Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act)
SB 385 (The Vax Act) requires Maryland’s Secretary of Health to issue evidence-based recommendations for immunizations, screenings, and preventive services, aligning with guidance from major medical organizations like the CDC and U.S. Preventive Services Task Force. It expands pharmacists’ authority to administer vaccines (including those recommended by CDC or the Secretary) to patients aged 3+ after completing specific training and certification, while mandating health insurers to cover these services without cost-sharing. The bill also repeals outdated pertussis-related provisions and updates reporting requirements for pharmacists. This directly affects pharmacists, health insurers, and patients seeking preventive care, aiming to improve access to vaccinations and screenings.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 27, 2026
Signed Apr 14, 2026
Floor votes · Senate Mar 6, 2026 · House of Delegates Mar 20, 2026
How they voted
34–12
Passed · 3 other
Total votes 49
Mar 6, 2026
D
Democratic36
94% Yea
R
Republican13
92% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
15
Key actions
10
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 8
executive
Apr 8, 2026
Upper · Passed
Returned Passed
upper
Apr 7, 2026
Lower · Passed
Third Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 23, 2026
Committee
Referred Health
lower
Mar 23, 2026
Upper · Passed
Third Reading Passed
upper
Mar 20, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 20, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (106-32-4)
house of delegates
Mar 6, 2026
Senate · Passed
Senate Vote: pass (34-12-3)
senate
Jan 27, 2026
Committee
First Reading Finance
upper
10 primary · 0 co-sponsors
Sponsors
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