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Getting a Medical Card in South Dakota

Getting a Medical Marijuana Prescription in SD

South Dakota made history as the first state to legalize both adult-use and medical cannabis with one ballot vote. And because both measures were on a single ballot, it created a political storm that saw law enforcement and the state governor file lawsuits. 

Gov. Kristi Noem has been staunchly opposed to cannabis legalization and decriminalization contained in Amendment A. While taxpayers voted in favor of Amendment A in the November 2020 election, taxpayer dollars are being used to halt the legislation. 

In April 2021, a circuit court judge agreed with Gov. Kristi Noem. If the Supreme Court agrees, the Governor does not want the matter to go back to the House of Representatives. This means cannabis legalization (medical and adult-use) would have to start over from scratch with newly drafted legislation. 

Medical Marijuana in South Dakota (Summer 2021 Update)

As of October 2021, the South Dakota Supreme Court had not made a decision regarding Amendment A. In the interim, other legislation to promote public safety was passed. The South Dakota House Bill 1061 was enacted. The bill makes smoking or consuming any kind of cannabis product in a vehicle a crime. The new legislation made it a Class 2 Misdemeanor offense. 

The Flandreau Santee Sioux Tribe opened a dispensary on tribal lands. That is currently the only legal medical cannabis dispensary open in South Dakota. And the Tribe is also issuing medical cards to eligible patients over the age of twenty-one years. 

The state must start issuing medical cannabis cards no later than November 18, 2021. Over 140 proposed rules have now been approved for the medical and adult-use programs in South Dakota. Only six of the interim rules were rejected by the committee. 


Who qualifies for medical marijuana in South Dakota?

If the current legislation of Amendment A is enacted, adults aged eighteen (18) and older will be allowed to apply for a South Dakota medical card. If adult use is legalized in South Dakota, residents will need to be aged twenty-one (21) years or older. 

The qualifying health conditions for medical cannabis in South Dakota according to the approved proposed rules are:

  • Amyotrophic Lateral Sclerosis
  • Multiple Sclerosis
  • Cancer (or for symptoms caused by cancer treatments) including but not limited to chronic pain, nausea, severe vomiting, cachexia, or severe wasting syndrome. 
  • Crohn’s Disease
  • Epilepsy and seizure disorders
  • Glaucoma
  • Post-Traumatic Stress Disorder (PTSD)

Physicians providing the medical card health evaluation must note that the symptoms are debilitating. That means the patient’s activities of daily living are impeded by the symptoms, to qualify for medical cannabis. 

What medical marijuanas are available in SD?

Because South Dakota will be launching both the medical cannabis program and adult-use, there will be a full assortment of legal products in dispensaries. 

Unless there are further amendments, adults aged twenty-one years and older will be able to buy the following products in a licensed South Dakota Dispensary:

  • Concentrated cannabis (limit of 8 grams)
  • Vape cartridges (limit of 8 grams)
  • Oils and mixed oral doses in syringe or capsule form (5-gram limit)
  • Edibles (800-milligram limit)
  • Topics (up to 12 fluid ounces)
  • Whole flower (up to 1 ounce)
  • Transdermal patches (maximum amount of 800 milligrams)

The current legislation states that people under the age of 21 will not be able to purchase or use smokable products. Medical card holders 18-20 will not have the option to purchase whole flower cannabis or vape. 

How old do you have to be to get a South Dakota medical card?

Patients must be eighteen (18) years of age or older to apply for a medical card. A diagnosis of one or more than one of the qualifying health conditions is required. 

The fee for registration and renewal of the medical card varies depending on patient circumstance:

  • Low-income patients will pay a $20 fee.
  • All other applicants will pay $75. 
  • An extra $20 will be charged for patients who register a caregiver.
  • An extra $20 will be charged to the registration fee for patients who cultivate cannabis at home for medical use, or for patients who have a caregiver cultivate for them.
  • Non-residents (out-of-state visitors) will pay $75 for registration. 

Do I need to create my own MMJ patient profile?

Yes. Patients will be required to complete the application for the medical card online. Registration will require a passport quality picture, documentation including proof of age and residency in the state of South Dakota. Income documentation such as tax returns may be provided to qualify for the reduced registration fee for low-income residents. Caregivers must furbish additional documentation. 

Can I register my child for medical marijuana?

South Dakota does have a caregiver program as part of the new medical cannabis legislation. This means parents or legal guardians of minors, and also caregivers for adults with special needs and chronic health conditions.

How can I become a caregiver for MMJ in South Dakota?

The first step is to register the patent with the South Dakota medical cannabis program. Once the patient has been registered a caregiver can be designated. 

A caregiver must provide proof of guardianship for the patient. A patient may have more than one caregiver, who will be identified on the patient’s medical card. 

Caregivers may also be certified to grow cannabis at home for the patient in their care. That requires an additional fee and special documentation. Patients with a medical card or caregivers may legally cultivate up to three (3) plants at home. 

How do I renew my South Dakota medical card?

Annual renewal is required for both patients and caregivers. The South Dakota medical card renewal requires a new health check and evaluation annually, along with a $75 renewal fee. Patients may also qualify for a reduced fee for lower-income residents. 

What if I lose my medical card in South Dakota?

Requesting a replacement card may be done online through the patient portal. States charge a fee for the replacement card, however, there is no information available regarding the cost of a replacement medical card in South Dakota. 

Where do you get medical marijuana in SD?

Medical cannabis will be available in retail dispensaries in South Dakota. However, products may not be available until 2022 or 2023, depending on licensing requirements. The state will also have to implement both adult-use and medical cannabis program laws, including testing and packaging requirements. Patients may be waiting over a year before medical cannabis products can be purchased.

When did medical marijuana in SD become legal?

Medical marijuana has been legal in South Dakota, since voters approved Amendment A, on November 3, 2020. 

The History of Medical Marijuana in South Dakota

There has been just as much conflict over passing Amendment A to allow state initiatives on voter ballots, as there has been about legalizing cannabis in South Dakota. Here are some standout moments from the timeline of cannabis legalization in South Dakota:

November, 1988—Voters in South Dakota bypassed the legislature by voting in favor of Constitutional Amendment A. It passed with a narrow majority vote of 52% to 48%, with 153,168 voters in favor. Amendment A meant that voters did not have to put an initiative before the legislature for approval, in order to have a state question appear on the ballot. 

Source Web 2021:

2006—Initiated Measure 4 was the first attempt to legalize medical marijuana in South Dakota. Voters at that time did not support the legalization of medical cannabis. Only 47.7% of voters approved the measure, and IM 4 did not pass. 

Source Web 2021:

2010—A new attempt was made to legalize medical marijuana in South Dakota with Initiated Measure 13, in 2010. But it did not get voter support, with 63% (199,552) of South Dakota residents voting against IM 13. 

Source Web 2021:

March, 2021—The South Dakota HB 1203 bill was passed and signed into law by Gov. Noem on March 29, 2021. This legislation provided legal protections for banks to provide financial services for hemp or marijuana businesses. And individuals who derive income from a cannabis-related business. 

Source Web 2021:

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South Dakota Medical Marijuana Laws

Get immediate access to South Dakota’s Full Medical Marijuana Laws. Learn all you should know about legal regulations for possession, use, prescription, cultivation and sale of cannabis for medical or recreational usage. These important laws are written in a way you can read and understand quickly without consulting a lawyer for interpretation.

South Dakota Medical Marijuana Facts

We’re determined to provide all the facts you should know about medical marijuana in South Dakota. You can count on us for updated and accurate facts about marijuana, its use, regulations, doctors, dispensaries and everything that will enable you to separate myths from reality.

Connect With Marijuana Doctors in South Dakota

While South Dakota is yet to legalize the use of medical marijuana, the legislation being passed by the state Senate shows that steps are being taken toward it. When it is legalized, you will have to get the written diagnosis and certification from a licensed doctor in South Dakota before you’ll be qualified to take medical marijuana. That’s why we already have a system that will enable you to quickly find a reputable licensed physician who practices close to where you live:

  • Utilize Our Efficient Doctors Search System — We’ve been building a well-established network of competent and committed doctors for many years. You can easily find and link up with one of our strictly-vetted marijuana doctors in South Dakota.

Go to the doctor search page and enter your zip code. The search results will display all the available physicians in your community. You can also click on one of the cities on the search page to view the list of doctors that can help you handle issues related to examination, diagnosis and treatment of conditions that can be helped by medical marijuana.

  • See Each Doctor’s Profile and Patient Reviews  To help you choose the most suitable doctor, we ensure you have sufficient information about the physician you desire to consult. After you select any of the doctors in the search results, you’ll be taken to a page where you can see the doctor’s operating hours, terms of service, fees and reviews provided by previous patients.
  • Request an Appointment  After you’ve gone through a doctor’s profile, schedule an appointment at a mutually convenient time. Simply click on the “Request an Appointment” button, and you’ll be able to complete the booking process within a few minutes.

Locate Marijuana Dispensaries

At this time, state lawmakers have not approved the sale of medical cannabis in dispensaries or drug stores. So, you’ll need to wait until the sale of medical marijuana is legalized and marijuana dispensaries are licensed before you can take a prescription to buy medical marijuana in South Dakota.

Nonetheless, we’ve developed a directory that will accommodate these dispensaries when they are finally approved. For each state, we offer you a simple search system that will enable you to find dispensaries close to your residence.

All the dispensaries we list in our directory are run by competent pharmacists who have the expertise and experience required to deliver the best strains of cannabis to treat qualifying medical conditions. We also provide their contact details and make it very easy for you to schedule an appointment. Contact each provider and ask about the products they have in stock, as well as with their prices and more.

South Dakota Qualification

Find out Who Qualifies for Marijuana in South Dakota in our definitive guide of South Dakota’s qualification guidelines. Read up on medical conditions that are covered under South Dakota’s medical marijuana program, age restrictions, criminal conviction restrictions, and more.

South Dakota Medical Marijuana Laws

Read South Dakota’s Full Medical Marijuana Laws to gain full specific knowledge of South Dakota’s exact legal guidelines without interpretation.

South Dakota Medical Marijuana Card

Find out how to obtain a(n) South Dakota Medical Marijuana Card with our guide to South Dakota’s state medicinal marijuana ID program. Some states require that you obtain your card prior to obtaining your medicine, so read here first to ensure that you know South Dakota’s requirements.

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Finally, a helpful & informative website! answered all of my medical marijuana questions and helped me schedule an appointment with an accredited doctor in my area.~Susan - Denver, CO