7 things to know about South Dakota's medical marijuana program
South Dakota's Medical Cannabis Program was approved by voters as Initiated Measure 26 in 2020 and is run by the Department of Health. Patients need a written certification from a physician, physician assistant or advanced practice registered nurse, who must do an in-person physical exam at the first visit, and then apply online within 90 days. The card costs $75, or $20 for households under 130% of the federal poverty level, and lasts up to one year. Cardholders may possess up to three ounces and can add home cultivation of two flowering and two non-flowering plants for $20. Visitors with another state's card can register for a temporary number.
7 things to know
- The first certification visit must include an in-person physical examination.
- Practitioners may not certify patients who are pregnant or breastfeeding.
- Low-income applicants under 130% of the federal poverty level pay $20 instead of $75.
- Home cultivation is an optional $20 add-on allowing two flowering and two non-flowering plants.
- Out-of-state patients can register for a nonrenewable nonresident number lasting up to six months.
- One renewal fee per year is waived when a follow-up visit within 60 days leads to a second certification.
- Recreational cannabis is not legal in South Dakota.
At a glance
- State fee: $75 ($20 for households under 130% of the federal poverty level)
- Card lasts: Up to 1 year (expiration set by the practitioner)
- Processing: Applications typically reviewed within 2 to 4 days; mailed card arrives in about 4 to 10 days
- Patient limit: 3 oz of cannabis plus product amounts set by Department rules
- Home grow: 2 flowering and 2 non-flowering plants if the card allows cultivation ($20 add-on)
- Recreational sales: Not legal
- First visit online: No — in person first
Sources
- Medical Cannabis Program - South Dakota Department of Health
- Patients, Caregivers & Practitioners - South Dakota Department of Health
- SDCL 34-20G-1 Definitions
- SDCL 34-20G-29 Registry card application and fee waiver
- SDCL 34-20G-43 Expiration of registry identification card
- SDCL 34-20G-5.1 Certification not authorized
This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.