Can an RN own and operate a medical spa in Maryland?

An RN cannot own a medical spa independently, but may own one through an MSO structure with a supervising physician. The physician must oversee all clinical operations and injections.

Can an NP or PA inject fillers and neurotoxins in Maryland?

Yes, NPs and PAs may inject under physician supervision and delegation. They cannot practice independently and must work collaboratively with a supervising physician.

Is a telehealth good-faith exam allowed for the first visit in Maryland?

No, Maryland requires an in-person good-faith exam before any treatment. Telehealth is not permitted for initial consultations.

State Regulation TrackerModerate

Medical Spa Laws in Maryland

Maryland takes a moderate approach to medical-spa regulation, permitting non-physician ownership under an MSO model with a supervising physician. RNs and NPs/PAs may inject under physician delegation and supervision, but independent practice is not permitted. The state requires in-person good-faith exams and does not allow telehealth for initial visits. Owners should prioritize establishing robust physician-oversight agreements and clear delegation protocols.

AI Inside MedSpa Intelligence · Updated continuously

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

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Scope of practice by state Medical director requirements Good-faith exam requirements Ownership & MSO rules

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