Abortion in South Dakota
Policy snapshot 2026-07-30 · maintained by Patient Forward's Abortion Policy API
No in-person abortion clinics in South Dakota. You can order abortion pills by mail or travel to another state.
Abortion pills by mail (telehealth)
Are abortion pills available by mail in South Dakota?
Abortion pills, including mifepristone, are available by mail everywhere in the United States.
Telehealth providers that ship abortion pills into South Dakota, from the clinic database:
- A Safe ChoiceShips abortion pills by mail into South Dakota
- AbuzzShips abortion pills by mail into South Dakota
- Aid AccessShips abortion pills by mail into South Dakota
- Cambridge Reproductive Health Consultants – The MAPShips abortion pills by mail into South Dakota
- Choices RisingShips abortion pills by mail into South Dakota
- Her Safe HarborShips abortion pills by mail into South Dakota
- Southern WovenShips abortion pills by mail into South Dakota
- We Take Care of UsShips abortion pills by mail into South Dakota
Protections
- The state's lawmakers have not passed protections for abortion.
Bans
- State law prohibits healthcare professionals inside the state from providing abortions at any point in pregnancy.
- Healthcare professionals in the state may be allowed to provide an abortion after the state's legal limit if it is necessary to save the pregnant person's life.
- It is a felony for providers to violate the state's restriction on providing an abortion, punishable by imprisonment and fines.
- State law prohibits healthcare professionals inside the state from providing an abortion because of the sex of the pregnancy.
- State law prohibits healthcare professionals inside the state from providing an abortion because of a diagnosis of a fetal impairment or disability.
- State law prohibits healthcare professionals inside the state from providing an abortion using a specific method known as Dilation and Extraction (D&X). This is sometimes referred to as a "partial birth" abortion ban, although this term has no clinical definition.
Barriers
- The state requires a person to wait 72 hours between visits before obtaining an abortion from a provider.
- The state requires a person to make 2 in-person visits before obtaining an abortion from a provider.
- The state requires health care providers to give patients seeking abortion specific information prior to receiving abortion care. This information is often biased and inaccurate, and is intended to discourage abortion.
- The state only allows doctors to provide abortions.
Minors
- State law requires healthcare professionals inside the state to meet certain requirements before providing an abortion to minors below the age of 18.
- Before providing an abortion to a minor inside the state, the state requires an abortion provider to notify their parent or guardian.
- The state allows a judge to excuse a minor from having to notify or get consent from their parent or guardian before having an abortion inside the state. This is referred to as "judicial bypass."
Telehealth
- The state prohibits healthcare professionals inside the state from providing medication abortion through telehealth.
Insurance
- The state prohibits exchange plans from covering abortion. Exchange plans are health insurance plans offered in the state's Health Care Exchange established under the federal Affordable Care Act.
- The state allows exchange insurance plans to cover abortion only in cases where abortion is necessary to save the pregnant person's life.
- The state allows exchange insurance plans to cover abortion only in cases when there is a threat to the health of the pregnant person, which is often limited to "substantial and irreversible impairment of a major bodily function."
- Medicaid funds may pay for abortion in the state in cases of rape, incest, or when the pregnant person's life is endangered. This is the federal minimum requirement for Medicaid coverage of abortion.
→ Find a provider: Clinics in South Dakota · AbortionFinder