HB 637 Maryland House of Delegates · 2026 Regular Session

Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act)

HB 637 ("The Vax Act") requires Maryland's Secretary of Health to issue science-based recommendations for immunizations, screenings, and preventive services using guidance from major medical organizations like the CDC and American Academy of Pediatrics. It expands pharmacists' authority to administer flu, COVID-19, and emergency vaccines to patients aged 3 and older (previously limited to 18+ for some vaccines) after completing specific training. The bill also mandates that health insurance plans cover these recommended services without cost-sharing for patients. This directly affects pharmacists, health insurers, and Maryland residents seeking preventive care, particularly children and adults needing routine vaccinations.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 30, 2026 Signed Apr 14, 2026
Floor votes · Senate Mar 20, 2026 · House of Delegates Mar 9, 2026

How they voted

3313
Passed · 3 other
Total votes 49
Mar 20, 2026
D Democratic36
33 Yea 3
91% Yea
R Republican13
13 Nay
100% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
10
Committee
6
Amendments
1
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 7
executive
Apr 9, 2026
Lower · Passed
Returned Passed
lower
Apr 8, 2026
Upper · Passed
Third Reading Passed
upper
Apr 7, 2026
Upper · Passed
Favorable Adopted
upper
Apr 6, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 23, 2026
Committee
Referred Finance
upper
Mar 21, 2026
Lower · Passed
Third Reading Passed
lower
Mar 20, 2026
Introduced
Floor Amendment {
lower
Mar 20, 2026
Lower · Passed
Motion Special Order until Next Session (Delegate Arikan) Adopted
lower
Mar 20, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 20, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 9, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (99-32-11)
house of delegates
Jan 30, 2026
Committee
First Reading Health
lower
54 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Aaron Kaufman
Aaron Kaufman
DDemocratic
MD
18
P
Photo of Adrian Boafo
Adrian Boafo
DDemocratic
MD
23
P
Photo of Andrea Harrison
Andrea Harrison
DDemocratic
MD
24
P
Photo of Andrew Pruski
Andrew Pruski
DDemocratic
MD
33A
P
Photo of Bernice Mireku-North
Bernice Mireku-North
DDemocratic
MD
14
P
Photo of Bonnie Cullison
Bonnie Cullison
DDemocratic
MD
19
P
Photo of Cathi Forbes
Cathi Forbes
DDemocratic
MD
43B
P
Photo of Chao Wu
Chao Wu
DDemocratic
MD
9A
P
Photo of Cheryl Pasteur
Cheryl Pasteur
DDemocratic
MD
11A
P
Photo of Courtney Watson
Courtney Watson
DDemocratic
MD
9B
P
Photo of Dana Jones
Dana Jones
DDemocratic
MD
30A
P
Photo of Darrell Odom
Darrell Odom
DDemocratic
MD
27A
P
Photo of David Moon
David Moon
DDemocratic
MD
20
P
Photo of Deni Taveras
Deni Taveras
DDemocratic
MD
47B
P
Photo of Denise Roberts
Denise Roberts
DDemocratic
MD
25
P
Photo of Derrick Coley
Derrick Coley
DDemocratic
MD
24
P
Photo of Diana Fennell
Diana Fennell
DDemocratic
MD
47A
P
Photo of Dylan Behler
Dylan Behler
DDemocratic
MD
30A
P
Photo of Edith Patterson
Edith Patterson
DDemocratic
MD
28
P
Photo of Eric Ebersole
Eric Ebersole
DDemocratic
MD
44A
P
Photo of Gabriel Acevero
Gabriel Acevero
DDemocratic
MD
39
P
Photo of Gabriel Moreno
Gabriel Moreno
DDemocratic
MD
13
P
Photo of Gary Simmons
Gary Simmons
DDemocratic
MD
12B
P
Photo of Greg Wims
Greg Wims
DDemocratic
MD
39
P
Photo of Harry Bhandari
Harry Bhandari
DDemocratic
MD
8
P
Photo of Heather Bagnall Tudball
Heather Bagnall Tudball
DDemocratic
MD
33C
P
Photo of Jamila Woods
Jamila Woods
DDemocratic
MD
26
P
Photo of Jared Solomon
Jared Solomon
DDemocratic
MD
18
P
Photo of Jennifer White Holland
Jennifer White Holland
DDemocratic
MD
10
P
Photo of Joe Vogel
Joe Vogel
DDemocratic
MD
17
P
Photo of Julian Ivey
Julian Ivey
DDemocratic
MD
47A
P
Photo of Julie Palakovich Carr
Julie Palakovich Carr
DDemocratic
MD
17
P
Photo of Kim Ross
Kim Ross
DDemocratic
MD
8
P
Photo of Lesley Lopez
Lesley Lopez
DDemocratic
MD
39
P
Photo of Lily Qi
Lily Qi
DDemocratic
MD
15
P
Photo of Linda Foley
Linda Foley
DDemocratic
MD
15
P
Photo of Malcolm Ruff
Malcolm Ruff
DDemocratic
MD
41
P
Photo of Mark Edelson
Mark Edelson
DDemocratic
MD
46
P
Photo of Marlon Amprey
Marlon Amprey
DDemocratic
MD
40
P
Photo of Marvin Holmes
Marvin Holmes
DDemocratic
MD
23
P
Photo of Michele Guyton
Michele Guyton
DDemocratic
MD
42B
P
Photo of Mike Rogers
Mike Rogers
DDemocratic
MD
32
P
Photo of Natalie Ziegler
Natalie Ziegler
DDemocratic
MD
9A
P
Photo of Nick Allen
Nick Allen
DDemocratic
MD
8
P
Photo of Pam Guzzone
Pam Guzzone
DDemocratic
MD
13
P
Photo of Regina Boyce
Regina Boyce
DDemocratic
MD
43A
P
Photo of Robbyn Lewis
Robbyn Lewis
DDemocratic
MD
46
P
Photo of Ryan Spiegel
Ryan Spiegel
DDemocratic
MD
17
P
Photo of Sandy Rosenberg
Sandy Rosenberg
DDemocratic
MD
41
P
Photo of Scott Phillips
Scott Phillips
DDemocratic
MD
10
P
Photo of Teresa Woorman
Teresa Woorman
DDemocratic
MD
16
P
Photo of Terri Hill
Terri Hill
DDemocratic
MD
12A
P
Photo of Vaughn Stewart
Vaughn Stewart
DDemocratic
MD
19
P
Photo of Veronica Turner
Veronica Turner
DDemocratic
MD
26