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South Dakota requires practitioner certification before medical patient registration. Home cultivation requires additional authorization in the application.
Medical cannabis programSources reviewed September 30, 2026. Coverage: Medical registration and selected home-grow limits, not all legal questions.
Patient registrationPractitioner submits certification; patient applies online, and an approved registry card is mailedOfficial source Medical home cultivationRequires the home-grow add-on; limit is 2 flowering and 2 non-flowering plantsOfficial source Regulated salesDOH states that medical cannabis sales outside regulated establishments are illegalOfficial source Details worth checking
- The DOH patient guidance was updated July 8, 2026. This summary covers selected medical rules, not general adult-use permission.
- Possession quantities, visitor requirements, product restrictions, property requirements, and all cultivation conditions need separate review.
Official sources
Regulators & contacts
Agency information checked September 30, 2026.
South Dakota Department of Health — Medical Cannabis Program
Administers the medical cannabis program, including patient registration, establishment registration, and medical program rules. The legislative oversight committee reviews the program separately.
Cardcierge
Medical cannabis card information, registration, published fees, and evaluation providers for South Dakota.
View medical card informationGeneral information, not legal advice. Laws, effective dates, and local policies change. Confirm the applicable rules with official sources before acting.