In a significant move that highlights ongoing tensions over reproductive rights, a federal judge has halted South Dakota’s efforts to enforce an abortion advertising ban against the nonprofit organization Mayday Health. U.S. District Judge Camela C. Theeler’s ruling on Friday reflects a broader debate about freedom of speech and the accessibility of abortion services in the United States.
The law in question, signed in March, seeks to prohibit the distribution and advertisement of unlawful abortion services—including the use of abortion pills—in South Dakota, a state known for its conservative stance on abortion. The lawsuit, initiated by Mayday Health and plaintiff Nancy Turbak Berry, was filed against South Dakota’s Republican Governor Larry Rhoden and Attorney General Marty Jackley. The plaintiffs argue that the ban violates their constitutional right to freedom of speech.

Camela C. Theeler
Judge Theeler, in her ruling, stated that the state failed to demonstrate that the law met the strict scrutiny criteria required to justify such a restriction. “Information should not be banned,” echoed Jim Leach, the attorney representing Mayday Health. “And the state wants to ban information about abortion. This ruling says the state cannot ban information about abortion, no matter what you think about abortion or anything else.”
South Dakota has maintained strict abortion laws, particularly after the reversal of Roe v. Wade. Currently, the state only permits abortions if the life of the pregnant person is at risk. The defendant Governor Rhoden expressed disappointment with the judge’s decision but noted that the ruling is preliminary. “I remain confident that our law is not only constitutional—it’s vitally important,” he said in a statement.
The clash over reproductive rights plays out against a backdrop of South Dakota’s unique cultural and political landscape. Known for its vast landscapes and rich indigenous history, the state has traditionally leaned conservative, reflecting the values of many of its residents. This has made the issue of abortion particularly contentious, with many local leaders supporting strict regulations.

Nancy Turbak Berry
Mayday Health, a nonprofit organization formed in 2022, focuses on spreading awareness about the legality and availability of abortion pills but does not itself sell or distribute them. The nonprofit previously advertised the availability of abortion pills in South Dakota via placards placed at gas stations. These advertisements, however, led to legal pushback from the state, resulting in an agreement to remove them in March.
The issue has drawn significant attention from both supporters and opponents of abortion rights across South Dakota. The scenario underscores a growing divide on how best to balance state regulation with personal freedoms described by the First Amendment. At the heart of the debate is the belief held by many in South Dakota that the state should have the right to regulate abortion-related information within its borders, while challengers to the law argue that such moves undermine fundamental speech rights.
Attorney General Marty Jackley, a co-defendant in the case, clarified the state’s position as one of protection for the unborn. “We have to look at the sanctity of life and the laws we pass exercise that,” Jackley remarked. On the other hand, reproductive rights advocates highlight the importance of informed choices and access to safe abortion practices as a public health issue.
In examining South Dakota, the discourse on reproductive rights is intricately connected with local politics. Politicians, including Gov. Rhoden, often find strong support from constituents who favor limitations on abortion access, equating them with broader moral and ethical standards. However, the increasing pushback, including legal challenges like that of Mayday Health, indicates a shift in dialogue concerning individual rights and governmental overreach.
South Dakota’s scenic beauty, marked by landmarks such as Mount Rushmore and the Badlands, juxtaposes the underlying social issues present within the state. The judge’s ruling represents a small victory for those advocating for freedom of speech, but it also mirrors a larger national conversation about reproductive rights and constitutional liberties.
As the case proceeds, both sides prepare for what promises to be a legally challenging battle that could extend well beyond the borders of South Dakota. For now, this decision brings a temporary pause to the enforcement of a controversial law, drawing public attention to South Dakota’s pivotal role in the evolving story of abortion rights in the United States.