South Dakota Marijuana License

South Dakota voters approved medical cannabis in 2020 (Initiated Measure 26). The Department of Health certifies medical cannabis establishments and issues patient cards.

The state doesn't set a statewide cap. Instead, cities and counties decide whether to allow establishments and how many, and many issue their own local licenses. Securing local approval is usually the hardest step. Adult-use measures failed in 2022 and 2024.

• Cultivation facility
• Product manufacturing facility
• Dispensary
• Testing facility

• Local government approval or license, where required
• Background checks for owners and agents
• Distance requirements from schools and security rules

• Registration certificate fee: $9,000 per establishment (raised from $5,310 after Senate Bill 43 in 2024)
• Local license fees vary by city or county

1. Confirm your city or county allows the license type and has slots available.
2. Get local approval or a local license.
3. Apply to the Department of Health and pay the certificate fee.
4. Pass inspection before opening.

• Medical use only
• Patients may possess up to 3 ounces
• Patients may grow plants at home if their certification allows it

• Debilitating condition, such as cancer, chronic pain, PTSD, MS, epilepsy and others
• Written certification from a practitioner

1. Get certified by a practitioner.
2. Apply online with the Department of Health and pay the fee.
3. Receive your registry card.