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State Regulation Tracker
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.
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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 + DC tracked
9 Strict
37 Moderate
5 Lenient
47 require a medical director
10 allow telehealth exams
Who can inject MD/DO, NP/PA under physician supervision, RN under physician delegation
RNs injecting Yes, under physician delegation and supervision
Medical director Not explicitly required by state law, but common practice
Good-faith exam Required; in-person or telehealth allowed
Who can own Non-physicians may own via MSO structure with physician supervision
Full Alabama breakdown →
Who can inject MD/DO, NP/PA under physician collaboration, RN under physician delegation
RNs injecting Yes, under physician delegation; scope varies by board interpretation
Medical director Recommended; not explicitly required by statute
Good-faith exam Required; in-person preferred, telehealth varies by board interpretation
Who can own Non-physicians may own via MSO structure with physician supervision
Full Alaska breakdown →
Who can inject MD/DO, NP/PA independently or under collaboration, RN under physician delegation
RNs injecting Yes, under physician delegation; RNs have broad injection authority
Medical director Not required; physician oversight optional
Good-faith exam Required; in-person or telehealth allowed
Who can own Open; non-physicians may own and operate medical spas
Full Arizona breakdown →
Who can inject MD/DO, NP/PA under physician supervision, RN under physician delegation
RNs injecting Yes, under physician delegation and supervision
Medical director Recommended; not explicitly required by statute
Good-faith exam Required; in-person preferred, telehealth varies by board interpretation
Who can own Non-physicians may own via MSO structure with physician supervision
Full Arkansas breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision/delegation
RNs injecting Yes, under physician delegation and direct supervision; must work in facility with supervising physician present or on-site
Medical director Required; physician must be on-site or immediately available for injectable procedures
Good-faith exam Required; in-person exam mandatory before treatment
Who can own Physician-owned or MSO-managed with physician control; non-physician ownership prohibited
Full California breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision or delegation
RNs injecting Yes, under physician delegation; supervision model varies—may be on-site or remote depending on board interpretation
Medical director Required for facilities offering injectable procedures; physician oversight mandatory
Good-faith exam Required; in-person or telehealth allowed under certain conditions
Who can own Non-physicians may own; physician medical director required for medical oversight
Full Colorado breakdown →
No state matches.
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