HB 1135 Maryland House of Delegates · 2026 Regular Session

Health Occupations - Pharmacists - Vaccination Orders

HB 1135 allows pharmacists in Maryland to order certain vaccinations for patients aged 3 and older without needing to administer the vaccine themselves. Pharmacists must complete 20+ hours of approved training covering vaccine safety, injection techniques, and emergency response, hold current CPR certification, and report all vaccinations to the ImmuNet program. The bill specifically covers influenza, COVID-19, and emergency-use vaccines, and requires pharmacists to refer minors to pediatric care when ordering vaccines. This expands pharmacists' role in vaccine access while maintaining safety protocols and reporting requirements.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

House of Delegates Passage

Apr 2026

Senate Passage

Apr 2026

Signed into Law

Apr 2026

Introduced Feb 11, 2026 Signed Apr 28, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Third - Health Occupations - Pharmacists - Vaccination Orders → Enrolled - Health Occupations - Pharmacists - Vaccination Orders · 3 edits · Apr 28, 2026

MINOR

The bill was finalized as an Enrolled Bill and presented to the Governor for signature, moving it from a House draft to a potential law. The substantive text regarding pharmacist vaccination authority remains largely the same, but the formatting was standardized to align with the official state code structure.

Scope change

The bill's scope and applicability remain unchanged; it still authorizes pharmacists to order and administer specific vaccinations under certain conditions.

TECHNICAL

The document status changed from a House Bill draft to an Enrolled Bill, indicating it has passed both chambers and is ready for the Governor's signature.

Formatting and line breaks were adjusted to match the official style of the Annotated Code of Maryland.

Minor text cleanup removed redundant phrases like 'OR ORDERED FOR INTRANASAL ADMINISTRATION' in favor of clearer phrasing, though the core legal requirements for pharmacists and caregivers remain intact.

Floor votes · Senate Mar 20, 2026 · House of Delegates Mar 24, 2026

How they voted

35–9

Passed · 5 other

Total votes 49

Mar 20, 2026

D Democratic36

31 Yea 5

86% Yea

R Republican13

4 Yea 9 Nay

69% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 28, 2026

Signed into law

Approved by the Governor - Chapter 270

executive

Apr 9, 2026

Lower · Passed

Passed Enrolled

lower

Apr 9, 2026

Lower · Passed

Third Reading Passed

lower

Apr 9, 2026

Introduced

House Concurs Senate Amendments

lower

Apr 8, 2026

Upper · Passed

Third Reading Passed

upper

Apr 7, 2026

Upper · Passed

Favorable with Amendments {

upper

Apr 6, 2026

Upper · Passed

Favorable with Amendments Report by Finance

upper

Mar 24, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (103-29-10)

house of delegates

Mar 23, 2026

Committee

Referred Finance

upper

Mar 23, 2026

Lower · Passed

Third Reading Passed

lower

Mar 21, 2026

Introduced

Floor Amendment {

lower

Mar 21, 2026

Lower · Passed

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

lower

Mar 21, 2026

Lower · Passed

Favorable with Amendments {

lower

Mar 21, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Mar 20, 2026

Senate · Passed

Senate Vote: pass (35-9-5)

senate

Feb 11, 2026

Committee

First Reading Health

lower

17 primary · 0 co-sponsors