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Enacted

Maryland authorizes pharmacists to order vaccinations without administering them

Original title: Health Occupations - Pharmacists - Vaccination Orders

Last action · April 28, 2026: Approved by the Governor - Chapter 269Sponsor: Malcolm Augustine

Companion · HB 1135same policy, House version
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

Maryland law now allows qualified pharmacists to order influenza, COVID-19, and public health emergency vaccinations for individuals aged 3 and older without also administering the injection. The measure takes effect on October 1, 2026.

Why it matters

Expands the clinical scope of practice for licensed pharmacists by decoupling the ordering authority from direct injection duties, altering workflow requirements for community pharmacies across the state.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

pharmacists

Licensed pharmacists gain the legal authority to order specific vaccines for patients aged 3 and older without being required to administer them, subject to training and protocol requirements.

Directly affected

individuals aged 3 and older

Patients may receive vaccination orders from qualified pharmacists without the pharmacist being required to personally administer the injection.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Can a pharmacist order any vaccine without administering it?
No. The ordering authority without administration applies specifically to influenza vaccines, COVID-19 vaccines, and vaccines used in response to a public health emergency for individuals at least 3 years old.
Are pharmacists required to report vaccinations they order?
Yes, pharmacists must report all vaccinations administered or ordered by them to the .

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Current status: Signed into law.

Procedural history

22 actions
  1. Apr 28, 2026Governor of MarylandEnrolled
    Approved by the Governor - Chapter 269
  2. Apr 7, 2026SenateFloor
    Returned Passed
  3. Apr 6, 2026House
    House Recede
  4. Apr 6, 2026HouseFloor
    Third Reading Passed (102-30)
  5. Apr 6, 2026HouseFloor
    Motion Recede (Delegate Bagnall) Adopted
  6. Apr 6, 2026HouseFloor
    Motion Special Order until Later This Session (Delegate Arikan) Adopted
Show 16 earlier actions
  1. Apr 6, 2026House
    Senate Requests House Recede
  2. Apr 6, 2026HouseFloor
    Senate Refuses Concur House Amendments
  3. Apr 3, 2026Senate
    Senate Requests House Recede
  4. Apr 3, 2026SenateFloor
    Senate Refuses Concur House Amendments
  5. Apr 2, 2026HouseFloor
    Third Reading Passed (111-23)
  6. Apr 1, 2026HouseFloor
    Second Reading Passed with Amendments
  7. Apr 1, 2026House
    Favorable with Amendments { 553820/1 Adopted
  8. Apr 1, 2026HouseCommittee
    Favorable with Amendments Report by Health
  9. Mar 17, 2026House
    Hearing 3/25 at 1:00 p.m.
  10. Mar 13, 2026HouseCommittee
    Referred Health
  11. Mar 12, 2026SenateFloor
    Third Reading Passed (33-12)
  12. Mar 10, 2026SenateFloor
    Second Reading Passed
  13. Mar 10, 2026SenateFloor
    Favorable Adopted
  14. Mar 9, 2026SenateCommittee
    Favorable Report by Finance
  15. Feb 12, 2026Senate
    Hearing 3/03 at 1:00 p.m.
  16. Feb 6, 2026SenateIntroduced
    First Reading Finance

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

U.S. Food and Drug Administration, ImmuNet Program, Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices and 2 more
OrganizationU.S. Food and Drug Administration“Approves or authorizes vaccinations that pharmacists may administer”Map →
OrganizationImmuNet Program“State immunization registry where pharmacists must report all vaccinations admin”Map →
OrganizationCenters for Disease Control and Prevention's Advisory Committee on Immunization Practices“Provides vaccine recommendations referenced in the statute”Map →
locationMaryland“Jurisdiction enacting the legislation”Map →
OrganizationAccreditation Council for Pharmacy Education“Approves practical training programs and continuing pharmaceutical education for”Map →

Sources

Open source document

mgaleg.maryland.gov

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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