South Dakota

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State Summary

South Dakota voters approved medical marijuana in 2020, but the program has faced significant legal and political opposition. While the medical program operates, recreational legalization was struck down by the state Supreme Court. The medical program allows patients to purchase various cannabis products from licensed dispensaries but prohibits home cultivation. South Dakota represents one of the more conservative approaches to medical cannabis with ongoing political resistance to expansion. The state continues to refine its medical program while maintaining opposition to recreational legalization.

Process to get a Medical Marijuana Card

Qualified medical patients access cannabis through state-licensed dispensaries with their medical marijuana card and valid government ID. South Dakota has a limited number of licensed dispensaries serving patients throughout the state, with continued expansion planned.

Conditions Approved for Medical Marijuana Use

Medical marijuana qualifying conditions include: cancer, chronic pain, PTSD, epilepsy or debilitating seizures, glaucoma, HIV/AIDS, ALS, Crohn's disease, Alzheimer's disease, cachexia or wasting syndrome, severe nausea or vomiting, multiple sclerosis, muscular dystrophy, and terminal illness. The state may add additional conditions through regulatory process.

Telemedicine Rules
State Regulatory Body

The South Dakota Department of Health oversees the medical marijuana program, including patient registration, physician certification, and dispensary oversight. The department handles licensing, regulation, and compliance for medical cannabis cultivation, processing, and retail operations throughout the state.

Application Requirements

Yes, medical marijuana patients must register with the South Dakota Department of Health to receive a medical marijuana identification card. This card is required to legally possess and purchase medical cannabis from licensed dispensaries in the state.

Application Process

Qualified medical patients access cannabis through state-licensed dispensaries with their medical marijuana card and valid government ID. South Dakota has a limited number of licensed dispensaries serving patients throughout the state, with continued expansion planned.

Renewal Process

Medical marijuana registration costs and renewal schedules are established by the South Dakota Department of Health. Cards must be renewed periodically with updated physician certifications. The exact fees and renewal periods are set through the state's medical marijuana regulations.

Possession Limits
February 1, 2026
When is marijuana officially rescheduled?
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January 23, 2026
South Dakota Senate panel advanced bills to ban intoxicating hemp and kratom but without recommending passage
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November 7, 2025
Legislative panel recommends stricter oversight of medical marijuana and hemp items
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August 26, 2025
South Dakota's medical cannabis industry supports �
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August 25, 2025
South Dakota�s cannabis industry praised sting ope�
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In the Biz
Veterans
Student
Pediatrics
Seniors
Financial Need
First Time Patient
First-time patients can receive 50% off their first purchase by signing up for text/email alerts—some exclusions apply, check with your dispensary.
Medical Card Renewal
First Time Customer
Referral Discounts
First Responders
Birthday Discounts

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Veterans
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Student
Pediatrics
Seniors
Financial Need
First Time Patient
Medical Card Renewal
First Time Customer
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Referral Discounts
First Responders
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Birthday Discounts
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