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MarylandSB 07732026 Regular SessionSenate

Health Occupations - Pharmacists - Vaccination Orders

Sponsored By: Malcolm Augustine (Democratic)

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

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

Maryland residents gain pharmacist vaccine orders

Beginning October 1, 2026, Maryland pharmacists can order certain vaccines for people age 3 or older without giving the shot. This covers flu vaccines, COVID-19 vaccines, and vaccines used in response to a public health emergency. Pharmacists need at least 20 hours of approved practical training covering injections, vaccine suitability, and emergency reactions. They also need current basic CPR certification and at least 2 hours of approved vaccine education for license renewal. Orders must follow a written, vaccine-specific protocol and record-keeping rules. When ordering a vaccine for an adult caregiver to give a minor, pharmacists must explain the importance of well-child visits. They must inform the child and caregiver and refer the child to a pediatric primary care provider when appropriate. Pharmacists must report both ordered and administered vaccines to ImmuNet, Maryland’s vaccination record system.

Sponsors & Cosponsors

Sponsor

  • Malcolm Augustine

    Democratic • 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: 5

House vote • 4/2/2026

Third Reading Passed

Yes: 111 • No: 23 • Other: 1

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

  • Enacted

    4/28/2026

    PDF

  • Third Reading

    3/10/2026

    PDF

  • First Reading

    2/6/2026

    PDF

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