DISSINTER

HB 637 — Maryland

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

Requiring the Secretary of Health to issue recommendations for certain immunizations, screenings, and preventive services based on certain evidence-based scientific and clinical guidance; requiring the Secretary, before adopting a recommendation for a certain preventive service, to hold a notice and comment period, obtain a certain analysis from the Maryland Health Care Commission, and cite the basis for the recommendation; altering the health insurance coverage requirements for certain immunizations, screenings, and services; etc.

Latest action: Approved by the Governor - Chapter 7 · Apr 14, 2026

EnactedChildren (4-12)Electronic GovernmentHealthHealth - InsuranceHealth Care CommissionHealth Care Facilities and RegulationHealth InsuranceHealth OccupationsHealth, Department ofImmunizationInfants and Toddlers (0-3)InternetPharmacists and PharmaciesPublic InformationRules and RegulationsStandards and Best PracticesStudiesTime

Synopsis written by the legislature's own staff, as published on the official bill page. Status label is derived from the recorded actions. The full text below is the record.

Committees: Health (House of Delegates); Finance (Senate)

Updated Apr 22, 2026

Timeline

  1. First Reading Health

    Jan 30, 2026 · House of Delegates

  2. Hearing 2/12 at 1:00 p.m.

    Feb 4, 2026 · House of Delegates

  3. Hearing canceled

    Feb 5, 2026 · House of Delegates

  4. Hearing 2/26 at 1:00 p.m.

    Feb 5, 2026 · House of Delegates

  5. Hearing canceled

    Feb 26, 2026 · House of Delegates

  6. Hearing 2/26 at 1:30 p.m.

    Feb 26, 2026 · House of Delegates

  7. Favorable with Amendments Report by Health

    Mar 20, 2026 · House of Delegates

  8. Favorable with Amendments {

    Mar 20, 2026 · House of Delegates

  9. Motion Special Order until Next Session (Delegate Arikan) Adopted

    Mar 20, 2026 · House of Delegates

  10. Floor Amendment {

    Mar 20, 2026 · House of Delegates

  11. Floor Amendment {

    Mar 20, 2026 · House of Delegates

  12. Second Reading Passed with Amendments

    Mar 20, 2026 · House of Delegates

  13. Third Reading Passed

    Mar 21, 2026 · House of Delegates

  14. Referred Finance

    Mar 23, 2026 · Senate

  15. Favorable Report by Finance

    Apr 6, 2026 · Senate

  16. Favorable Adopted

    Apr 7, 2026 · Senate

  17. Second Reading Passed

    Apr 7, 2026 · Senate

  18. Third Reading Passed

    Apr 8, 2026 · Senate

  19. Returned Passed

    Apr 9, 2026 · House of Delegates

  20. Approved by the Governor - Chapter 7

    Apr 14, 2026 · executive

Sponsored by Gabriel Acevero, Nick Allen, Marlon Amprey, Dylan Behler, Harry Bhandari, Adrian Boafo, Regina Boyce, Derrick Coley, Eric Ebersole, Mark Edelson, Diana Fennell, Linda Foley, Cathi Forbes, Michele Guyton, Andrea Harrison, Terri Hill, Marvin Holmes, Julian Ivey, Dana Jones, Aaron Kaufman, Robbyn Lewis, Bernice Mireku-North, David Moon, Gabriel Moreno, Darrell Odom, Julie Palakovich Carr, Cheryl Pasteur, Edith Patterson, Scott Phillips, Andrew Pruski, Lily Qi, Denise Roberts, Mike Rogers, Kim Ross, Malcolm Ruff, Gary Simmons, Jared Solomon, Ryan Spiegel, Vaughn Stewart, Deni Taveras, Veronica Turner, Joe Vogel, Courtney Watson, Jennifer White Holland, Greg Wims, Jamila Woods, Chao Wu, Natalie Ziegler, Heather Bagnall Tudball, Bonnie Cullison, Pam Guzzone, Lesley Lopez, Sandy Rosenberg, Teresa Woorman, Speaker, Administration, Martinez

House of Delegates vote — 37–92

FLA Del. Miller /203925/1 · Mar 8, 2026 · result: fail

37 yea · 92 nay · 12 absent, excused, abstain or not voting

Chris AdamsDistrict 37BYeaBarrie CilibertiDistrict 4YeaSeth HowardDistrict 30BYeaApril MillerDistrict 4YeaApril RoseDistrict 5YeaKevin AndersonDistrict 38AYeaMark FisherDistrict 27CYeaTom HutchinsonDistrict 37BYeaMatt MorganDistrict 29AYeaStuart SchmidtDistrict 33BYeaSteve ArentzDistrict 36YeaJeff GhristDistrict 36YeaJay JacobsDistrict 36YeaTodd MorganDistrict 29CYeaJosh StonkoDistrict 42CYeaLauren ArikanDistrict 7BYeaRobin GrammerDistrict 6YeaNic KipkeDistrict 31YeaRyan NawrockiDistrict 7AYeaKathy SzeligaDistrict 7AYeaTerry BakerDistrict 1CYeaMike GriffithDistrict 35AYeaBob LongDistrict 6YeaLaToya NkongoloDistrict 31YeaWilliam ValentineDistrict 2AYeaBarry BeauchampDistrict 38BYeaWayne HartmanDistrict 38CYeaJesse PippyDistrict 4YeaWilliam WivellDistrict 2AYeaJason BuckelDistrict 1BYeaJim HinebaughDistrict 1AYeaSusan McComasDistrict 34BYeaTeresa ReillyDistrict 35AYeaChao WuDistrict 9AYeaBrian ChisholmDistrict 31YeaKevin HornbergerDistrict 35BYeaBonnie CullisonDistrict 19NayDana JonesDistrict 30ANayAndrew PruskiDistrict 33ANayVaughn StewartDistrict 19NayGabriel AceveroDistrict 39NayDebra DavisDistrict 28NayAnne KaiserDistrict 14NayLily QiDistrict 15NaySean StinnettDistrict 41NayJackie AddisonDistrict 45NayEric EbersoleDistrict 44ANayAaron KaufmanDistrict 18NayPam QueenDistrict 14NayDeni TaverasDistrict 47BNayNick AllenDistrict 8NayMark EdelsonDistrict 46NayKen KerrDistrict 3NayKent RobersonDistrict 25NayKym TaylorDistrict 23NayTiffany AlstonDistrict 24NayElizabeth EmbryDistrict 43ANayMarc KormanDistrict 16NayDenise RobertsDistrict 25NayJen TerrasaDistrict 13NayMarlon AmpreyDistrict 40NayKris FairDistrict 3NayMary LehmanDistrict 21NayMike RogersDistrict 32NayKaren TolesDistrict 25NayHeather Bagnall TudballDistrict 33CNayJessica FeldmarkDistrict 12ANayRobbyn LewisDistrict 46NaySandy RosenbergDistrict 41NayVeronica TurnerDistrict 26NaySandy BartlettDistrict 32NayDiana FennellDistrict 47ANayJeff LongDistrict 27BNayKim RossDistrict 8NayKris ValderramaDistrict 26NayDylan BehlerDistrict 30ANayLinda FoleyDistrict 15NayLesley LopezDistrict 39NayMalcolm RuffDistrict 41NayJoe VogelDistrict 17NayHarry BhandariDistrict 8NayCathi ForbesDistrict 43BNaySheila RuthDistrict 44BNayRon WatsonDistrict 23NayAdrian BoafoDistrict 23NayDavid Fraser-HidalgoDistrict 15NayAletheia McCaskillDistrict 44BNayMatthew SchindlerDistrict 2BNayMelissa WellsDistrict 40NayRegina BoyceDistrict 43ANayMichele GuytonDistrict 42BNayBernice Mireku-NorthDistrict 14NayEmily ShettyDistrict 18NayJennifer White HollandDistrict 10NayJon CardinDistrict 11BNayGuy GuzzoneDistrict 13NayDavid MoonDistrict 20NayGary SimmonsDistrict 12BNayJheanelle WilkinsDistrict 20NayMark ChangDistrict 32NayAndrea HarrisonDistrict 24NayGabriel MorenoDistrict 13NayKaren SimpsonDistrict 3NayNicole WilliamsDistrict 22NayLorig CharkoudianDistrict 20NayAnne HealeyDistrict 22NayDarrell OdomDistrict 27ANayWill SmithDistrict 20NayGreg WimsDistrict 39NayLuke ClippingerDistrict 46NayTerri HillDistrict 12ANayJulie Palakovich CarrDistrict 17NayJared SolomonDistrict 18NayJamila WoodsDistrict 26NayDerrick ColeyDistrict 24NayMarvin HolmesDistrict 23NayEdith PattersonDistrict 28NayRyan SpiegelDistrict 17NayTeresa WoormanDistrict 16NayFrank ConawayDistrict 40NayJulian IveyDistrict 47ANayScott PhillipsDistrict 10NayDana SteinDistrict 11BNayNatalie ZieglerDistrict 9ANayCharlotte CrutchfieldDistrict 19NayAndre JohnsonDistrict 34ANayBen BarnesDistrict 21Not votingSteve JohnsonDistrict 34ANot votingChris TomlinsonDistrict 5Not votingC.T. WilsonDistrict 28Not votingCaylin YoungDistrict 45Not votingChristopher BouchatDistrict 5Not votingSheree Sample-HughesDistrict 37ANot votingBrian CrosbyDistrict 29BAbsentAdrienne JonesDistrict 10AbsentRic MetzgarDistrict 6AbsentCheryl PasteurDistrict 11AAbsentSarah WolekDistrict 16Absent
Mangioneas recorded — not linked to a profileYea
Speakeras recorded — not linked to a profileNay
Martinezas recorded — not linked to a profileNay
Official record — Maryland General Assembly roll call

House of Delegates vote — 37–94

FLA Del. Arikan /863029/1 · Mar 8, 2026 · result: fail

37 yea · 94 nay · 10 absent, excused, abstain or not voting

Chris AdamsDistrict 37BYeaBarrie CilibertiDistrict 4YeaSeth HowardDistrict 30BYeaApril MillerDistrict 4YeaApril RoseDistrict 5YeaKevin AndersonDistrict 38AYeaMark FisherDistrict 27CYeaTom HutchinsonDistrict 37BYeaMatt MorganDistrict 29AYeaStuart SchmidtDistrict 33BYeaSteve ArentzDistrict 36YeaJeff GhristDistrict 36YeaJay JacobsDistrict 36YeaTodd MorganDistrict 29CYeaJosh StonkoDistrict 42CYeaLauren ArikanDistrict 7BYeaRobin GrammerDistrict 6YeaNic KipkeDistrict 31YeaRyan NawrockiDistrict 7AYeaKathy SzeligaDistrict 7AYeaTerry BakerDistrict 1CYeaMike GriffithDistrict 35AYeaBob LongDistrict 6YeaLaToya NkongoloDistrict 31YeaChris TomlinsonDistrict 5YeaBarry BeauchampDistrict 38BYeaWayne HartmanDistrict 38CYeaJesse PippyDistrict 4YeaWilliam ValentineDistrict 2AYeaJason BuckelDistrict 1BYeaJim HinebaughDistrict 1AYeaSusan McComasDistrict 34BYeaTeresa ReillyDistrict 35AYeaWilliam WivellDistrict 2AYeaBrian ChisholmDistrict 31YeaKevin HornbergerDistrict 35BYeaBonnie CullisonDistrict 19NayDana JonesDistrict 30ANayLily QiDistrict 15NaySean StinnettDistrict 41NayGabriel AceveroDistrict 39NayDebra DavisDistrict 28NayAnne KaiserDistrict 14NayPam QueenDistrict 14NayDeni TaverasDistrict 47BNayJackie AddisonDistrict 45NayEric EbersoleDistrict 44ANayAaron KaufmanDistrict 18NayKent RobersonDistrict 25NayKym TaylorDistrict 23NayNick AllenDistrict 8NayMark EdelsonDistrict 46NayKen KerrDistrict 3NayDenise RobertsDistrict 25NayJen TerrasaDistrict 13NayTiffany AlstonDistrict 24NayElizabeth EmbryDistrict 43ANayMarc KormanDistrict 16NayMike RogersDistrict 32NayKaren TolesDistrict 25NayMarlon AmpreyDistrict 40NayKris FairDistrict 3NayMary LehmanDistrict 21NaySandy RosenbergDistrict 41NayVeronica TurnerDistrict 26NayHeather Bagnall TudballDistrict 33CNayJessica FeldmarkDistrict 12ANayRobbyn LewisDistrict 46NayKim RossDistrict 8NayKris ValderramaDistrict 26NaySandy BartlettDistrict 32NayDiana FennellDistrict 47ANayJeff LongDistrict 27BNayMalcolm RuffDistrict 41NayJoe VogelDistrict 17NayDylan BehlerDistrict 30ANayLinda FoleyDistrict 15NayLesley LopezDistrict 39NaySheila RuthDistrict 44BNayRon WatsonDistrict 23NayHarry BhandariDistrict 8NayCathi ForbesDistrict 43BNaySheree Sample-HughesDistrict 37ANayMelissa WellsDistrict 40NayAdrian BoafoDistrict 23NayDavid Fraser-HidalgoDistrict 15NayAletheia McCaskillDistrict 44BNayMatthew SchindlerDistrict 2BNayJennifer White HollandDistrict 10NayRegina BoyceDistrict 43ANayMichele GuytonDistrict 42BNayBernice Mireku-NorthDistrict 14NayEmily ShettyDistrict 18NayJheanelle WilkinsDistrict 20NayJon CardinDistrict 11BNayGuy GuzzoneDistrict 13NayDavid MoonDistrict 20NayGary SimmonsDistrict 12BNayNicole WilliamsDistrict 22NayMark ChangDistrict 32NayAndrea HarrisonDistrict 24NayGabriel MorenoDistrict 13NayKaren SimpsonDistrict 3NayGreg WimsDistrict 39NayLorig CharkoudianDistrict 20NayAnne HealeyDistrict 22NayDarrell OdomDistrict 27ANayWill SmithDistrict 20NayJamila WoodsDistrict 26NayLuke ClippingerDistrict 46NayTerri HillDistrict 12ANayJulie Palakovich CarrDistrict 17NayJared SolomonDistrict 18NayTeresa WoormanDistrict 16NayDerrick ColeyDistrict 24NayMarvin HolmesDistrict 23NayEdith PattersonDistrict 28NayRyan SpiegelDistrict 17NayChao WuDistrict 9ANayFrank ConawayDistrict 40NayJulian IveyDistrict 47ANayScott PhillipsDistrict 10NayDana SteinDistrict 11BNayNatalie ZieglerDistrict 9ANayCharlotte CrutchfieldDistrict 19NayAndre JohnsonDistrict 34ANayAndrew PruskiDistrict 33ANayVaughn StewartDistrict 19NayBen BarnesDistrict 21Not votingChristopher BouchatDistrict 5Not votingSteve JohnsonDistrict 34ANot votingC.T. WilsonDistrict 28Not votingCaylin YoungDistrict 45Not votingBrian CrosbyDistrict 29BAbsentAdrienne JonesDistrict 10AbsentRic MetzgarDistrict 6AbsentCheryl PasteurDistrict 11AAbsentSarah WolekDistrict 16Absent
Mangioneas recorded — not linked to a profileYea
Speakeras recorded — not linked to a profileNay
Martinezas recorded — not linked to a profileNay
Official record — Maryland General Assembly roll call

House of Delegates vote — 98–32

On Third Reading · Mar 9, 2026 · result: pass

98 yea · 32 nay · 11 absent, excused, abstain or not voting

Debra DavisDistrict 28YeaAaron KaufmanDistrict 18YeaDenise RobertsDistrict 25YeaDeni TaverasDistrict 47BYeaGabriel AceveroDistrict 39YeaEric EbersoleDistrict 44AYeaKen KerrDistrict 3YeaMike RogersDistrict 32YeaKym TaylorDistrict 23YeaNick AllenDistrict 8YeaMark EdelsonDistrict 46YeaMarc KormanDistrict 16YeaSandy RosenbergDistrict 41YeaJen TerrasaDistrict 13YeaTiffany AlstonDistrict 24YeaElizabeth EmbryDistrict 43AYeaMary LehmanDistrict 21YeaKim RossDistrict 8YeaKaren TolesDistrict 25YeaMarlon AmpreyDistrict 40YeaJessica FeldmarkDistrict 12AYeaRobbyn LewisDistrict 46YeaMalcolm RuffDistrict 41YeaVeronica TurnerDistrict 26YeaHeather Bagnall TudballDistrict 33CYeaDiana FennellDistrict 47AYeaLesley LopezDistrict 39YeaSheila RuthDistrict 44BYeaKris ValderramaDistrict 26YeaBen BarnesDistrict 21YeaLinda FoleyDistrict 15YeaSheree Sample-HughesDistrict 37AYeaJoe VogelDistrict 17YeaSandy BartlettDistrict 32YeaCathi ForbesDistrict 43BYeaAletheia McCaskillDistrict 44BYeaMatthew SchindlerDistrict 2BYeaRon WatsonDistrict 23YeaDylan BehlerDistrict 30AYeaDavid Fraser-HidalgoDistrict 15YeaBernice Mireku-NorthDistrict 14YeaStuart SchmidtDistrict 33BYeaMelissa WellsDistrict 40YeaHarry BhandariDistrict 8YeaMichele GuytonDistrict 42BYeaDavid MoonDistrict 20YeaEmily ShettyDistrict 18YeaJennifer White HollandDistrict 10YeaRegina BoyceDistrict 43AYeaGuy GuzzoneDistrict 13YeaGabriel MorenoDistrict 13YeaGary SimmonsDistrict 12BYeaJheanelle WilkinsDistrict 20YeaJason BuckelDistrict 1BYeaAndrea HarrisonDistrict 24YeaDarrell OdomDistrict 27AYeaKaren SimpsonDistrict 3YeaNicole WilliamsDistrict 22YeaJon CardinDistrict 11BYeaAnne HealeyDistrict 22YeaJulie Palakovich CarrDistrict 17YeaWill SmithDistrict 20YeaGreg WimsDistrict 39YeaMark ChangDistrict 32YeaTerri HillDistrict 12AYeaCheryl PasteurDistrict 11AYeaJared SolomonDistrict 18YeaSarah WolekDistrict 16YeaLorig CharkoudianDistrict 20YeaMarvin HolmesDistrict 23YeaEdith PattersonDistrict 28YeaRyan SpiegelDistrict 17YeaJamila WoodsDistrict 26YeaLuke ClippingerDistrict 46YeaKevin HornbergerDistrict 35BYeaScott PhillipsDistrict 10YeaDana SteinDistrict 11BYeaTeresa WoormanDistrict 16YeaDerrick ColeyDistrict 24YeaJulian IveyDistrict 47AYeaAndrew PruskiDistrict 33AYeaVaughn StewartDistrict 19YeaChao WuDistrict 9AYeaFrank ConawayDistrict 40YeaAndre JohnsonDistrict 34AYeaLily QiDistrict 15YeaSean StinnettDistrict 41YeaCaylin YoungDistrict 45YeaCharlotte CrutchfieldDistrict 19YeaDana JonesDistrict 30AYeaPam QueenDistrict 14YeaJosh StonkoDistrict 42CYeaNatalie ZieglerDistrict 9AYeaBonnie CullisonDistrict 19YeaAnne KaiserDistrict 14YeaKent RobersonDistrict 25YeaChris AdamsDistrict 37BNayMark FisherDistrict 27CNayJay JacobsDistrict 36NayApril MillerDistrict 4NayTeresa ReillyDistrict 35ANayKevin AndersonDistrict 38ANayJeff GhristDistrict 36NayNic KipkeDistrict 31NayMatt MorganDistrict 29ANayApril RoseDistrict 5NaySteve ArentzDistrict 36NayRobin GrammerDistrict 6NayBob LongDistrict 6NayTodd MorganDistrict 29CNayKathy SzeligaDistrict 7ANayLauren ArikanDistrict 7BNayMike GriffithDistrict 35ANayRyan NawrockiDistrict 7ANayChris TomlinsonDistrict 5NayBarry BeauchampDistrict 38BNayWayne HartmanDistrict 38CNaySusan McComasDistrict 34BNayLaToya NkongoloDistrict 31NayWilliam ValentineDistrict 2ANayBrian ChisholmDistrict 31NaySeth HowardDistrict 30BNayRic MetzgarDistrict 6NayJesse PippyDistrict 4NayWilliam WivellDistrict 2ANayBarrie CilibertiDistrict 4NayTom HutchinsonDistrict 37BNayJackie AddisonDistrict 45Not votingAdrian BoafoDistrict 23Not votingChristopher BouchatDistrict 5Not votingSteve JohnsonDistrict 34ANot votingC.T. WilsonDistrict 28Not votingTerry BakerDistrict 1CAbsentKris FairDistrict 3AbsentJim HinebaughDistrict 1AAbsentAdrienne JonesDistrict 10AbsentJeff LongDistrict 27BAbsentBrian CrosbyDistrict 29BAbsent
Speakeras recorded — not linked to a profileYea
Martinezas recorded — not linked to a profileYea
Mangioneas recorded — not linked to a profileNay
Official record — Maryland General Assembly roll call

Senate vote — 31–13

On Third Reading · Mar 20, 2026 · result: pass

31 yea · 13 nay · 3 absent, excused, abstain or not voting

Dawn GileDistrict 33YeaShelly HettlemanDistrict 11YeaClarence LamDistrict 12YeaCharles SydnorDistrict 44YeaMalcolm AugustineDistrict 47YeaGuy GuzzoneDistrict 13YeaCarl JacksonDistrict 8YeaKaren YoungDistrict 3YeaJeff WaldstreicherDistrict 18YeaPam BeidleDistrict 32YeaKevin HarrisDistrict 27YeaMary-Dulany JamesDistrict 34YeaSara LoveDistrict 16YeaAlonzo WashingtonDistrict 22YeaJoanne BensonDistrict 24YeaAntonio HayesDistrict 40YeaCheryl KaganDistrict 17YeaAnthony MuseDistrict 26YeaMary WashingtonDistrict 43YeaBen BrooksDistrict 10YeaShaneka HensonDistrict 30YeaNancy KingDistrict 39YeaJim RosapepeDistrict 21YeaRon WatsonDistrict 23YeaNick CharlesDistrict 25YeaKatie HesterDistrict 9YeaBen KramerDistrict 19YeaWill SmithDistrict 20YeaCraig ZuckerDistrict 14YeaBrian FeldmanDistrict 15YeaJack BaileyDistrict 29NayBill FoldenDistrict 4NayJ.B. JenningsDistrict 7NayJustin ReadyDistrict 5NayBryan SimonaireDistrict 31NayMary Beth CarozzaDistrict 38NayJason GallionDistrict 35NayJohnny MautzDistrict 37NayJohnny SallingDistrict 6NayChris WestDistrict 42NayPaul CordermanDistrict 2NaySteve HersheyDistrict 36NayMike McKayDistrict 1NayArthur EllisDistrict 28Not votingDalya AttarDistrict 41AbsentCory McCrayDistrict 45Absent
Mr. Presidentas recorded — not linked to a profileYea
Official record — Maryland General Assembly roll call
Fiscal and Policy Note — official analysis by legislative staff (PDF) Bill text (First reading) — Maryland General Assembly (PDF) Bill text (Third reading) — Maryland General Assembly (PDF) Official record — Maryland General Assembly bill page

Official records. Maryland legislators, bills and roll-call votes from the Maryland General Assembly, imported through Open States on Oct 27, 2026 (partial import — not yet the full session). Accuracy review against the official site is still under way. Campaign-finance records for Maryland are not imported yet.