All Roll Calls
Yes: 247 • No: 62
MarylandHB 11352026 Regular SessionHouseWALLET
Health Occupations - Pharmacists - Vaccination Orders
Sponsored By: Lesley J. Lopez (Democratic)
Signed by Governor
Health OccupationsCaregiversChildren (4-12)Health -see also- COVID19; EnvHlth; MedCon; etc.Health Occupations -see also- (specific health occupations)ImmunizationParents and GuardiansPharmacists and Pharmacies -see also- DrugsRecords -see also- Land Records; Vital RecordsYouth (10-21) -see also- Minors
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
More vaccines at pharmacies, including kids
Beginning October 1, 2026, pharmacists can order intranasal vaccines and give certain shots to people age 3 and up for flu, COVID‑19, and during a public health emergency. They can give other vaccines that the CDC recommends or the FDA approves to people age 7 and older. They can also give adult travel vaccines listed in the CDC’s travel health guide. When a minor gets a vaccine, the pharmacist must explain the importance of well‑child visits and refer to a pediatric primary care provider when appropriate. The law uses CDC vaccine recommendations as of December 31, 2024, and adds any new vaccines recommended after that date.
Stronger safety and reporting rules for pharmacists
Beginning October 1, 2026, pharmacists who give or order vaccines must complete at least 20 hours of ACPE‑approved hands‑on training. They must hold an in‑person basic CPR certificate and complete at least 2 hours of vaccine‑related continuing education for license renewal. Vaccines must be given under written, vaccine‑specific protocols set by state regulations. Pharmacists must register with the Board and verify their approved training and in‑person CPR. They must report all vaccines they give or order to ImmuNet, and in most cases try to notify the patient’s prescriber or primary care provider.
State sets pharmacy vaccine fees
Effective October 1, 2026, the Board of Pharmacy sets reasonable fees for vaccine administration. These rules may change what you pay out of pocket when you get a vaccine at a pharmacy.
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Sponsors & Cosponsors
Sponsor
Lesley J. Lopez
Democratic • House
Cosponsors
Tiffany T. Alston
Democratic • House
Heather Bagnall
Democratic • House
Bonnie Cullison
Democratic • House
David Fraser-Hidalgo
Democratic • House
Guy Guzzone
Democratic • Senate
Terri L. Hill
Democratic • House
Aaron M. Kaufman
Democratic • House
Ashanti Martinez
House
Samuel I. Rosenberg
Democratic • House
Kim Ross
Democratic • House
Jared Solomon
Democratic • House
Deni Taveras
Democratic • House
Joe Vogel
Democratic • House
Jennifer White Holland
Democratic • House
Greg Wims
Democratic • House
Sarah Wolek
Democratic • House
Teresa Woorman
Democratic • House
Roll Call Votes
House vote • 4/9/2026
Third Reading Passed
Yes: 103 • No: 29 • Other: 9
Senate vote • 4/8/2026
Third Reading Passed
Yes: 33 • No: 9 • Other: 5
House vote • 3/23/2026
Third Reading Passed
Yes: 111 • No: 24 • Other: 6
Actions Timeline
Approved by the Governor - Chapter 270
4/28/2026Passed Enrolled
4/9/2026HouseThird Reading Passed (103-29)
4/9/2026HouseHouse Concurs Senate Amendments
4/9/2026HouseThird Reading Passed (33-9)
4/8/2026SenateSecond Reading Passed with Amendments
4/7/2026SenateFavorable with Amendments {613823/1 Adopted
4/7/2026SenateFavorable with Amendments Report by Finance
4/6/2026SenateReferred Finance
3/23/2026SenateThird Reading Passed (111-24)
3/23/2026HouseSecond Reading Passed with Amendments
3/21/2026HouseFloor Amendment {693820/1 (Delegate Arikan) Adopted
3/21/2026HouseMotion Special Order until Later This Session (Delegate Arikan) Adopted
3/21/2026HouseFavorable with Amendments {413128/1 Adopted
3/21/2026HouseFavorable with Amendments Report by Health
3/21/2026HouseHearing 3/04 at 1:00 p.m.
2/11/2026HouseFirst Reading Health
2/11/2026House
Bill Text
Enrolled
4/9/2026
Third Reading
3/21/2026
First Reading
2/11/2026
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