 SECTION 3.09. Section 551.004(a), Occupations Code, is
914914 amended to read as follows:
915915 (a) This subtitle does not apply to:
916916 (1) a practitioner licensed by the appropriate state
917917 board who supplies a patient of the practitioner with a drug in a
918918 manner authorized by state or federal law and who does not operate a
919919 pharmacy for the retailing of prescription drugs;
920920 (2) a member of the faculty of a college of pharmacy
921921 recognized by the board who is a pharmacist and who performs the
922922 pharmacist's services only for the benefit of the college;
923923 (3) a person who procures prescription drugs for
924924 lawful research, teaching, or testing and not for resale;
925925 (4) a home and community support services agency that
926926 possesses a dangerous drug as authorized by Section 142.0061,
927927 142.0062, or 142.0063, Health and Safety Code; or
928928 (5) a medical cannabis [dispensing] organization, as
929929 defined by Section 487.001, Health and Safety Code, that
930930 cultivates, processes, tests, and dispenses medical [low-THC]
931931 cannabis, as authorized by a license issued under Subchapter C,
932932 Chapter 487, Health and Safety Code, to a patient listed in the
933933 compassionate-use registry established under that chapter.
934934 ARTICLE 4. TRANSITIONS AND EFFECTIVE DATE
935935 SECTION 4.01. Not later than December 31, 2025, the public
936936 safety director of the Department of Public Safety shall adopt
937937 rules as required to implement, administer, and enforce this Act.
938938 SECTION 4.02. (a) A license to operate as a dispensing
939939 organization issued under Chapter 487, Health and Safety Code,
940940 before the effective date of this Act continues to be valid after
941941 the effective date of this Act until that license expires.
942942 (b) The registration of a director, manager, or employee of
943943 a dispensing organization under Subchapter D, Chapter 487, Health
944944 and Safety Code, continues to be valid after the effective date of
945945 this Act until that registration expires.
946946 SECTION 4.03. (a) Not later than April 1, 2026, the
947947 Department of Public Safety shall license cannabis cultivation
948948 organizations in accordance with Subchapter C, Chapter 487, Health
949949 and Safety Code, as amended by this Act, provided that the
950950 applicants for a license have met all requirements for approval
951951 under that subchapter.
952952 (b) Not later than June 1, 2026, the Department of Public
953953 Safety shall license other classes of medical cannabis
954954 organizations in accordance with Subchapter C, Chapter 487, Health
955955 and Safety Code, as amended by this Act, provided that the
956956 applicants for a license have met all requirements for approval
957957 under that subchapter.
958958 SECTION 4.04. This Act takes effect September 1, 2025.