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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.

Sponsors & Cosponsors

Sponsor

  • Malcolm Augustine

    Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 246 • No: 65

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

  1. Approved by the Governor - Chapter 269

    4/28/2026

  2. Returned Passed

    4/7/2026Senate

  3. House Recede

    4/6/2026House

  4. Third Reading Passed (102-30)

    4/6/2026House

  5. Motion Recede (Delegate Bagnall) Adopted

    4/6/2026House

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

    4/6/2026House

  7. Senate Requests House Recede

    4/6/2026House

  8. Senate Refuses Concur House Amendments

    4/6/2026House

  9. Senate Requests House Recede

    4/3/2026Senate

  10. Senate Refuses Concur House Amendments

    4/3/2026Senate

  11. Third Reading Passed (111-23)

    4/2/2026House

  12. Second Reading Passed with Amendments

    4/1/2026House

  13. Favorable with Amendments {553820/1 Adopted

    4/1/2026House

  14. Favorable with Amendments Report by Health

    4/1/2026House

  15. Hearing 3/25 at 1:00 p.m.

    3/17/2026House

  16. Referred Health

    3/13/2026House

  17. Third Reading Passed (33-12)

    3/12/2026Senate

  18. Second Reading Passed

    3/10/2026Senate

  19. Favorable Adopted

    3/10/2026Senate

  20. Favorable Report by Finance

    3/9/2026Senate

  21. Hearing 3/03 at 1:00 p.m.

    2/12/2026Senate

  22. First Reading Finance

    2/6/2026Senate

Bill Text

  • Third Reading

    3/10/2026

    PDF

  • First Reading

    2/6/2026

    PDF

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