South Dakota voters approved a law in 2020 legalizing the medical use of marijuana, four years after rejecting the idea. Separately in 2020, voters approved an amendment to the South Dakota Constitution to legalize recreational use, but the state Supreme Court nullified it. Voters rejected another proposal in 2022.

With voters declining to enshrine a right to abortion in the State Constitution, South Dakota will continue to have one of the strictest abortion bans in the country.

Scripps News and Decision Desk HQ project South Dakota will not enshrine abortion protections in its state constitution.