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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.

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

All Roll Calls

Yes: 247 • No: 62

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

  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

  • Enrolled

    4/9/2026

    PDF

  • Third Reading

    3/21/2026

    PDF

  • First Reading

    2/11/2026

    PDF

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