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3 Simple Steps to Get Your Medical Marijuana Card
Schedule Your Online Appointment
Easily book your online appointment and share your medical history with a simple intake form.
Consultation With a Licensed Doctor
After your appointment, your physician will certify you through the South Dakota Medical Cannabis Program Portal. You'll receive an email with login credentials to complete your online application.
Get Your South Dakota Medical Marijuana Card
Once approved by the state, your South Dakota medical marijuana card will be mailed to you. You can then visit licensed dispensaries with your card and government-issued ID to purchase medical cannabis.
South Dakota: Everything You Need to Know
South Dakota Law
South Dakota’s medical marijuana program was established in 2020 under Initiated Measure 26 and became operational on July 1, 2021. The program is regulated by the South Dakota Department of Health and allows patients with qualifying conditions to access medical cannabis.
- Patients must be South Dakota residents with valid proof of residency.
- Only physicians, physician assistants, and advanced practice registered nurses licensed in South Dakota may certify patients.
- Home cultivation is permitted – patients may grow up to 3 plants total.
- Medical marijuana is available exclusively from licensed state dispensaries.
- South Dakota does not accept out-of-state medical marijuana cards.
- Recreational cannabis is illegal in South Dakota.
- Driving under the influence of cannabis remains illegal and subject to penalties.
- Public consumption is illegal.
South Dakota Reform Timeline
2020 – Medical Marijuana Legalized
- Voters approve Initiated Measure 26 with 69.9% support, establishing medical marijuana program.
2021 – Program Launches; Recreational Amendment Struck Down
- Medical program becomes operational July 1; court strikes down recreational marijuana amendment as unconstitutional.
2022 – Recreational Ballot Fails
- Second recreational cannabis initiative rejected with 52.92% voting no.
2023 – Qualifying Conditions Expanded
- Senate Bill 1 adds eight specific diseases to list of qualifying conditions.
2024 – Recreational Cannabis Failed
- Third attempt to legalize recreational marijuana fails at November ballot.
2025 – Medical Program Continues
- South Dakota maintains medical-only program with over 11,000 registered patients.
South Dakota Possession Limits
South Dakota law allows registered medical marijuana patients to possess specified amounts for therapeutic use.
- Medical patients may possess up to 3 ounces of cannabis and cannabis products at any time.
- Medical patients may purchase up to 3 ounces of cannabis every 14 days from licensed dispensaries.
- Only medical patients may cultivate up to 3 plants total.
- Patients under 18 must have parental/guardian consent and must designate a caregiver to access cannabis.
- Patients must present valid South Dakota medical marijuana card and government-issued ID when purchasing from dispensaries.
- Recreational cannabis possession and use remain illegal under South Dakota law.
- South Dakota medical marijuana cards are valid for one year and must be renewed annually.
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FAQs
What conditions qualify for medical marijuana in South Dakota?
Qualifying conditions include chronic or debilitating diseases causing cachexia, severe pain, severe nausea, seizures, or severe muscle spasms; HIV/AIDS; ALS; multiple sclerosis; cancer; Crohn's disease; epilepsy; and PTSD.
Can I grow my own medical marijuana in South Dakota?
Yes, patients may cultivate up to 3 cannabis plants total (2 flowering and 1 non-flowering) in South Dakota.
Does South Dakota accept out-of-state medical marijuana cards?
No, South Dakota does not accept medical marijuana cards from other states. Out-of-state patients cannot purchase at South Dakota dispensaries.
How long is a South Dakota medical marijuana card valid?
South Dakota medical marijuana cards are valid for one year from the date of issuance and must be renewed annually with both physician re-certification and state renewal.
Can minors get medical marijuana cards in South Dakota?
Yes, patients under 18 with qualifying conditions can access medical marijuana with parental or guardian consent and must designate a caregiver to obtain cannabis on their behalf.
Visit These South Dakota Hotspots
After Getting Your Medical Marijuana Card
Sioux Falls