All Roll Calls
Yes: 176 • No: 0
MarylandHB 08382026 Regular SessionHouseWALLET
State Board of Pharmacy - Prescriber-Pharmacist Agreements
Sponsored By: Bonnie Cullison (Democratic)
Signed by Governor
Health OccupationsPublic HealthCommittees and CommissionsContracts -see also- ProcurementControlled Dangerous Substances -see also- Drugs; OpioidsData -see also- Census; DemographicsDisclosureDrugs -see also- Cannabis; ControlDangSubst; Pharm; etc.Federal GovernmentHealth Occupations -see also- (specific health occupations)Job Training -see also- Continuing Ed; Vocational RehabMidwivesOpioids -see also- Controlled Dangerous Substances; DrugsPharmacists and Pharmacies -see also- DrugsRegistration -see also- Motor Vehicle RegistrationSubstance Abuse Treatment
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Pharmacists can treat opioid use disorder with safeguards
Beginning July 1, 2026, qualified pharmacists can treat opioid use disorder under a prescriber–pharmacist agreement. The pharmacist must have individual DEA registration and State controlled‑substances registration. They must complete any required federal or state training and follow a protocol that meets state rules. Before starting or changing controlled‑substance therapy, the pharmacist must check the state Prescription Drug Monitoring Program (PDMP).
Expanded prescriber list and tighter pharmacist rules
Beginning July 1, 2026, more clinicians count as authorized prescribers, including doctors, podiatrists, certified midwives, and advanced practice nurses with prescriptive authority. A prescriber and pharmacist must have a prescriber–pharmacist agreement to enter a therapy management contract. A pharmacist may join an agreement only if licensed, has a Doctor of Pharmacy or equivalent training set by the Board, and is approved by the Board. For physician–pharmacist protocols, the protocol must be written and disease‑specific, and can let the pharmacist start, change, or stop therapy and order lab tests. Protocols cannot exceed either party’s scope of practice, and they must bar using a chemically different drug unless the contract allows it.
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Sponsors & Cosponsors
Sponsor
Bonnie Cullison
Democratic • House
Cosponsors
Tiffany T. Alston
Democratic • House
Heather Bagnall
Democratic • House
Guy Guzzone
Democratic • Senate
Terri L. Hill
Democratic • House
Thomas S. Hutchinson
Republican • House
Aaron M. Kaufman
Democratic • House
Nicholaus R. Kipke
Republican • House
Lesley J. Lopez
Democratic • House
Todd B. Morgan
Republican • House
Ashanti Martinez
House
Teresa E. Reilly
Republican • House
Samuel I. Rosenberg
Democratic • House
Kim Ross
Democratic • House
Steve Johnson
Democratic • House
Kathy Szeliga
Republican • House
Deni Taveras
Democratic • House
Jennifer White Holland
Democratic • House
Teresa Woorman
Democratic • House
Roll Call Votes
Senate vote • 4/6/2026
Third Reading Passed
Yes: 46 • No: 0 • Other: 1
House vote • 3/18/2026
Third Reading Passed
Yes: 130 • No: 0 • Other: 6
Actions Timeline
Approved by the Governor - Chapter 53
4/14/2026Returned Passed
4/7/2026HouseThird Reading Passed (46-0)
4/6/2026SenateFavorable Adopted Second Reading Passed
3/31/2026SenateFavorable Report by Finance
3/30/2026SenateReferred Finance
3/19/2026SenateThird Reading Passed (130-0)
3/18/2026HouseSecond Reading Passed with Amendments
3/13/2026HouseFavorable with Amendments {923826/1 Adopted
3/13/2026HouseFavorable with Amendments Report by Health
3/13/2026HouseHearing 2/25 at 1:00 p.m.
2/9/2026HouseFirst Reading Health
2/4/2026House
Bill Text
Enacted
4/14/2026
Third Reading
3/13/2026
First Reading
2/4/2026
Related Bills
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SB 0940 — Environment - Water Quality Testing - Secondary Maximum Contaminant Levels Action Plan
SB 0915 — State Board of Physicians - Delegation of Duties - Alterations
SB 0777 — Labor and Employment - Workforce Development - Hospital Employee Retraining and Placement Program and Workforce Development and Local Workforce Development Boards (Local Workforce Solutions Investment Act)
SB 0772 — Maryland Department of Health - Employment Training and Opportunity Database
SB 0742 — Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act)
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