Chairman King’s excellent medical cannabis bill - HB 46 - passed the House with overwhelming bipartisan support. Unfortunately, when the bill moved to the Senate, it was weakened by Sen. Perry, who stripped away key provisions — including many qualifying medical conditions and critical business licensing opportunities.
But Chairman King isn’t backing down! When HB 46 returned to the House yesterday (5/30), he rejected the watered-down version. Now, House and Senate leaders have formed a conference committee to reconcile the differences. (See a side-by-side comparison above.)
House Appointees: Rep. Ken King (Chair), Rep. Giovanni Capriglione, Rep. Katrina Pierson, Rep. Tony Tinderholt, and Rep. Chris Turner.
Senate Appointees: Sen. Charles Perry (Chair), Sen. Paul Bettencourt, Sen. Bryan Hughes, Sen. José Menéndez, and Sen. Tan Parker.
Chairman King is standing firm — fighting for a stronger, more inclusive Compassionate Use Program for Texas patients!
House Bill 46 aims to improve the Texas Compassionate Use Program (TCUP) and has evolved at nearly every stage of the legislative process. After passing the House as a great bill to improve and expand TCUP, the bill was amended by the Senate State Affairs Committee to be far more restrictive.
Late on Tuesday, May 27, the Texas Senate amended and passed HB 46. Several amendments were offered by the bill sponsor, Sen. Charles Perry, to further expand the program and provide guidance for the licensure process. A full breakdown of the bill as amended in the Senate can be found here.
Status: 05/27/2025 Passed by the Senate Unanimously
Next Step: Final House Approval (or Conference Committee)
ACTION: Send your legislators a thank you note for their support of medical cannabis!
HB 46 passed unanimously and now heads to the House for final consideration. The House can concur with Senate amendments and send the bill to Governor Abbott or they can contest the amendments and send the bill to conference committee.
Here's a look at the Senate amendments:
On Friday, May 23, the Senate State Affairs Committee adopted an amended version of HB 46 with significant changes. Listen to the meeting here.
Most concerning: the House-approved list of qualifying conditions was stripped down to only include terminal patients in hospice care. The bill also strips patient protections and privacy.
The committee substitute for HB 46 cuts access for patients with chronic pain, glaucoma, traumatic brain injury, spinal neuropathy, Crohn's disease or other inflammatory bowel disease, and degenerative disc disease. The only additional patients who would qualify to participate in TCUP are those with a terminal illness or condition and who are actively receiving hospice care. The substitute also removes language that would have granted DSHS authority to add new qualifying conditions.
A full breakdown of the bill as amended in committee can be found here. Sen. Perry has indicated that he'll be offering further amendments on the floor.
LATEST NEWS: Late on May 25, Rep. Oliverson announced that he and Lt. Gov Patrick have come to an agreement on the final bill.
Monday, May 19, the Senate State Affairs Committee hosted a very quick hearing for HB 46, Chairman King's medical cannabis bill.
"There will be a committee substitute, but we haven't gotten it back from legislative council yet." - Sen. Perry
Sen. Perry did acknowledge that cannabis is medicine and patients should have access to it. He also implied that the viability of this bill is dependent upon the success of SB 3 banning "intoxicating" hemp. We knew that was the game they're playing, but to hear it so clearly this morning really puts into perspective the fact that they are holding medicine hostage in order to fulfill their goals of hemp THC prohibition.
The committee will take up the bill again when their revised draft is ready. Since they took testimony at today's hearing, they will not be required to hear from people again.
Senate State Affairs Committee Hearing
May 19,2025 - Begins @54:05
With a bipartisan super-majority vote of 122-21, the Texas House of Representatives has passed Chairman King's HB 46 to expand and improve patient access to medical cannabis.
Next Step: HB 46 was quickly referred to the Senate State Affairs Committee, which will host a public hearing. Date: TBD.
There were a few changes made through floor amendments, including Rep. Oliverson's prescription monitoring and Chairman King's own amendment improving patient access.
Chairman King's amendment removed the 1 gram THC limit per package, changed the requirement from 11 to 15 business licenses total, removed the 1% cap on inhalation products, and removed the restriction on "naturally occurring chemical substance from the cannabis plant that is not a phytocannabinoid."
NOTE: Rep. Ashby was absent, but made a note in the journal that he would have voted NO if he was present. Representatives Dorazio and Kerwin were shown as voting YES, but meant to vote NO. Representatives Pierson and Schoolcraft were shown as voting NO, but meant to vote YES.
The official journal for votes (May 12 and 13) on HB 46 can be found here.
On Monday, April 14, the House Public Health Committee hosted a hearing on Chairman Ken King's HB 46. Witnesses waited more than 13 hours to testify in support of this bill, which would improve and expand the Texas Compassionate Use Program. Testifying witnesses included patients, caregivers, business operators, and medical professionals.
Chairman King's committee substitute for HB 46 adds chronic pain as a qualifying condition. This is great news! This important change allows Texas patients to use cannabis as an alternative to opioids.
Chairman King closed out the hearing with the following:
"One thing that's not talked about in here is hospice care. I'm gonna tell you right now, y'all have heard me a lot over the years talk about my mother. I watched her die over 10 1/2 weeks in hospice. And if I had it to do over again, instead of giving her the poison they were shoving down her, I would have gone to Colorado and bought a joint. That's just me. I don't use it myself, but I hope for your favorable consideration on this bill. And if you have suggestions, I'm open to them." (Watch this moment.)
There may be further amendments to the bill before it's passed out of committee. Stay tuned for updates!
If passed, HB 46 would go into effect on September 1, 2025 and all necessary DPS and DSHS rules must be proposed by October 1, 2025. TMB must adopt rules for monitoring prescriptions as soon as reasonably possible.
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.