State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders
SB 562 allows pharmacists in Maryland to treat opioid use disorders using medication therapy under specific conditions. It repeals a requirement that prescribers (like doctors) must submit agreements to their health board and instead authorizes pharmacists to enter into prescriber-pharmacist agreements if they meet qualifications such as holding a Doctor of Pharmacy degree, completing required training, and registering with federal agencies. The law mandates that any treatment protocol requires pharmacists to check the Prescription Drug Monitoring Program before starting or changing medication. This change aims to expand access to medication-based treatment for opioid use disorders by enabling pharmacists to provide care in pharmacy settings.
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 4, 2026
Signed Apr 14, 2026
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What changed between versions
First - State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders
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Third - State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders
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3 edits
MINOR
The bill was amended to expand its scope by adding licensed certified midwives to the list of authorized prescribers who can enter into therapy management contracts. Additionally, the legislative text was reorganized to repeal and reenact specific sections of the Health Occupations Article with amendments, rather than without amendments as originally drafted.
Scope change
The bill's scope was expanded to include certified midwives alongside physicians, podiatrists, and advanced practice nurses as eligible prescribers for opioid use disorder treatment agreements.
ELIGIBILITY
Added 'certified midwife licensed under Title 8, Subtitle 6D of this article' to the definition of 'authorized prescriber' in Section 12-6A-01(b).
SCOPE
Changed the legislative mechanism from repealing and reenacting sections 'without amendments' to 'with amendments' to reflect the new inclusion of midwives and other text updates.
REQUIREMENT
Reordered the repeal and reenactment of Health Occupations Article sections to include 12-6A-01(b) alongside 12-6A-03, 12-6A-04, and 12-6A-06, ensuring the new eligibility criteria are properly integrated into the law.
Floor votes · Senate Feb 27, 2026 · House of Delegates Mar 17, 2026
How they voted
47–0
Passed · 2 other
Total votes 49
Feb 27, 2026
D
Democratic36
94% Yea
R
Republican13
100% Yea
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 54
executive
Apr 3, 2026
Upper · Passed
Returned Passed
upper
Apr 2, 2026
Lower · Passed
Third Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 17, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (133-0-9)
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 with Amendments {
upper
Mar 9, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Feb 27, 2026
Senate · Passed
Senate Vote: pass (47-0-2)
senate
Feb 4, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dawn Gile
DDemocratic
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