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This fall, South Dakota became the first state in the U.S. to legalize both medical marijuana and recreational marijuana in the same election. Haugaard, who long opposed any form of marijuana legalization, now must participate in the creation of a medical marijuana program.

South Dakota voters enshrined legal marijuana in the state's constitution. So if Haugaard had any thoughts about reversing the initiative once lawmakers reconvene on Jan. 12, they've been dashed.

"With a constitutional amendment, there's really not much we can do about it. It's written in stone until it's repealed," Haugaard said.