# Maryland HB 0838: State Board of Pharmacy - Prescriber-Pharmacist Agreements

Maryland HB 0838, State Board of Pharmacy - Prescriber-Pharmacist Agreements, is a 2026 Regular Session House bill sponsored by Bonnie Cullison (Democratic); status signed, last action 2026-04-14 (Approved by the Governor - Chapter 53) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-HB0838-2026RS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland HB 0838
- State: Maryland
- Session: 2026 Regular Session
- Title: State Board of Pharmacy - Prescriber-Pharmacist Agreements
- Status: signed
- Chamber: House
- Introduced: 2026-02-04
- Last action: 2026-04-14, Approved by the Governor - Chapter 53
- Sponsor: Bonnie Cullison (Democratic)
- Cosponsors: 18
- Subjects: Health Occupations, Public Health, Committees and Commissions, Contracts -see also- Procurement, Controlled Dangerous Substances -see also- Drugs; Opioids, Data -see also- Census; Demographics, Disclosure, Drugs -see also- Cannabis; ControlDangSubst; Pharm; etc., Federal Government, Health Occupations -see also- (specific health occupations), Job Training -see also- Continuing Ed; Vocational Rehab, Midwives, Opioids -see also- Controlled Dangerous Substances; Drugs, Pharmacists and Pharmacies -see also- Drugs, Registration -see also- Motor Vehicle Registration, Substance Abuse Treatment
- Touches household money: no
- Roll calls: 2 (176 yes, 0 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Pharmacists can treat opioid use disorder: benefit, medium. Beginning July 1, 2026, trained pharmacists can treat opioid use disorder under a prescriber–pharmacist agreement. The pharmacist must have individual DEA and Maryland controlled‑substance registrations, complete any required training, and follow a state‑approved protocol. The pharmacist must check…
- Certified midwives added as prescribers: benefit, low. Beginning July 1, 2026, certified midwives licensed in Maryland count as authorized prescribers for prescriber–pharmacist agreements. Patients who see these midwives can access pharmacist therapy management authorized by the midwife.
- Pharmacists must file care agreements: cost, low. Beginning July 1, 2026, a pharmacist who enters a prescriber–pharmacist agreement must send the agreement, later changes, and protocol updates to the Maryland Board of Pharmacy. This replaces the old rule where the prescriber filed with their own board. It adds a small, ongoing paperwork step for p…

## Sponsors and cosponsors

- Sponsor: Bonnie Cullison (Democratic), House
- Cosponsor: Tiffany T. Alston (Democratic), House
- Cosponsor: Heather Bagnall (Democratic), House
- Cosponsor: Pam Lanman Guzzone (Democratic), House
- Cosponsor: Terri L. Hill (Democratic), House
- Cosponsor: Thomas S. Hutchinson (Republican), House
- Cosponsor: Aaron M. Kaufman (Democratic), House
- Cosponsor: Nicholaus R. Kipke (Republican), House
- Cosponsor: Lesley J. Lopez (Democratic), House
- Cosponsor: Matthew Morgan (Republican), House
- Cosponsor: Ashanti Martinez (Democratic), House
- Cosponsor: Teresa E. Reilly (Republican), House
- Cosponsor: Samuel I. Rosenberg (Democratic), House
- Cosponsor: Kim Ross (Democratic), House
- Cosponsor: Steve Johnson (Democratic), House
- Cosponsor: Kathy Szeliga (Republican), House
- Cosponsor: Deni Taveras (Democratic), House
- Cosponsor: Jennifer White Holland (Democratic), House
- Cosponsor: Teresa Woorman (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-06 | Senate | Third Reading Passed | pass | 46 | 0 |   |
| 2026-03-18 | House | Third Reading Passed | pass | 130 | 0 | 5 |

## Actions (12)

- 2026-04-14: Approved by the Governor - Chapter 53
- 2026-04-07: Returned Passed (House)
- 2026-04-06: Third Reading Passed (46-0) (Senate)
- 2026-03-31: Favorable Adopted Second Reading Passed (Senate)
- 2026-03-30: Favorable Report by Finance (Senate)
- 2026-03-19: Referred Finance (Senate)
- 2026-03-18: Third Reading Passed (130-0) (House)
- 2026-03-13: Second Reading Passed with Amendments (House)
- 2026-03-13: Favorable with Amendments {923826/1 Adopted (House)
- 2026-03-13: Favorable with Amendments Report by Health (House)
- 2026-02-09: Hearing 2/25 at 1:00 p.m. (House)
- 2026-02-04: First Reading Health (House)

## Bill text

- Enacted, 2026-04-14: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_53_hb0838t.pdf)
- Third Reading, 2026-03-13: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0838t.pdf)
- First Reading, 2026-02-04: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0838f.pdf)

## Related bills

- SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization (became law)
- SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishment (became law)
- SB 0244: Code Revision - Health - Maryland Medical Assistance Program (became law)
- SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-1 Specialists Act) (became law)
- SB 0016: Child Support - Earnings Withholdings Limits (became law)
- HB 0529: Code Revision - Health - Maryland Medical Assistance Program (became law)

## Sources
- [Enacted (PDF)](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_53_hb0838t.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0838t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0838f.pdf)

## Related
- [SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - A…](https://policyrisk.com/state-bill/MD-SB0496-2026RS)
- [SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishm…](https://policyrisk.com/state-bill/MD-SB0366-2026RS)
- [SB 0244: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-SB0244-2026RS)
- [SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-…](https://policyrisk.com/state-bill/MD-SB0148-2026RS)
- [SB 0016: Child Support - Earnings Withholdings Limits](https://policyrisk.com/state-bill/MD-SB0016-2026RS)
- [HB 0529: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-HB0529-2026RS)
- [Maryland bills](https://policyrisk.com/states/maryland/bills)
- [Maryland state hub](https://policyrisk.com/states/maryland)
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Source: PRIA, https://policyrisk.com/state-bill/MD-HB0838-2026RS (as of 2026-10-19).