SOUTH DAKOTA · CANNABIS
Cannabis
Conditional: South Dakota allows medical cannabis only (Initiated Measure 26, 2020).
ConditionalSummary
South Dakota allows medical cannabis only (Initiated Measure 26, 2020). There is no recreational adult-use program, and recreational possession and use remain illegal. Qualified patients need a registry ID card.
Source: https://doh.sd.gov/programs/medical-cannabis · Updated August 2, 2026