Abhortion · State Legal Snapshot South Dakota

State Legal Snapshot

South Dakota

Abortion law, status, and enforcement — one-page reference

As of Jul 12, 2026 Research completed Jul 12, 2026
Confidence: high

Abortion is banned at every stage of pregnancynot currently available.

Gestational limitTotal ban
AvailableNo
Mother exemptYes
Fetal homicide lawYes
Personhood languageYes
TelehealthNot allowed
Waiting period72 hours
Rape / incest exceptionNo
Parental involvementNotification only
Shield stateNo
MedicaidHyde only
Civil bounty lawNo
Pending changeSee below

§ Jurisdiction overview

South Dakota enforces a near-total abortion ban with an exception solely to preserve the pregnant woman's life; all other abortions are Class 6 felonies.

S.D. Codified Laws § 22-17-5.1 · S.D. Codified Laws § 22-17-5.2

Fetal personhood & the internal contradiction

South Dakota's legal treatment of the unborn contains a deep and carefully constructed internal contradiction. The Legislature has declared that the unborn child is 'a whole, separate, unique, living human being' whose life is terminated by abortion (SDCL § 34-23A-1.2). The murder statute defines 'human being' to 'include an unborn child' (SDCL § 22-16-4(1)), and the fetal homicide law (SDCL § 22-16-1.1) makes killing an unborn child a Class B felony carrying mandatory life imprisonment. The wrongful death statute (SDCL § 21-5-1) provides civil recovery for the death of an unborn child.

S.D. Codified Laws § 22-16-1.1 · S.D. Codified Laws § 22-16-4 · S.D. Codified Laws § 34-23A-1.2

Minors

A physician must give 48 hours' written notice to a parent or guardian before performing an abortion on an unemancipated minor, unless a medical emergency exists or the minor obtains a judicial waiver.

Spousal / paternal rights

South Dakota has no statute requiring spousal or paternal consent or notice for an abortion; the only third-party involvement requirement is parental notice for minors.

Penalties in effect

ActorOffensePenalty
Physician performing unlawful abortionUnlawful abortion (SDCL § 22-17-5.1)Class 6 felony: 2 years imprisonment, $4,000 fine, or both; presumptive probation eligible under SDCL § 22-6-11; conviction reported to Board of Medical and Osteopathic Examiners
Any person dispensing or advertising abortion-inducing itemsDispensing or advertising abortion-inducing articles (SDCL § 22-17-5.3)Class 6 felony: 2 years imprisonment, $4,000 fine, or both; plus civil penalty up to $10,000 per violation sought by Attorney General
Physician performing partial-birth abortionPartial-birth abortion (SDCL § 34-23A-27)Class 6 felony: 2 years imprisonment, $4,000 fine, or both; woman exempt from prosecution (SDCL § 34-23A-31)
Physician violating informed consentInformed consent violation (SDCL § 34-23A-10.2)Class 2 misdemeanor: 30 days imprisonment, $500 fine, or both; conviction reported to Board of Medical and Osteopathic Examiners; woman exempt
Third party causing death of unborn child (non-abortion)Fetal homicide (SDCL § 22-16-1.1)Class B felony: mandatory life imprisonment, $50,000 fine possible; abortion exemption applies

Recent changes

Jun 2026Federal judge hears arguments in Mayday Health v. Jackley; decision pending.
May 2026Mayday Health files federal lawsuit (Mayday Health v.
Mar 2026Governor Larry Rhoden signs three anti-abortion bills into law: HB 1257 (amending abortion definition to carve out miscarriage, ectopic pregnancy, and removal of deceased unborn child), HB 1274 (creating new felony and civil penalties for dispensing/advertising abortion-inducing items, codified at SDCL § 22-17-5.3), and HB 1313 (requiring prenatal development videos in public schools).
Mar 2026Attorney General Marty Jackley reaches settlement with Mayday Health requiring removal of abortion pill information advertisements from South Dakota gas stations.
Nov 2024South Dakota voters reject Constitutional Amendment G (Right to Abortion Initiative), which would have created a state constitutional right to abortion using a trimester framework.
Jul 2024SDCL § 34-23A-94 enacted (SL 2024, ch 142), requiring the Department of Health to create an educational video and materials by September 1, 2024 explaining the state's abortion law, the life exception, and medical conditions that may threaten a pregnant woman's life.
Mar 2023SDCL § 22-17-5.2 enacted (SL 2023, ch 69), expressly exempting women who undergo unlawful abortions from criminal liability.

Pending changes to watch

Mayday Health v. Jackley

Litigation · Pending in U.S. District Court for the District of South Dakota; oral argument held June 25, 2026; awaiting decision

If Mayday Health prevails, the advertising and potentially the dispensing provisions of SDCL § 22-17-5.3 could be enjoined as unconstitutional under the First Amendment, limiting South Dakota's ability to prosecute out-of-state actors for providing information about abortion pills.

Potential 2027 legislative session abortion-related bills

Legislation · Speculative; 2027 session convenes January 2027

Following the 2026 legislative session's three-bill package, additional restrictions are possible in 2027, including possible attempts to enact an abortion trafficking statute (criminalizing assistance with out-of-state travel for minors), further restrictions on medication abortion, or enhanced penalties.

Key authorities

Generated from the structured legal focused deep-research record for SD (research completed 2026-07-12). This snapshot condenses a much larger sourced dataset — full citations, quoted statutory text, and plain-language explanations are in the full South Dakota survey. This document has not been reviewed by a lawyer and should not be used as legal advice.

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