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Inside MedSpa
The Daily Intelligence Brief · Medical Aesthetics
Compliance · Updated continuously

Medical-Spa Regulation, State by State

The rules that decide whether you're operating legally — who can inject, whether you need a medical director, the good-faith-exam requirement, and the Corporate-Practice-of-Medicine posture — for all 50 states and DC. Free, fast, and in plain English. Tap any state for the full breakdown.

Orientation, not legal advice. Aesthetic regulation changes constantly and is interpreted by each state's medical and nursing boards. Use this to know what to ask — then confirm specifics with your state boards or healthcare counsel before you act.
51 states

Alabama

Who can inject
MD/DO, NP, PA, RN under physician supervision
Medical director
Required; supervising physician must oversee injections and treatments
Good-faith exam
Required; in-person exam by physician before treatment
Corporate Practice of Medicine
Strict; physician ownership or MSO model required

Full Alabama breakdown →

Alaska

Who can inject
MD/DO, NP, PA, RN under physician supervision
Medical director
Required; physician must supervise all injections and aesthetic treatments
Good-faith exam
Required; in-person exam by physician before treatment
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision

Full Alaska breakdown →

Arizona

Who can inject
MD/DO, NP, PA, RN under physician supervision or NP/PA with prescriptive authority
Medical director
Required; physician must supervise or be available for consultation
Good-faith exam
Required; in-person or telehealth exam by physician or qualified provider before treatment
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision

Full Arizona breakdown →

Arkansas

Who can inject
MD/DO, NP, PA, RN under physician supervision
Medical director
Required; physician must supervise all injections and aesthetic procedures
Good-faith exam
Required; in-person exam by physician before treatment
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision

Full Arkansas breakdown →

California

Who can inject
MD/DO, NP, PA, RN under physician supervision; scope varies by provider type
Medical director
Required; physician must supervise all injections and oversee facility protocols
Good-faith exam
Required; in-person exam by physician before treatment (telehealth may be limited)
Corporate Practice of Medicine
Strict; physician ownership or MSO model required; corporate practice of medicine doctrine applies

Full California breakdown →

Colorado

Who can inject
RN, LPN, NP, PA, and MD/DO under physician supervision; scope varies by credential.
Medical director
Required; physician must oversee facility and treatment protocols.
Good-faith exam
Required; in-person exam by supervising physician before first treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with proper physician oversight.

Full Colorado breakdown →

Connecticut

Who can inject
MD/DO and RN under physician supervision; NP/PA scope varies by board interpretation.
Medical director
Required; physician must be on-site or readily available for supervision.
Good-faith exam
Required; in-person exam by supervising physician before treatment initiation.
Corporate Practice of Medicine
Strict; physician ownership or MSO model generally required.

Full Connecticut breakdown →

Delaware

Who can inject
MD/DO, RN, LPN, NP, PA under physician supervision; scope defined by written protocols.
Medical director
Required; physician must oversee facility operations and treatment protocols.
Good-faith exam
Required; in-person exam by supervising physician before initial treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Delaware breakdown →

District of Columbia

Who can inject
MD/DO, RN, NP, PA under physician supervision; LPN scope limited or restricted.
Medical director
Required; physician must supervise and be available for consultation.
Good-faith exam
Required; in-person exam by supervising physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full District of Columbia breakdown →

Florida

Who can inject
MD/DO, RN, LPN, NP, PA under physician supervision; scope defined by written standing orders.
Medical director
Required; physician must establish protocols and be available for consultation.
Good-faith exam
Required; in-person exam by supervising physician before initial treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Florida breakdown →

Georgia

Who can inject
RN, LPN, NP, PA, and MD/DO under physician supervision; RN/LPN require standing orders or protocols.
Medical director
Required; physician must oversee injections and maintain medical records.
Good-faith exam
Required; in-person exam by supervising physician before first treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted if physician supervises.

Full Georgia breakdown →

Hawaii

Who can inject
MD/DO and NP/PA under physician supervision; RN/LPN may assist but cannot independently inject neurotoxins/fillers.
Medical director
Required; physician must be present or immediately available for all injection procedures.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Strict; physician ownership or MSO model with physician control required.

Full Hawaii breakdown →

Idaho

Who can inject
MD/DO, NP, PA, and RN under physician supervision and protocol; varies by board interpretation.
Medical director
Required; physician must oversee and be available for consultation.
Good-faith exam
Required; in-person exam by physician or qualified provider before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician supervision.

Full Idaho breakdown →

Illinois

Who can inject
MD/DO, NP, PA, and RN under physician supervision and written protocols; RN scope defined by Illinois Board of Nursing.
Medical director
Required; physician must supervise and maintain medical records.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician supervision.

Full Illinois breakdown →

Indiana

Who can inject
MD/DO, NP, PA, and RN under physician supervision and written protocols; RN scope subject to board interpretation.
Medical director
Required; physician must supervise and maintain medical records.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician supervision.

Full Indiana breakdown →

Iowa

Who can inject
MD, DO, NP, PA, and RN under physician supervision; varies by procedure and setting.
Medical director
Required; supervising physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment initiation.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full Iowa breakdown →

Kansas

Who can inject
MD, DO, NP, PA, and RN under physician supervision; scope varies by credential and setting.
Medical director
Required; supervising physician must oversee treatment protocols and be available for consultation.
Good-faith exam
Required; in-person physician exam before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Kansas breakdown →

Kentucky

Who can inject
MD, DO, NP, PA, and RN under physician supervision; RN scope may be limited depending on board interpretation.
Medical director
Required; supervising physician must oversee protocols and be available for consultation.
Good-faith exam
Required; in-person physician exam before treatment initiation.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Kentucky breakdown →

Louisiana

Who can inject
MD, DO, NP, PA, and RN under physician supervision; RN scope limited to certain procedures under direct supervision.
Medical director
Required; supervising physician must be on-site or immediately available for injectable procedures.
Good-faith exam
Required; in-person physician exam before treatment.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required; non-physician ownership generally not permitted.

Full Louisiana breakdown →

Maine

Who can inject
MD, DO, NP, PA, and RN under physician supervision; scope varies by credential and procedure.
Medical director
Required; supervising physician must oversee protocols and be available for consultation.
Good-faith exam
Required; in-person physician exam before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Maine breakdown →

Maryland

Who can inject
RN, LPN, NP, PA, and MD under physician supervision; RN/LPN require standing orders.
Medical director
Required; supervising physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment initiation.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full Maryland breakdown →

Massachusetts

Who can inject
RN, LPN, NP, PA, and MD; RN/LPN require physician supervision and delegation.
Medical director
Required; physician must supervise and be available during treatment hours.
Good-faith exam
Required; in-person physician exam before treatment; telehealth permitted only for follow-up.
Corporate Practice of Medicine
Strict; physician ownership or control required; non-physician ownership limited.

Full Massachusetts breakdown →

Michigan

Who can inject
MD, DO, NP, PA, and RN under physician delegation; RN requires standing orders and physician oversight.
Medical director
Required; physician must be available for consultation and oversight of all injectable procedures.
Good-faith exam
Required; in-person physician exam before treatment; telehealth not permitted for initial authorization.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted if physician is medical director; MSO model allowed.

Full Michigan breakdown →

Minnesota

Who can inject
MD, DO, NP, PA, and RN under physician supervision; RN requires standing orders or direct delegation.
Medical director
Required; physician must supervise and be available for consultation during treatment.
Good-faith exam
Required; in-person physician exam before treatment; telehealth permitted for follow-up only.
Corporate Practice of Medicine
Lenient; non-physician ownership allowed if physician is medical director; MSO model permitted.

Full Minnesota breakdown →

Mississippi

Who can inject
MD, DO, NP, PA, and RN under physician supervision; RN requires standing orders or delegation.
Medical director
Required; physician must oversee all injectable treatments and be available for consultation.
Good-faith exam
Required; in-person physician exam before treatment; telehealth not permitted for initial authorization.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted if physician is medical director; MSO model allowed.

Full Mississippi breakdown →

Missouri

Who can inject
RN, LPN, NP, PA, and MD under physician supervision; scope varies by license type.
Medical director
Required; physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment initiation.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with proper physician oversight.

Full Missouri breakdown →

Montana

Who can inject
RN and LPN under physician supervision; NP and PA scope varies by delegation agreement.
Medical director
Required; physician must supervise and be available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Montana breakdown →

Nebraska

Who can inject
RN and LPN under physician supervision; NP and PA scope defined by delegation.
Medical director
Required; physician must supervise and be available.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Nebraska breakdown →

Nevada

Who can inject
RN, LPN, NP, and PA under physician supervision; MD performs or delegates injectables.
Medical director
Required; physician must supervise and be available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full Nevada breakdown →

New Hampshire

Who can inject
RN and LPN under physician supervision; NP and PA scope varies by board interpretation.
Medical director
Required; physician must supervise and be available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician oversight.

Full New Hampshire breakdown →

New Jersey

Who can inject
RN, LPN, NP, PA, and MD/DO under physician supervision; NP and PA may inject independently if properly credentialed.
Medical director
Required; supervising physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam by physician before first treatment, telehealth allowed for follow-ups.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full New Jersey breakdown →

New Mexico

Who can inject
RN, LPN, NP, PA, and MD/DO; RNs and LPNs require physician delegation and supervision.
Medical director
Required; physician must supervise and be available.
Good-faith exam
Required; in-person physician exam before treatment initiation.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision.

Full New Mexico breakdown →

New York

Who can inject
MD/DO and PA under physician supervision; RN/LPN may assist but cannot independently inject neurotoxins or fillers.
Medical director
Required; physician must supervise all injectable procedures.
Good-faith exam
Required; in-person physician exam before treatment.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full New York breakdown →

North Carolina

Who can inject
RN, LPN, NP, PA, and MD/DO under physician supervision; RNs and LPNs require standing orders or protocols.
Medical director
Required; physician must establish protocols and supervise.
Good-faith exam
Required; in-person physician exam before first treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision.

Full North Carolina breakdown →

North Dakota

Who can inject
RN, LPN, NP, PA, and MD/DO under physician supervision; scope varies by board interpretation.
Medical director
Required; physician must supervise and establish protocols.
Good-faith exam
Required; in-person physician exam before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision.

Full North Dakota breakdown →

Ohio

Who can inject
RN, LPN, NP, PA under physician supervision; MD/DO may inject independently.
Medical director
Required; supervising physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment initiation.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full Ohio breakdown →

Oklahoma

Who can inject
RN, LPN, NP, PA under physician supervision; MD/DO may inject independently.
Medical director
Required; physician must supervise and be available.
Good-faith exam
Required; in-person or telehealth exam by physician before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician supervision.

Full Oklahoma breakdown →

Oregon

Who can inject
RN, LPN, NP, PA under physician or NP supervision; MD/DO/NP may inject independently.
Medical director
Required; supervising physician or NP must oversee aesthetic procedures.
Good-faith exam
Required; in-person exam by physician or NP before treatment.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted under physician/NP supervision.

Full Oregon breakdown →

Pennsylvania

Who can inject
RN, LPN, NP, PA under physician supervision; MD/DO may inject independently.
Medical director
Required; physician must supervise and be available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full Pennsylvania breakdown →

Rhode Island

Who can inject
RN, LPN, NP, PA under physician supervision; MD/DO may inject independently.
Medical director
Required; physician must supervise and be available.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Unclear; varies by board interpretation—verify with counsel.

Full Rhode Island breakdown →

South Carolina

Who can inject
MD/DO, NP, PA, RN under physician supervision; varies by procedure and board interpretation.
Medical director
Required; supervising physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam by physician before treatment initiation.
Corporate Practice of Medicine
Strict; physician ownership or MSO model required.

Full South Carolina breakdown →

South Dakota

Who can inject
MD/DO, NP, PA, RN under physician supervision; scope varies by board interpretation.
Medical director
Required; supervising physician must oversee delegated procedures.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; lay ownership permitted with physician supervision.

Full South Dakota breakdown →

Tennessee

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope varies by board interpretation.
Medical director
Required; supervising physician must oversee all delegated procedures.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; lay ownership permitted with physician supervision.

Full Tennessee breakdown →

Texas

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope defined by Medical Board.
Medical director
Required; supervising physician must oversee delegated procedures.
Good-faith exam
Required; in-person exam by physician before treatment; telehealth allowed for follow-ups.
Corporate Practice of Medicine
Lenient; lay ownership permitted with physician supervision.

Full Texas breakdown →

Utah

Who can inject
MD/DO, NP, PA, RN under physician supervision; scope defined by Division of Occupational and Professional Licensing.
Medical director
Required; supervising physician must oversee delegated procedures.
Good-faith exam
Required; in-person exam by physician before treatment.
Corporate Practice of Medicine
Lenient; lay ownership permitted with physician supervision.

Full Utah breakdown →

Vermont

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope varies by board interpretation.
Medical director
Required; must be licensed physician with oversight of all injections.
Good-faith exam
Required; in-person exam before treatment, telehealth not permitted for initial assessment.
Corporate Practice of Medicine
Strict; physician ownership or MSO model with physician control required.

Full Vermont breakdown →

Virginia

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope limited to certain injectables under protocol.
Medical director
Required; physician must oversee all aesthetic injection services.
Good-faith exam
Required; in-person exam before treatment; telehealth not permitted for initial consultation.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted if physician medical director is in place.

Full Virginia breakdown →

Washington

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope defined by protocol and board rules.
Medical director
Required; physician must supervise and be available for consultation on injectable services.
Good-faith exam
Required; in-person or telehealth exam permitted if provider is licensed and qualified.
Corporate Practice of Medicine
Lenient; non-physician ownership allowed with physician medical director oversight.

Full Washington breakdown →

West Virginia

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope defined by protocol and board rules.
Medical director
Required; physician must oversee all injectable aesthetic services.
Good-faith exam
Required; in-person exam before treatment; telehealth not clearly permitted.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician medical director oversight.

Full West Virginia breakdown →

Wisconsin

Who can inject
MD/DO, NP, PA, RN under physician supervision; RN scope varies by protocol and board interpretation.
Medical director
Required; physician must oversee all injectable aesthetic services.
Good-faith exam
Required; in-person exam before treatment; telehealth not clearly permitted.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted with physician medical director oversight.

Full Wisconsin breakdown →

Wyoming

Who can inject
MD/DO, NP, PA, and RN under physician supervision; scope varies by board interpretation.
Medical director
Required; supervising physician must be on-site or available for consultation.
Good-faith exam
Required; in-person exam before treatment, telehealth not clearly permitted.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted if physician supervises.

Full Wyoming breakdown →

When your state's rules change, know the same day.

This tracker updates as boards and legislatures move. Inside MedSpa Pro tells you the moment a rule that affects your license changes — and exactly what to do about it.

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