HB 1377 Maryland House of Delegates · 2026 Regular Session

Prescription Drug Repository Program - Redirecting Safe Prescription Drugs Pilot Program

HB 1377 establishes a 18-month pilot program to redirect unused, unopened prescription drugs to a state repository program. It requires participating pharmacies (repositories) to collect eligible medications during National Prescription Drug Take Back Days, package them properly, and transfer them to designated drop-off sites for distribution to eligible patients - while sending controlled substances directly to the DEA. The program aims to expand medication access for underserved communities, reduce pharmaceutical waste, and ensure drug safety through collaboration between Maryland’s Secretary of Health and the federal DEA. The pilot runs from July 2026 through December 2027, with mandatory reporting on collected medications by October 1, 2027.
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 13, 2026 Signed Apr 28, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Prescription Drug Repository Program - Redirecting Safe Prescription Drugs Pilot Program Third - Prescription Drug Repository Program - Redirecting Safe Prescription Drugs Pilot Program · 4 edits
MODERATE
The bill was significantly amended to expand its scope by adding new sponsors and formally adopting the legislation. Key operational changes include redefining 'drop-off sites' to include any participating pharmacy or facility, not just those with specific voluntary agreements, and clarifying that repositories must transfer collected drugs to a 'drop-off site repository.' The bill's duration was also extended from 18 months to 30 months, with the expiration date moved from December 31, 2027, to June 30, 2028.
Scope change
The bill's scope expanded to include a broader range of entities as drop-off sites and clarified the logistics of transferring collected medications to a central repository.
ELIGIBILITY

Added multiple new sponsors to the bill, increasing the coalition of legislators supporting the program.

REQUIREMENT

Changed the definition of 'drop-off site' to include any pharmacy or health care facility participating in a donation program, rather than limiting it to those with specific voluntary agreements.

Updated the transfer requirement so that collected medications must be sent to a 'drop-off site repository' instead of just a generic drop-off site.

TIMELINE

Extended the pilot program's duration from 1 year and 6 months to 2 years and 6 months, moving the expiration date to June 30, 2028.

Floor votes · Senate Mar 22, 2026 · House of Delegates Mar 5, 2026

How they voted

350
Passed · 14 other
Total votes 49
Mar 22, 2026
D Democratic36
25 Yea 11
69% Yea
R Republican13
10 Yea 3
76% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
10
Committee
6
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 243
executive
Apr 10, 2026
Lower · Passed
Returned Passed
lower
Apr 9, 2026
Upper · Passed
Third Reading Passed
upper
Apr 8, 2026
Upper · Passed
Favorable Adopted
upper
Apr 8, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 22, 2026
Senate · Passed
Senate Vote: pass (35-0-14)
senate
Mar 19, 2026
Committee
Referred Finance
upper
Mar 18, 2026
Lower · Passed
Third Reading Passed
lower
Mar 17, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 16, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 5, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (133-0-9)
house of delegates
Feb 13, 2026
Committee
First Reading Health
lower
21 primary · 0 co-sponsors

Sponsors