South Dakota Cannabis Laws and Regulations

Medical cannabis is legal in South Dakota. The state's medical marijuana program was approved by voters in 2020 and implemented in 2021. Adult-use (recreational) cannabis remains illegal as of 2024, despite a voter-approved measure in 2020 that was later overturned by the state Supreme Court.

Medical Marijuana Card Process

Step 1

Obtain a certification from a qualified South Dakota-licensed physician.

Medical Eligibility & Consultation Options

  • Cachexia or wasting syndrome
  • Severe, debilitating painful
  • Severe nausea
  • Seizures
  • Severe and persistent muscle spasms, including those characteristic of multiple sclerosis
  • Any other medical condition or its treatment approved by the Department of Health
  • South Dakota allows telemedicine for follow-up appointments but requires the initial certification to be done in person.

Step 2

Register with the South Dakota Department of Health's Medical Cannabis Program.

Step 3

Pay the application fee and submit required documentation.

Patient Registration & Eligibility Requirements

  • Valid South Dakota driver's license or state ID
  • Proof of residency
  • Physician certification
  • Application fee ($75 as of 2024)
  • Visit the South Dakota Medical Cannabis Program website
  • Complete the online application
  • Upload required documents, including physician certification
  • Pay the application fee
  • Await approval (processing time typically 2-3 weeks)
  • Obtain a new certification from a qualified physician
  • Submit a renewal application online
  • Pay the renewal fee ($75 as of 2024)
  • Renew annually

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