require that the Department of Health annually report on public health effects of cannabis use.

SB 143 requires South Dakota's Department of Health to submit an annual report to the legislature by March 1 each year, focusing on public health impacts of cannabis use. The report must include specific data like medical cannabis program expenses/revenues, cannabis-related poisonings, drug-related deaths with cannabis metabolites detected, hospitalizations, licensing violations, and patient demographics. It directly affects the Department of Health (as the reporting entity) and the legislature (as the recipient of the data). The bill mandates concrete data collection on public health outcomes without changing cannabis laws or regulations.