Ownership rules
Physician-owned or MSO with active physician ownership/control; non-physician ownership severely restricted
Corporate Practice of Medicine
Strict; physician-owned or MSO with strict physician control
The medical-director angle
Required; must be a Hawaii-licensed physician Ownership and the medical-director requirement are usually two sides of the same compliance coin.
What to verify in Hawaii
Confirm that a Hawaii-licensed physician owns or has controlling interest in the medical spa; verify that only MDs/DOs perform injections.
Primary source: Hawaii Board of Medicine
General business information for Hawaii medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Hawaii board (and your own counsel) before you act.