Abortion Pills in South Dakota: Options Despite the Total Ban
South Dakota has a total ban with only a narrow exception to save the life of the pregnant person. No exceptions for rape, incest, or fetal anomalies. Voters rejected a constitutional amendment (Amendment G) in November 2024 that would have restored access. Even before the ban, the state had only one clinic.
How South Dakota Residents Access Care
Through telemedicine — especially critical in a state this large and rural:
- Online consultation — 15-20 minutes, 24/7
- Medical review — within one business day, through 13 weeks
- Medication shipped — 2-5 business days, discreet packaging
- Cost: Sliding scale $1 - $145
Delivery
- Sioux Falls/Rapid City: 2-4 days
- Aberdeen/Brookings/Pierre: 3-5 days
- All rural communities: 3-5 days
Resources
- If/When/How: 844-868-2812
- National Abortion Federation: 1-800-772-9100
Full details: South Dakota state page
Last updated: June 8, 2026
This is educational content only and is not medical or legal advice. Medication abortion regimens may vary, and the right plan for you depends on your specific situation. For care decisions, talk to your provider. For legal questions, contact If/When/How at 844-868-2812.