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South Dakota Reaches Settlement With Mayday Health Over Abortion Pill Ads

South Dakota Reaches Settlement With Mayday Health Over Abortion Pill Ads

Photo: Mitchell Now/Riley Harrington


MITCHELL, SD (Mitchell Now) — South Dakota Attorney General Marty Jackley says the state has reached a settlement with Mayday Health over abortion pill advertisements that were posted in gas stations across the state. Under the agreement, the New York-based organization will remove the signs and any similar advertising in South Dakota now and in the future.

Jackley told KOTA that his office received more than 650 complaints about the ads. State officials argued the signs were deceptive because South Dakota law bans abortion in most cases and does not allow abortion pills to be legally provided in the way the ads suggested.

According to the Attorney General’s Office, Mayday Health posted the ads at South Dakota gas stations in December 2025. The state then issued a cease-and-desist letter and filed action in state court seeking to stop the campaign.

Mayday Health later sought emergency relief in federal court in New York. A federal judge ultimately ruled the dispute should be heard in South Dakota state court, and a South Dakota judge allowed the state’s case to move forward before the sides reached a settlement. Both the South Dakota and New York cases are now resolved.

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