All Roll Calls
Yes: 246 • No: 65
MarylandSB 07732026 Regular SessionSenateWALLET
Health Occupations - Pharmacists - Vaccination Orders
Sponsored By: Malcolm Augustine
Signed by Governor
Health OccupationsCaregiversChildren (4-12)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, 1 costs, 0 mixed.
Safety, reporting, and training rules for pharmacists
Beginning October 1, 2026, pharmacists may give or order vaccines only under a vaccine-specific written protocol set by the Health Department in rules, after consulting the pharmacy, physician, and nursing boards. Pharmacists must report each vaccine they give or order to ImmuNet. If a shot was given by prescription, they must document at least one effort to tell the authorized prescriber. Except for flu shots, when not given by prescription or when the prescriber is not the patient's main doctor, they must document at least one effort to tell the primary care provider or usual clinic. Pharmacists must register, show they passed a Board-approved vaccine course that used CDC guidelines in effect on December 31, 2024, and hold basic CPR earned through in-person classroom training. The law uses ACIP materials in effect on December 31, 2024 as the baseline and still allows later additions when new vaccines are recommended.
More vaccines at pharmacies for kids and adults
Beginning October 1, 2026, pharmacists can give or order flu and COVID-19 shots, and vaccines used in a public health emergency, for people age 3 and older. They can give any CDC-recommended or FDA-approved vaccine to people age 7 and older. They can give adult travelers the vaccines listed in CDC travel guidance. Pharmacists must finish at least 20 hours of approved training, have current basic CPR, do immunization continuing education, keep records, and follow a vaccine-specific written protocol. For patients under 18, the pharmacist tells the child and caregiver about well-child visits and refers to pediatric care when needed.
Pharmacy vaccine fees set by Board
Beginning October 1, 2026, the Board of Pharmacy sets reasonable fees for vaccine administration. The law does not set the dollar amounts. You may pay an administration fee depending on Board rules and your insurance.
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Sponsors & Cosponsors
Sponsor
Malcolm Augustine
Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/6/2026
Third Reading Passed
Yes: 102 • No: 30 • Other: 9
House vote • 4/2/2026
Third Reading Passed
Yes: 111 • No: 23 • Other: 8
Senate vote • 3/12/2026
Third Reading Passed
Yes: 33 • No: 12
Actions Timeline
Approved by the Governor - Chapter 269
4/28/2026Returned Passed
4/7/2026SenateHouse Recede
4/6/2026HouseThird Reading Passed (102-30)
4/6/2026HouseMotion Recede (Delegate Bagnall) Adopted
4/6/2026HouseMotion Special Order until Later This Session (Delegate Arikan) Adopted
4/6/2026HouseSenate Requests House Recede
4/6/2026HouseSenate Refuses Concur House Amendments
4/6/2026HouseSenate Requests House Recede
4/3/2026SenateSenate Refuses Concur House Amendments
4/3/2026SenateThird Reading Passed (111-23)
4/2/2026HouseSecond Reading Passed with Amendments
4/1/2026HouseFavorable with Amendments {553820/1 Adopted
4/1/2026HouseFavorable with Amendments Report by Health
4/1/2026HouseHearing 3/25 at 1:00 p.m.
3/17/2026HouseReferred Health
3/13/2026HouseThird Reading Passed (33-12)
3/12/2026SenateSecond Reading Passed
3/10/2026SenateFavorable Adopted
3/10/2026SenateFavorable Report by Finance
3/9/2026SenateHearing 3/03 at 1:00 p.m.
2/12/2026SenateFirst Reading Finance
2/6/2026Senate
Bill Text
Third Reading
3/10/2026
First Reading
2/6/2026
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