South Dakota’s medical cannabis industry continues to contract, extending a multi-year decline in licensed establishments. Official Department of Health figures show the total number of certified establishments fell from 118 in FY 2025 to 105 as of the July 14, 2026, public list—a decline of 11.0%, from 118 establishments to 105.¹ Measured from the SFY … Continue reading South Dakota Medical Cannabis Establishments Drop 11% as National License Counts Continue Multi-Year Decline