Mayday Health Challenges South Dakota’s Stance on Abortion Information Sharing
(Sioux Falls, SD) — In a recent legal development, Mayday Health, a nonprofit organization focused on providing information about medication-based abortions, has taken legal action against South Dakota’s Governor Larry Rhoden and Attorney General Marty Jackley, challenging the state’s restrictive stance on abortion-related advertising.
The lawsuit, filed in federal court in Sioux Falls, South Dakota, argues that the newly enacted House Bill 1274 (HB 1274) infringes upon Mayday Health’s constitutionally protected First Amendment rights. Signed into law by Governor Rhoden on March 20, this legislation prohibits any form of advertising for abortion pills that are illegal within the state’s jurisdiction.
South Dakota, with its wide-open plains and strong traditional values, has often been at the center of national conversations regarding controversial laws focused on issues like reproductive rights. The state, famous for landmarks like Mount Rushmore and the annual Sturgis Motorcycle Rally, maintains a firm stance against abortion, permitting it only under specific extenuating circumstances.
The nonprofit, represented by James D. Leach, a legal expert from Rapid City, South Dakota, asserts that the law stifles their attempt to share lawful information, citing potential threats of future prosecution under the guise of state authority. “When Governor Rhoden signed HB 1274, he issued a press release explicitly referring to the Mayday litigation, and accusing Mayday of engaging in illegal conduct,” the nonprofit claims in their legal complaint.

Marty Jackley
This lawsuit marks yet another chapter in the ongoing clash between South Dakota and Mayday Health. While the nonprofit emerged as a response to the Supreme Court’s 2022 ruling in Dobbs v. Jackson—which ended the federal constitutional right to abortion access—South Dakota has consistently challenged its operations. Just last year, the state launched legal action against Mayday Health for billboard advertisements at gas stations, displaying messages like “PREGNANT? DON’T WANT BE?”
The state, asserting its intention to safeguard life, cites a history of regulation that aligns with the values of its predominantly conservative populace. However, Mayday Health argues that these legal maneuvers overstep constitutional boundaries by quashing free speech and access to information.
James D. Leach, the lawyer representing Mayday Health, argues that the law violates the First Amendment. The complaint further emphasizes the protection granted by Section 230 of the Communications Decency Act, which prevents entities from being held liable for links to third-party websites. “The U.S. Supreme Court has made it clear that states have the right to protect life,” states Attorney General Jackley. “As with Mayday’s previous unsuccessful lawsuit, I will defend innocent life.”
Mayday Health is seeking both a preliminary and permanent injunction to prevent the enforcement of HB 1274. The case draws national attention as the conflict underscores the tension between state regulations and federal constitutional rights, a recurring theme in the post-Dobbs era.
South Dakota, renowned for its natural beauty and cultural attractions, now finds its identity intertwined with significant legal debates on reproductive rights. The state’s stakeholders, from policymakers to residents, have diverse perspectives on these high-stakes legal interpretations that balance state legislation with foundational rights.
Larry Rhoden
The outcome of this legal battle could set a precedent that affects similar legislative efforts across the United States, amplifying the voices of both advocacy groups like Mayday Health and conservative strongholds striving to uphold traditional values.
In a state where history and modernity frequently intersect, the people and key figures are keenly observing this unfolding scenario. With agriculture-driven economies and bountiful attractions like the Badlands, South Dakota’s narrative is as varied as its landscape, marking this legal dispute as a notable chapter in its evolving story.
For updates on this ongoing legal case and other similar states’ stances on reproductive rights, stay tuned to our weekly briefs and detailed analyses.