Can a non-physician own a medical spa in Hawaii?

Yes, non-physicians may own a medical spa in Hawaii through an MSO or management structure, provided a licensed physician supervises injectable services.

Can an RN inject Botox and fillers in Hawaii?

Yes, RNs may inject under physician delegation and supervision. The delegation agreement must be documented and the physician must be available for oversight.

Is a telehealth good-faith exam allowed in Hawaii?

Yes, telehealth is permitted for the initial good-faith exam if the supervising physician determines it is clinically appropriate for the patient.

State Regulation TrackerModerate

Medical Spa Laws in Hawaii

Hawaii maintains a moderate regulatory posture that permits non-physician ownership of medical spas through MSO structures, with physician supervision of injectable services. The state allows RN injection under delegation and accepts telehealth good-faith exams when appropriate, providing reasonable operational flexibility. Owners should confirm delegation protocols with the Hawaii Medical Board and maintain clear physician oversight documentation.

By Evan at Inside MedSpa · Updated continuously

Orientation, not legal advice. Hawaii's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the Hawaii boards or healthcare counsel before you act.

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