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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
50 require a medical director
14 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 or telehealth permitted
Who can own Non-physicians may own via MSO or management agreement with supervising physician
Full Alabama breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision
RNs injecting Yes, under physician delegation; specific scope varies by board interpretation
Medical director Required for RN/LPN injectors; physician oversight mandatory
Good-faith exam Required; in-person preferred, telehealth varies by board interpretation
Who can own Non-physicians may own via MSO or management agreement with supervising physician
Full Alaska breakdown →
Who can inject MD, DO, NP, PA, RN, LPN under appropriate supervision
RNs injecting Yes, RN may inject under NP/PA/MD supervision; LPN scope more limited
Medical director Not strictly required; physician supervision/collaboration required for RN/LPN injectors
Good-faith exam Required; in-person or telehealth permitted
Who can own Open; non-physicians may own and operate medical spas
Full Arizona breakdown →
Who can inject MD, DO, NP, PA, RN under physician supervision
RNs injecting Yes, under physician delegation and supervision; scope defined by board
Medical director Required for RN/LPN injectors; physician oversight mandatory
Good-faith exam Required; in-person preferred, telehealth varies by board interpretation
Who can own Non-physicians may own via MSO or management agreement with supervising physician
Full Arkansas breakdown →
Who can inject MD/DO, NP/PA under physician supervision, RN under physician delegation
RNs injecting Yes, under direct physician delegation and supervision
Medical director Required for most medical spa operations
Good-faith exam Required; in-person exam mandatory before treatment
Who can own Physician-owned or MSO-managed with physician oversight
Full California breakdown →
Who can inject MD/DO, NP/PA with physician collaboration, RN under physician delegation
RNs injecting Yes, under physician delegation; specific scope varies by facility protocol
Medical director Required for medical spa operations
Good-faith exam Required; in-person or telehealth permitted under certain conditions
Who can own Non-physicians may own via MSO; physician involvement typically required for medical oversight
Full Colorado breakdown →
No state matches.
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