Home › Compliance › 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.
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
35 Moderate
7 Lenient
49 require a medical director
10 allow telehealth exams
Who can inject MD, DO, NP, PA, RN under physician supervision
RNs injecting Yes, under physician delegation and supervision
Medical director Required for RN/LPN injectors; physician oversight mandatory
Good-faith exam Required; in-person exam before treatment
Who can own Non-physicians may own via MSO structure with physician medical director Full Alabama breakdown →
Who can inject MD, DO, NP, PA, RN with minimal supervision requirements
RNs injecting Yes, RNs may inject with general physician oversight; specific delegation protocols vary
Medical director Not strictly required; physician involvement varies by practice model
Good-faith exam Required; in-person or telehealth permitted for initial exam
Who can own Non-physicians may own; physician involvement not mandatory Full Alaska breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision
RNs injecting Yes, RNs may inject under physician delegation and supervision
Medical director Required for RN/LPN injectors; physician oversight of aesthetic procedures mandatory
Good-faith exam Required; in-person exam before treatment
Who can own Non-physicians may own via MSO with physician medical director Full Arizona breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision
RNs injecting Yes, RNs may inject under physician delegation; supervision requirements vary by board interpretation
Medical director Required for RN/LPN injectors; physician oversight of aesthetic procedures
Good-faith exam Required; in-person exam before treatment
Who can own Non-physicians may own via MSO with physician medical director Full Arkansas breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision/delegation
RNs injecting Yes, under physician delegation and supervision; must follow written protocols
Medical director Required; physician must oversee injectable services and delegate in writing
Good-faith exam Required; in-person exam mandatory before injectable treatment
Who can own Physician-only or physician-owned MSO; non-physicians cannot own Full California breakdown →
Who can inject MD, DO, NP, PA, RN under supervision or delegation
RNs injecting Yes, under physician supervision or delegation; scope varies by board interpretation
Medical director Not explicitly required by statute; physician involvement/supervision expected for injectables
Good-faith exam Required; in-person or telehealth exam permitted
Who can own Non-physicians may own; physician involvement/MSO structure recommended but not mandated by law Full Colorado breakdown →
No state matches.
Inside MedSpa Pro This is subscriber intelligence. The full tracker — every state, every company, every deal — is part of Inside MedSpa Pro. See it all, plus the daily brief, for $20/mo.
Every article, unlocked — no weekly limit The full 50-state law tracker, stock & M&A watch The daily 2-minute intelligence brief in your inbox Cancel anytime, one click Go Pro · $20/mo → Already a subscriber? Log in .
