# Maryland HB 1135: Health Occupations - Pharmacists - Vaccination Orders

Maryland HB 1135, Health Occupations - Pharmacists - Vaccination Orders, is a 2026 Regular Session House bill sponsored by Lesley J. Lopez (Democratic); status signed, last action 2026-04-28 (Approved by the Governor - Chapter 270) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-HB1135-2026RS
- 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 1135
- State: Maryland
- Session: 2026 Regular Session
- Title: Health Occupations - Pharmacists - Vaccination Orders
- Status: signed
- Chamber: House
- Introduced: 2026-02-11
- Last action: 2026-04-28, Approved by the Governor - Chapter 270
- Sponsor: Lesley J. Lopez (Democratic)
- Cosponsors: 17
- Subjects: Health Occupations, Caregivers, Children (4-12), Health -see also- COVID19; EnvHlth; MedCon; etc., Health Occupations -see also- (specific health occupations), Immunization, Parents and Guardians, Pharmacists and Pharmacies -see also- Drugs, Records -see also- Land Records; Vital Records, Youth (10-21) -see also- Minors
- Touches household money: no
- Roll calls: 3 (247 yes, 62 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- More pharmacy vaccines for kids and adults: benefit, medium. 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…
- Safety and reporting for pharmacy shots: benefit, low. 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…
- Board sets pharmacy vaccine fees: mixed, low. 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 and cosponsors

- Sponsor: Lesley J. Lopez (Democratic), House
- Cosponsor: Tiffany T. Alston (Democratic), House
- Cosponsor: Heather Bagnall (Democratic), House
- Cosponsor: Bonnie Cullison (Democratic), House
- Cosponsor: David Fraser-Hidalgo (Democratic), House
- Cosponsor: Pam Lanman Guzzone (Democratic), House
- Cosponsor: Terri L. Hill (Democratic), House
- Cosponsor: Aaron M. Kaufman (Democratic), House
- Cosponsor: Ashanti Martinez (Democratic), House
- Cosponsor: Samuel I. Rosenberg (Democratic), House
- Cosponsor: Kim Ross (Democratic), House
- Cosponsor: Jared Solomon (Democratic), House
- Cosponsor: Deni Taveras (Democratic), House
- Cosponsor: Joe Vogel (Democratic), House
- Cosponsor: Jennifer White Holland (Democratic), House
- Cosponsor: Greg Wims (Democratic), House
- Cosponsor: Sarah Wolek (Democratic), House
- Cosponsor: Teresa Woorman (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-09 | House | Third Reading Passed | pass | 103 | 29 | 4 |
| 2026-04-08 | Senate | Third Reading Passed | pass | 33 | 9 | 2 |
| 2026-03-23 | House | Third Reading Passed | pass | 111 | 24 | 5 |

## Actions (17)

- 2026-04-28: Approved by the Governor - Chapter 270
- 2026-04-09: Passed Enrolled (House)
- 2026-04-09: Third Reading Passed (103-29) (House)
- 2026-04-09: House Concurs Senate Amendments (House)
- 2026-04-08: Third Reading Passed (33-9) (Senate)
- 2026-04-07: Second Reading Passed with Amendments (Senate)
- 2026-04-07: Favorable with Amendments {613823/1 Adopted (Senate)
- 2026-04-06: Favorable with Amendments Report by Finance (Senate)
- 2026-03-23: Referred Finance (Senate)
- 2026-03-23: Third Reading Passed (111-24) (House)
- 2026-03-21: Second Reading Passed with Amendments (House)
- 2026-03-21: Floor Amendment {693820/1 (Delegate Arikan) Adopted (House)
- 2026-03-21: Motion Special Order until Later This Session (Delegate Arikan) Adopted (House)
- 2026-03-21: Favorable with Amendments {413128/1 Adopted (House)
- 2026-03-21: Favorable with Amendments Report by Health (House)
- 2026-02-11: Hearing 3/04 at 1:00 p.m. (House)
- 2026-02-11: First Reading Health (House)

## Bill text

- Enacted, 2026-04-28: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_270_hb1135e.pdf)
- Enrolled, 2026-04-09: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1135e.pdf)
- Third Reading, 2026-03-21: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1135t.pdf)
- First Reading, 2026-02-11: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1135f.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_270_hb1135e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1135e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1135t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1135f.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-HB1135-2026RS (as of 2026-10-19).