Maryland 2026 Regular Session

Maryland House Bill HB838

Introduced
2/4/26  
Refer
2/4/26  
Report Pass
3/13/26  
Engrossed
3/18/26  
Refer
3/19/26  
Report Pass
3/30/26  
Enrolled
4/7/26  
Chaptered
4/14/26  

Caption

State Board of Pharmacy - Prescriber-Pharmacist Agreements

Impact

The implications of HB838 are significant for state laws concerning medication management and the treatment of substance use disorders. By enabling pharmacists to engage more directly in therapy management for opioid use disorders, the bill is set to improve access to treatment and potentially enhance patient outcomes. The requirement for pharmacists to consult the Prescription Drug Monitoring Program before initiating or modifying therapy adds a layer of oversight intended to prevent abuse and ensure safe prescribing practices.

Summary

House Bill 838 aims to amend existing statutes regarding prescriber-pharmacist agreements, enhancing the collaborative capability between pharmacists and licensed prescribers in Maryland. The bill permits licensed certified midwives to enter into therapy management contracts, thereby expanding the scope of healthcare providers who can engage in these agreements. Furthermore, it allows pharmacists to enter agreements that authorize them to manage opioid use disorders through controlled dangerous substances drug therapy, reflecting a proactive approach to combating the opioid crisis.

Sentiment

The sentiment surrounding HB838 appears largely supportive among healthcare professionals who advocate for expanded roles in medication management. Stakeholders, including pharmacists and midwives, have expressed optimism about the increased collaborative healthcare environment this bill fosters. However, there may be some concern from regulatory bodies regarding the implications of extending prescriptive authority to pharmacists, particularly related to opioid therapies, which could lead to wider discussions about drug policy and healthcare regulation.

Contention

While the bill promotes cooperative healthcare, notable points of contention could arise concerning the regulation of controlled substances and ensuring proper patient oversight. Observers might debate the effectiveness of training programs for pharmacists involved in opioid therapies and the potential risks associated with expanding their prescribing capabilities. Balancing increased access to treatment while maintaining strict control measures represents a key challenge as the bill moves toward implementation.

Companion Bills

MD SB562

Crossfiled State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders

Previously Filed As

MD HB1135

Health Occupations - Pharmacists - Vaccination Orders

MD HB867

State Board of Physicians - Naturopathic Doctors - Prescriptive Authority and Administration of Medication

MD SB371

State Board of Pharmacy - Renewal Notices - Electronic Means

MD HB565

State Board of Pharmacy - Renewal Notices - Electronic Means

MD HB1150

Health Occupations - Pharmacists - Minor Conditions and HIV Prevention and Treatment (Rapid Testing and Preventive Care Act)

MD HB1426

Clinical Research Pharmacies and Clinical Trials - Permits, Ownership, and Definition of Practice of Medicine

MD SB306

Workers' Compensation - Prescription Drug and Pharmaceutical Services - Reimbursements

MD HB321

Pharmacy Benefits Managers – Definition of Purchaser and Alteration of Application of Law

MD SB303

Pharmacy Benefits Managers - Definition of Purchaser and Alteration of Application of Law

MD HB572

Public Health - Opioid Overdose Reversal Drugs

Similar Bills

MD SB562

State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders

OH HB629

Enact the Pharmacist Prescribing Authority Act

IA SF117

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.(See SF 313.)

IA HF2205

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.

IA SF313

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.(Formerly SF 117.)

CA AB1587

Prescription drug refills: prescriber notifications.

MN SF4486

Pharmacists authorization to initiate, prescribe, administer, and dispense certain drugs for the treatment of opioid use disorder

MN HF4493

Pharmacists authorized to initiate, prescribe, administer, and dispense drugs for the treatment of opioid use disorder; and grounds for disciplinary action for pharmacists and pharmacist interns modified.