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2026 Regular Session

HB637

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.

Legislative progress

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This summary includes only completed milestones supported by recorded actions. It does not predict the next step, and it preserves later committee reassignments, concurrence, conference, veto, and approval actions when they occur.

Introduced in House January 30, 2026 House passed March 21, 2026 Senate passed April 8, 2026 Governor approved April 14, 2026

Recorded floor votes

4 roll calls are available for this bill. This record includes procedural and intermediate action as well as substantive final votes.

March 20, 2026 · House

Floor Amendment 863029/1 (Delegate Arikan) Rejected

Failed

37 yea–94 nay · 5 not voting · 5 absent

View roll call

March 20, 2026 · House

Floor Amendment 203925/1 (Delegate Miller) Rejected

Failed

37 yea–92 nay · 7 not voting · 5 absent

View roll call

March 21, 2026 · House

Third Reading Passed

Passed ⭐ Substantive final action

98 yea–32 nay · 5 not voting · 6 absent

View roll call

April 8, 2026 · Senate

Third Reading Passed

Passed ⭐ Substantive final action

31 yea–13 nay · 1 not voting · 2 absent

View roll call

Committee referrals

January 30, 2026 · House

Health

Instrument history

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This is the complete recorded action history in the current source package. Highlighted entries are marked as significant by the source. A roll-call link appears only when a vote-like action has one unambiguous same-day chamber vote.

  1. House Approved by the Governor - Chapter 7
  2. House Returned Passed
  3. Senate Third Reading Passed (31-13) View roll call
  4. Senate Second Reading Passed
  5. Senate Favorable Adopted
  6. Senate Favorable Report by Finance
  7. Senate Referred Finance
  8. House Third Reading Passed (98-32) View roll call
  9. House Second Reading Passed with Amendments
  10. House Floor Amendment {203925/1 (Delegate Miller) Rejected (37-92)
  11. House Floor Amendment {863029/1 (Delegate Arikan) Rejected (37-94)
  12. House Motion Special Order until Next Session (Delegate Arikan) Adopted
  13. House Favorable with Amendments {493126/1 Adopted
  14. House Favorable with Amendments Report by Health
  15. House Hearing 2/26 at 1:30 p.m.
  16. House Hearing canceled
  17. House Hearing 2/26 at 1:00 p.m.
  18. House Hearing canceled
  19. House Hearing 2/12 at 1:00 p.m.
  20. House First Reading Health
Source provenance