Healthcare

signed · Maryland · House of Delegates Apr 28, 2026

HB 1135: Health Occupations - Pharmacists - Vaccination Orders

HB 1135 allows pharmacists in Maryland to order certain vaccinations for patients aged 3 and older without needing to administer the vaccine themselves. Pharmacists must complete 20+ hours of approved training covering vaccine safety, injection techniques, and emergency response, hold current CPR certification, and report all vaccinations to the ImmuNet program. The bill specifically covers influenza, COVID-19, and emergency-use vaccines, and requires pharmacists to refer minors to pediatric care when ordering vaccines. This expands pharmacists' role in vaccine access while maintaining safety protocols and reporting requirements.

Topics ✓ HealthcareSupports HealthcareExpands pharmacist authority to order vaccines for patients 3+, increasing access to public health services and aligning with vaccination coverage goals without physician oversight.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 28, 2026

SB 773: 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.

Topics ✓ HealthcareSupports HealthcareExpands pharmacist authority to order vaccinations, improving patient access to immunizations without physician referral while maintaining safety protocols.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 28, 2026

SB 439: Employment Discrimination - Fire and Rescue Public Safety Employees - Use of Medical Cannabis

SB 439 prohibits Maryland fire and rescue public safety employers from taking negative employment actions (like firing or denying promotions) against employees who use medical cannabis, provided the employee has a valid medical cannabis certification under state law. It amends existing Maryland law to explicitly add this protection for public safety workers, aligning with current medical cannabis certification requirements. The bill does not change how medical cannabis is certified but ensures these employees cannot face discrimination solely for using cannabis legally under the state program. This applies to all fire and rescue employees who meet the state's medical cannabis eligibility criteria.

Topics ✓ HealthcareSupports HealthcareProtects medical cannabis users' employment rights, advancing healthcare access for public safety workers under state medical cannabis certification.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProhibits employment discrimination against public safety workers using medical cannabis, directly protecting workers' rights under Labor & Employment policies.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 385: 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.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for preventive services and expands pharmacist vaccine administration, increasing access and coverage - clear support.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 637: 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.

Topics ✓ HealthcareSupports HealthcareExpands pharmacist vaccine administration to ages 3+, mandates insurance coverage for preventive services, and requires science-based public health recommendations, improving access and strengthening preventive healthcare.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 498: Certificate of Need - Intermediate Health Care Facilities

HB 498 removes an existing exemption that allowed intermediate care facilities providing substance use disorder treatment to change bed capacity without a certificate of need. It specifically targets facilities offering "medically managed residential substance use disorder treatment services," requiring them to file 45 days' written notice with the health commission before operating or expanding. The commission must then review and approve these changes based on whether they align with the state health plan, improve service efficiency, and serve the public interest. This bill directly affects facilities providing residential substance use treatment by adding a review process for bed capacity changes or new operations, replacing the previous exemption.

Topics ✗ HealthcareOpposes HealthcareBill adds regulatory requirement for capacity changes in substance use treatment facilities, creating barriers to expansion that may limit patient access to services.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

passed · Maryland · Senate Apr 13, 2026

SB 790: Public Health Reform Act

SB 790, the Public Health Reform Act, requires the Maryland Department of Health to organize the Maryland Medical Reserve Corps - a statewide volunteer network for emergencies like disease outbreaks or disasters. It allows county health directors to hire staff without state approval if positions are fully funded locally and to enter contracts if the state fails to respond within a set timeframe. The bill creates the Public Health Workforce Development Fund (using interest earnings and transfers from another fund) to support workforce training, and mandates health equity impact assessments for new legislation. These changes directly affect county health departments, state health agencies, and public health emergency response systems.

Topics ✓ HealthcareSupports HealthcareCreates Medical Reserve Corps for emergencies, grants county hiring flexibility for local health staff, and establishes Public Health Workforce Development Fund to strengthen public health infrastructure and response capacity.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed both · Maryland · Senate Apr 13, 2026

SB 866: Public Health - Chain Restaurants - Disclosure and Notice to Customers of Sodium and Added Sugars

SB 866 requires chain restaurants with 20 or more locations in Maryland to display warning icons next to menu items exceeding 1,150mg sodium or 25mg added sugars per serving, starting January 1, 2028. The Maryland Department of Health must create these icons and guidelines by January 1, 2027, and run a public education campaign during 2027 to explain compliance. The bill directly affects large chain restaurants by mandating clear labeling of high-sodium and high-sugar menu items. It defines "high sodium" as 1,150mg per serving and "high added sugars" as 25mg per serving for labeling purposes.

Topics ✓ HealthcareSupports HealthcareMandates clear labeling of high-sodium/high-sugar menu items to promote informed dietary choices and prevent diet-related health issues, aligning with public health initiatives.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed both · Maryland · Senate Apr 13, 2026

SB 348: Hospitals and Freestanding Birthing Centers - High-Risk Pregnancies - Communication After Discharge

SB 348 requires hospitals and freestanding birthing centers in Maryland to provide specific postpartum support to individuals who have experienced high-risk pregnancies. It mandates that facilities complete referral forms for local health departments, provide resources about postpartum complications (including cardiovascular conditions, chronic disease, substance misuse, and mental health), and call birthing parents 24 to 72 hours after discharge to assess their status. The bill also requires annual reports from health departments detailing referrals made through this process. These provisions apply to all facilities delivering newborns following high-risk pregnancies and take effect October 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates postpartum support, mental health resources, and follow-up calls for high-risk pregnancies - expands patient access and protection in healthcare services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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