SB 773 Maryland Senate · 2026 Regular Session

Health Occupations - Pharmacists - Vaccination Orders

SB 773 allows pharmacists in Maryland to order certain vaccinations (like flu, COVID-19, or emergency vaccines) for patients aged 3 and older without needing to administer the vaccine themselves. To qualify, pharmacists must complete 20 hours of approved training, hold current CPR certification, and complete 2 hours of continuing education on immunizations. The bill requires pharmacists to follow written vaccine-specific protocols, report all vaccinations to Maryland’s ImmuNet registry, and refer pediatric patients to primary care providers when appropriate. This policy directly affects pharmacists, patients seeking these vaccines, and healthcare coordination for immunizations. The changes take effect October 1, 2026.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

Senate Passage

Apr 2026

House of Delegates Passage

Apr 2026

Signed into Law

Apr 2026

Introduced Feb 6, 2026 Signed Apr 28, 2026

Maddy AI version diff · 1 comparison

What changed between versions

First - Health Occupations - Pharmacists - Vaccination Orders → Third - Health Occupations - Pharmacists - Vaccination Orders · 8 edits

MODERATE

The bill was amended to correct formatting errors and update the bill number reference from CF 6lr2777 to CF HB 1135. The substantive policy content regarding pharmacist vaccination orders, including vaccine types, training requirements, and effective dates, remains unchanged.

TECHNICAL

Updated the bill number reference in the header from CF 6lr2777 to CF HB 1135.

Added a 'Committee Report: Favorable' and 'Senate action: Adopted' status line.

Changed the title from 'A BILL ENTITLED' to 'CHAPTER ______'.

Reordered and renumbered the list of vaccines (influenza, COVID-19, public health emergency) to fix formatting inconsistencies.

Reordered and renumbered the training requirements list to align with the corrected vaccine list.

Reordered and renumbered the administrative requirements list to align with the corrected training list.

Reordered and renumbered the vaccination administration criteria (CDC recommendations, FDA approval, travel vaccines) to fix formatting inconsistencies.

Reordered and renumbered the Board fee and regulation requirements to align with the corrected administration criteria.

Floor votes · Senate Feb 27, 2026 · House of Delegates Mar 19, 2026

How they voted

35–12

Passed · 2 other

Total votes 49

Feb 27, 2026

D Democratic36

34 Yea 2

94% Yea

R Republican13

1 Yea 12 Nay

92% 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 269

executive

Apr 7, 2026

Upper · Passed

Returned Passed

upper

Apr 6, 2026

Lower · Passed

Third Reading Passed

lower

Apr 6, 2026

Lower · Passed

Motion Recede (Delegate Bagnall) Adopted

lower

Apr 6, 2026

Lower · Passed

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

lower

Apr 6, 2026

Introduced

Senate Refuses Concur House Amendments

lower

Apr 3, 2026

Introduced

Senate Refuses Concur House Amendments

upper

Apr 2, 2026

Lower · Passed

Third Reading Passed

lower

Apr 1, 2026

Lower · Passed

Favorable with Amendments {

lower

Apr 1, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Mar 19, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (103-30-9)

house of delegates

Mar 13, 2026

Committee

Referred Health

lower

Mar 12, 2026

Upper · Passed

Third Reading Passed

upper

Mar 10, 2026

Upper · Passed

Favorable Adopted

upper

Mar 9, 2026

Upper · Passed

Favorable Report by Finance

upper

Feb 27, 2026

Senate · Passed

Senate Vote: pass (35-12-2)

senate

Feb 6, 2026

Committee

First Reading Finance

upper

1 primary · 0 co-sponsors