All Roll Calls
Yes: 177 • No: 0
MarylandSB 05622026 Regular SessionSenateWALLET
State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders
Sponsored By: Dawn Gile (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
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Pharmacists can treat opioid addiction
Beginning July 1, 2026, pharmacists can treat opioid use disorder under a prescriber–pharmacist agreement. The pharmacist must register with the DEA and the state controlled substances office, finish required training, and follow an approved protocol. The protocol can cover starting, changing, continuing, or stopping medicine and related lab tests. Before starting or changing any controlled‑substance therapy, the pharmacist must check the state Prescription Drug Monitoring Program. This gives patients more local options for treatment with safety checks.
Midwives can join pharmacy agreements
Beginning July 1, 2026, certified midwives count as authorized prescribers in Maryland. They can sign prescriber–pharmacist agreements and use disease‑specific drug therapy protocols. This may make it easier for patients who see midwives to get care through a team approach.
Pharmacy agreements filed with Board
Beginning July 1, 2026, pharmacists who enter a prescriber–pharmacist agreement must send the agreement, any changes, and protocols to the Maryland Board of Pharmacy. Authorized prescribers no longer file these agreements with their own licensing board. This shifts paperwork to pharmacists and gives the Board of Pharmacy a single record for oversight.
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Sponsors & Cosponsors
Sponsor
Dawn Gile
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/2/2026
Third Reading Passed
Yes: 132 • No: 0 • Other: 7
Senate vote • 3/12/2026
Third Reading Passed
Yes: 45 • No: 0 • Other: 2
Actions Timeline
Approved by the Governor - Chapter 54
4/14/2026Returned Passed
4/3/2026SenateThird Reading Passed (132-0)
4/2/2026HouseFavorable Adopted Second Reading Passed
4/1/2026HouseFavorable Report by Health
4/1/2026HouseHearing 3/25 at 1:00 p.m.
3/17/2026HouseReferred Health
3/13/2026HouseThird Reading Passed (45-0)
3/12/2026SenateSecond Reading Passed with Amendments
3/10/2026SenateFavorable with Amendments {883029/1 Adopted
3/10/2026SenateFavorable with Amendments Report by Finance
3/9/2026SenateHearing 3/03 at 1:00 p.m.
2/12/2026SenateFirst Reading Finance
2/4/2026Senate
Bill Text
Enacted
4/14/2026
Third Reading
3/10/2026
First Reading
2/4/2026
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