HB 1315 Maryland House of Delegates · 2025 Regular Session

Vaccinations by Pharmacists and Health Insurance Coverage for Immunizations

HB 1315 requires Maryland health insurers to cover all childhood and adolescent immunizations recommended by either the CDC's Advisory Committee on Immunization Practices or the American Academy of Pediatrics' schedule, without deductibles. It directly affects health insurers offering family coverage in Maryland, mandating these vaccines as part of the required "minimum package of child wellness services." The bill expands current coverage to include all recommended vaccines under these two authoritative sources, rather than a limited list. This policy change takes effect January 1, 2026, for all new or renewed policies.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

Apr 2025

House of Delegates Passage

Apr 2025

Senate Passage

Apr 2025

Signed into Law

May 2025

Introduced Feb 7, 2025 Signed May 20, 2025

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What changed between versions

First - Health Insurance - Coverage for Child Wellness Services - Immunizations → Third - Vaccinations by Pharmacists and Health Insurance Coverage for Immunizations · 6 edits

MODERATE

HB 1315 was significantly expanded to allow pharmacists to administer vaccinations to children aged 3 and older (previously only infants for specific screenings) and adults, while also updating the bill's title and scope to reflect these new pharmacist authority provisions. The bill now includes detailed training requirements for pharmacists, including 20 hours of practical training and CPR certification, and establishes new reporting obligations to track vaccinations administered by pharmacists.

Scope change

The bill's scope expanded from primarily focusing on health insurance coverage for child wellness services to also include pharmacist-administered vaccinations for individuals aged 3 and older, with separate provisions for children under 18 and adults.

ELIGIBILITY

Pharmacists may now administer vaccinations to individuals aged 3 and older (previously focused on infant screenings), with additional authority for those aged 7 and older and adults.

REQUIREMENT

New training requirements for pharmacists including 20 hours of practical training, CPR certification, and 2 hours of continuing education on immunizations.

Pharmacists must report all vaccinations to the ImmuNet Program and document efforts to inform prescribers or primary care providers about administered vaccinations.

Pharmacists administering vaccinations to individuals under 18 must inform caregivers about the importance of well-child visits and refer to pediatric primary care providers when appropriate.

DEFINITION

Bill title and purpose sections updated to reflect new pharmacist vaccination authority provisions.

ENFORCEMENT

New written protocol requirements for pharmacist-administered vaccinations, including vaccine-specific protocols meeting department-established criteria.

Floor votes · Senate Mar 23, 2025 · House of Delegates Mar 9, 2025

How they voted

34–12

Passed

Total votes 46

Mar 23, 2025

D Democratic33

33 Yea

100% 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

May 20, 2025

Signed into law

Approved by the Governor - Chapter 738

executive

Apr 7, 2025

Lower · Passed

Returned Passed

lower

Apr 7, 2025

Upper · Passed

Third Reading Passed

upper

Apr 4, 2025

Introduced

Floor Amendment {

upper

Apr 4, 2025

Upper · Passed

Favorable Adopted

upper

Apr 4, 2025

Upper · Passed

Motion Special Order until Next Session (Senator Folden) Adopted

upper

Apr 4, 2025

Upper · Passed

Favorable

upper

Apr 4, 2025

Upper · Passed

Favorable Report by Finance

upper

Mar 23, 2025

Senate · Passed

Senate Vote: pass (34-12)

senate

Mar 17, 2025

Committee

Referred Finance

upper

Mar 17, 2025

Lower · Passed

Third Reading Passed

lower

Mar 15, 2025

Lower · Passed

Favorable with Amendments {

lower

Mar 15, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Mar 9, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (101-36-2)

house of delegates

Feb 7, 2025

Committee

First Reading Health and Government Operations

lower

32 primary · 0 co-sponsors