---
type: "Bill"
title: "modify debilitating medical conditions for medical cannabis use."
description: "modify debilitating medical conditions for medical cannabis use."
jurisdiction: "us/states/sd"
legislature: "South Dakota Legislature"
session: "2023"
identifier: "SB 1"
citation: "South Dakota SB 1 (2023)"
classification: ["bill"]
subjects: ["Health Care", "Medical Cannabis", "Public Health and Safety"]
status: "enacted"
primary_sponsors: ["Otten (Ernie)", "Rehfeldt", "Tobin"]
version_count: 4
action_count: 15
vote_count: 5
first_action: "2023-01-10"
last_action: "2023-03-27"
source: "openstates"
source_identifier: "ocd-bill/21fef51d-103e-4758-8434-b72452ccd11f"
source_url: "https://sdlegislature.gov/Session/Bill/23740"
source_hash: "2aeadc2e6082ac13cabd3e2ac2e4d0461fe5380f0a468a1a718b4ba1c2670eb3"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-sd"]
---

# South Dakota SB 1 (2023) — modify debilitating medical conditions for medical cannabis use.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://sdlegislature.gov/Session/Bill/23740/241687)
2. **1E** (committee substitute) — [source](https://mylrc.sdlegislature.gov/api/Documents/250311.pdf)
3. **House Health and Human Services Engrossed** (committee substitute) — [source](https://sdlegislature.gov/Session/Bill/23740/250591)
4. **Enrolled** (enrolled) — [source](https://sdlegislature.gov/Session/Bill/23740/251242)

## Votes

- Concurred in amendments — **19–15** (pass) · upper
- Do Pass — **20–15** (pass) · upper
- Do Pass — **6–1** (pass) · upper
- Do Pass Amended — **8–5** (pass) · lower
- Do Pass Amended — **36–32** (pass) · lower

## Sponsors

- Otten (Ernie) — primary (person)
- Rehfeldt — primary (person)
- Tobin — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-01-10** First read in Senate and referred to S.J. 14 `introduction, reading-1, referral-committee`
- **2023-01-18** Scheduled for hearing
- **2023-01-18** Health and Human Services Do Pass , Passed, YEAS 6, NAYS 1 `committee-passage`
- **2023-01-19** Senate Do Pass , Passed, YEAS 20, NAYS 15 S.J. 69 `passage`
- **2023-01-20** First read in House and referred to H.J. 71 `introduction, reading-1, referral-committee`
- **2023-02-28** Scheduled for hearing
- **2023-02-28** Health and Human Services Motion to amend , Passed, Amendment 1E `amendment-introduction, amendment-passage`
- **2023-02-28** Health and Human Services Do Pass Amended , Passed, YEAS 8, NAYS 5
- **2023-03-02** House of Representatives Deferred to another day , Passed, H.J. 467
- **2023-03-06** House of Representatives Do Pass Amended , Passed, YEAS 36, NAYS 32 H.J. 475
- **2023-03-07** Senate Concurred in amendments , Passed, YEAS 19, NAYS 15 S.J. 450
- **2023-03-08** Signed by the President S.J. 458 `passage`
- **2023-03-08** Signed by the Speaker H.J. 517 `passage`
- **2023-03-08** Delivered to the Governor on 2023-03-08 S.J. 467 `executive-receipt`
- **2023-03-27** Signed by the Governor on 2023-03-27 S.J. 495 `executive-signature, executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/21fef51d-103e-4758-8434-b72452ccd11f`. Confidence: reported (aggregated from official South Dakota legislature records).