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

An RN cannot own a medical spa independently, but may own via an MSO or management company with physician oversight. The physician must maintain supervisory authority over injection services.

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

Yes, NPs and PAs may inject under physician collaboration and delegation. They must work within a collaborative agreement and cannot practice independently for aesthetic injections.

Is a good-faith exam required before aesthetic treatments in Maryland?

Yes, a good-faith exam is required before treatment. This may be conducted in-person or via telehealth with physician oversight, provided the physician has adequate information to make a clinical determination.

State Regulation TrackerModerate

Medical Spa Laws in Maryland

Maryland takes a moderate approach, permitting non-physician ownership through management structures but requiring physician supervision for injection services. RNs may inject under delegation, making it relatively accessible for multi-disciplinary medspa models. The state's regulatory environment is stable and predictable, though delegation agreements must be documented and enforced.

By Evan at Inside MedSpa · 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.

Common questions about Maryland med-spa law

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