- Medical Program
Get approved by a doctor, then apply to the state medical marijuana program. Receive your MMJ card and start shopping for your medical cannabis from a licensed dispensary.
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Medical marijuana is legal in South Dakota for a limited number of qualifying conditions. South Dakota voters approved medicinal cannabis in November 2020, and medical dispensaries finally opened around the state in July 2022.
Recreational cannabis, however, is illegal in South Dakota and is taken very seriously by law enforcement, despite recreational cannabis use having previously passed among voters in the state in 2020.
Patients with a qualifying condition or qualifying symptoms can get their medical certification by meeting a doctor in person. Once certified, patients can purchase cannabis products from licensed dispensaries around South Dakota.
Medical patients can buy up to 3 ounces of cannabis every 14 days. There are no major limits on the kinds of cannabis allowed under South Dakota’s medical program, unlike some other medical-only states, which have banned cannabis flower or edibles.
Recreational cannabis is not legal in South Dakota. Voters approved a ballot measure legalizing recreational cannabis in 2020, at the same time that they endorsed medical marijuana legalization.
Unfortunately, the measure was not implemented, as Governor Kristi Noem began a lengthy legal battle, taking the measure to task on the grounds of being unconstitutional. The same viewpoint was ultimately shared by the South Dakota Supreme Court, which officially struck down the bill in 2021.
Being caught with 2 ounces or less of cannabis is considered a misdemeanor and can lead to one year in prison and a maximum fine of $2,000. Being caught with over 2 ounces of cannabis is a felony, with prison sentences and fines increasing heavily.
CBD is legal in South Dakota if it contains less than 0.3% THC. Delta-8 and other synthetic cannabinoids are legal and regulated in South Dakota. While you can find delta-8 products in places like smoke shops around the state, you must be at least 21 to buy such products.
While the medical use of cannabis is legal in South Dakota, the state has certain rules and regulations in place for medical marijuana patients.
When medical cannabis was first implemented in South Dakota, eligibility was incredibly limited. At the time, the only people who could become registered cardholders were individuals with chronic or otherwise debilitating conditions that resulted in:
While the symptoms mentioned above are still valid causes for a South Dakota doctor to certify a patient for medical cannabis, the list of qualifying conditions has expanded. Doctors can now recognize several additional conditions as valid cause for receiving a med card.
These conditions include:
Unfortunately, you cannot get certified for medical cannabis using telehealth services in South Dakota. This means that you will have to find a doctor in person for the possibility of obtaining your med card.
Unfortunately, South Dakota does not accept out-of-state medical cards. This means you must be enrolled in the state’s medical marijuana program to purchase cannabis products from a licensed dispensary.
Many other states, however, do have a form of medical cannabis reciprocity. The following states accept or recognize out-of-state medical marijuana cards:
States marked with * require visitors to complete a visiting patient application for the duration of their stay. States marked with ^ have adult use programs but do not accept out-of-state cards.
Medical cannabis is now legal in South Dakota. Recreational marijuana use remains against the law and can lead to severe punishments. Semi-synthetic cannabis products like THC-O and delta-8 are currently legal for individuals over 21.
Unfortunately, South Dakotans cannot receive their med cards online through Leafwell. Individuals potentially eligible for a medical marijuana card should speak with a doctor in person to learn about their potential options.
If you live in a state with a medical program you could qualify for cannabis. Speak to a physician today to qualify and learn how cannabis can help you.