PRIA Logo™
MarylandHB 11352026 Regular SessionHouse

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

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

More pharmacy vaccines for kids and adults

Beginning October 1, 2026, trained pharmacists can order and give more vaccines. For ages 3 and up, they can give flu, COVID-19, and public-health-emergency vaccines, including intranasal doses. For ages 7 and up, they can give vaccines the CDC advisory group recommends or the FDA approves. Adults can also get CDC travel vaccines at pharmacies. When vaccinating a minor, the pharmacist explains the importance of well-child visits and refers to pediatric care when needed.

Safety and reporting for pharmacy shots

Beginning October 1, 2026, pharmacists give vaccines only under a written, vaccine-specific protocol set by health officials. Pharmacists must register with the Board and show they finished a Board-approved immunization course that covers CDC guidance as of December 31, 2024, and hold in-person CPR certification. Pharmacists must report every vaccine they give or order to ImmuNet and, in most cases, try to notify the person’s prescriber or primary care provider. These steps help keep your records up to date and care coordinated.

Board sets pharmacy vaccine fees

Beginning October 1, 2026, the State Board of Pharmacy sets reasonable fees for giving vaccines. Pharmacies may charge an administration fee when you get a shot. Your out-of-pocket cost depends on the fee and your insurance.

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

  • Pam Lanman Guzzone

    Democratic • House

  • Terri L. Hill

    Democratic • House

  • Aaron M. Kaufman

    Democratic • House

  • Ashanti Martinez

    Democratic • 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

All Roll Calls

Yes: 247 • No: 62

House vote • 4/9/2026

Third Reading Passed

Yes: 103 • No: 29 • Other: 4

Senate vote • 4/8/2026

Third Reading Passed

Yes: 33 • No: 9 • Other: 2

House vote • 3/23/2026

Third Reading Passed

Yes: 111 • No: 24 • Other: 5

Actions Timeline

  1. Approved by the Governor - Chapter 270

    4/28/2026

  2. Passed Enrolled

    4/9/2026House

  3. Third Reading Passed (103-29)

    4/9/2026House

  4. House Concurs Senate Amendments

    4/9/2026House

  5. Third Reading Passed (33-9)

    4/8/2026Senate

  6. Second Reading Passed with Amendments

    4/7/2026Senate

  7. Favorable with Amendments {613823/1 Adopted

    4/7/2026Senate

  8. Favorable with Amendments Report by Finance

    4/6/2026Senate

  9. Referred Finance

    3/23/2026Senate

  10. Third Reading Passed (111-24)

    3/23/2026House

  11. Second Reading Passed with Amendments

    3/21/2026House

  12. Floor Amendment {693820/1 (Delegate Arikan) Adopted

    3/21/2026House

  13. Motion Special Order until Later This Session (Delegate Arikan) Adopted

    3/21/2026House

  14. Favorable with Amendments {413128/1 Adopted

    3/21/2026House

  15. Favorable with Amendments Report by Health

    3/21/2026House

  16. Hearing 3/04 at 1:00 p.m.

    2/11/2026House

  17. First Reading Health

    2/11/2026House

Bill Text

  • Enacted

    4/28/2026

    PDF

  • Enrolled

    4/9/2026

    PDF

  • Third Reading

    3/21/2026

    PDF

  • First Reading

    2/11/2026

    PDF

Related Bills

Back to State Legislation